Copyright © 2016 F. A. Davis Compa
d$ d$ d$ d$ d$ d$
ny
,Chapter 1: Holistic Caring
d$ d$ d$
Multiple Choice
d$
Identify the choice that best completes the statement or answers the question.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1. According to the 2010 U.S. Census, approximately how many Americans are older than age 65?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) 2%
2) 5%
3) 13%
4) 20%
2. What is the average life expectancy today?
d$ d$ d$ d$ d$ d$
1) 70.2 years d$
2) 75 years d$
3) 81.1 years for women and 76.3 years for men
d$ d$ d$ d$ d$ d$ d$ d$
4) Longer for men than for women d$ d$ d$ d$ d$
3. Which statement is NOT true about holistic nursing?
d$ d$ d$ d$ d$ d$ d$
1) Holistic nursing focuses on the specific disease or disorder a person has in order to tre
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
at it effectively. d$ d$
2) Holistic nursing aims to treat the whole person, not just a specific disease or disorder
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
the person may have.
$ d$ d$ d$
3) Holistic nursing focuses on the individual patient and uses many techniques, such
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
as empathetic listening, music, and imagery, as well as specific clinical skills.
$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
4) Holistic nursing weaves the technical skills of nursing with the social science skills t
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
hat enhance communication and rapport between the nurse and the person receiving
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
care. d$
4. The Science of Human Caring theory was developed by
d$ d$ d$ d$ d$ d$ d$ d$
1) Florence Nightingale d$
2) Clara Barton d$
3) Jean Watson d$
4) Savage and Money d$ d$
5. Which is NOT emphasized in The Science of Human Caring?
d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Providing transpersonal caring d$ d$
2) Focusing on the person while you are with him or her d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
3) Ensuring that all nonessential tasks, such as bathing, are given according to a st
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
rict schedule d$
4) Reaching out to the patient, making eye contact, touching if appropriate, speaking softly
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
6. Which of the following is included as a basic concept of holistic nursing?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Using your developed clinical expertise d$ d$ d$ d$
2) Developing a close relationship with the patient’s family members and significant others
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
3) Remembering the personal intuition and creativity of patients in your nursing plan d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
4) All of the above d$ d$ d$
7. Most elderly people having a heart attack have
d$ d$ d$ d$ d$ d$ d$
1) Pain diffused over the entire chest area
d$ d$ d$ d$ d$ d$
Copyright © 2016 F. A. Davis Compa d$ d$ d$ d$ d$ d$
ny
, 2) No pain d$
3) Crushing sternal pain d$ d$
4) Pain on the left side of the chest and pain that radiates down the left arm
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
8.d $ Compared with the doses of medication given to a young adult, the doses given to an old-
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
old person are usually
d$ d$ d$
1) Smaller
2) Larger, because the old-old person is probably sicker
d$ d$ d$ d$ d$ d$ d$
3) The same d$
4) Minimal, because the person is very old and probably near death
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
9.d$d$ What communication technique has been developed specifically for dealing with demented elderly persons?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Cognitive therapy d$
2) Validation therapy d$
3) Geriatric Depression Scale d$ d$
4) Mini-Mental Status Examination (MMSE) d$ d$ d$
d $ 10. d $An 82-year-old patient is diagnosed with liver cancer and has long-
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
standing cardiovascular problems. The patient begins screaming and pushes his meal tray away. What
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
would be an appropriate response?
d$ d$ d$ d$ d$
1) Take the meal tray and leave the room without saying anything.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
2) Tell him to stop screaming in a loud voice.
d$ d$ d$ d$ d$ d$ d$ d$
3) Calmly ask him what he is upset about and listen carefully to him.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
4) Call your supervisor. d$ d$
d $ 11. d $ The nurse is overhead addressing an 87-year-old patient as “honey.” What is this an example of?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Beneficence
2) Paternalism
3) Caring
4) Malfeasance
d $ 12. d $ The term “elite-old” is used for people
d$ d$ d$ d$ d$ d$
1) 65 to 74 years old
d$ d$ d$ d$
2) 75 to 84 years old
d$ d$ d$ d$
3) 85 to 100 years old
d$ d$ d$ d$
4) Older than 100 years d$ d$ d$
d $ 13. d $ d $ Which is a key concept in holistic nursing?
d$ d$ d$ d$ d$ d$ d$
1) Following physician instructions and follow-up with the physician
d$ d$ d$ d$ d$ d$ d$
2) Developing a relationship with family members of the patient d$ d$ d$ d$ d$ d$ d$ d$
3) Using what you have learned—your clinical experience
d$ d$ d$ d$ d$ d$
4) All of the aboved$ d$ d$
d $ 14. d $ d $ How should the nursing instructor explain the term “gerontology” to a new class of students?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) It means the use of older medications to treat illnesses.
d$ d$ d$ d$ d$ d$ d$ d$ d$
2) It comes from a Greek word that means “related to old age.”
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
3) It focuses on the housing needs of people who are underserved.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
4) It is a way of explaining health problems of people over age 50.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d $ 15. Which term should the nurse use when explaining medical care that an older patient requires?
d $ d $ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Genetics
Copyright © 2016 F. A. Davis Compa
d$ d$ d$ d$ d$ d$
ny
, 2) Geriatrics
3) Gerontology
4) Gentrification
d $ 16.d $ During lunch a nursing colleague states that she never wants to be assigned to care for an older patient.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
What behavior is this nurse demonstrating?
d$ d$ d$ d$ d$ d$
1) Ageism
2) Stereotyping
3) Ethnocentricity
4) Personal preference d$
d $ 17. d $ d $ How should a nursing instructor explain the term “baby boomers” to new students?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) People who have large families d$ d$ d$ d$
2) People who advocate for the care of infants
d$ d$ d$ d$ d$ d$ d$
3) People who have decided not to have large families
d$ d$ d$ d$ d$ d$ d$ d$
4) People born between 1946 and 1965 after World War II
d$ d$ d$ d$ d$ d$ d$ d$ d$
d $ 18. d $ d $ What explains the decline in the elderly black population since 1980?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Diabetes
2) Homicides
3) Hypertension
4) Heart disease d$
d $ 19. d $ d $ Why are older people more likely to participate in exercise programs?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) They have more time to exercise.
d$ d$ d$ d$ d$
2) They are trying to avoid boredom.
d$ d$ d$ d$ d$
3) They initiated the fitness movement.
d$ d$ d$ d$
4) They want to spend time with their grandchildren.
d$ d$ d$ d$ d$ d$ d$
d $ 20. d $ d $ What information would be helpful when explaining Social Security to a group of new nursing students?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) It is a federal and state supported process that provides health care to financia
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
lly disadvantaged people.
d$ d$
2) It is federal regulation providing health care for individuals older than age 65
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
or individuals who are permanently disabled.
$ d$ d$ d$ d$ d$
3) It is a federal benefit check paid to persons older than age 65 or persons with disabili
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ties who are unable to work.
d$ d $ d$ d$ d$
4) It is a federal benefit check paid to retired workers of a specific age, disabled worker
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
s of any age, and spouses and minor children of deceased workers.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d $ 21. d $ d $ What should be used to describe a nursing philosophy to a new nursing student?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) It is a personal concept.
d$ d$ d$ d$
2) It defines goals and aspirations.
d$ d$ d$ d$
3) It outlines steps to a successful career.
d$ d$ d$ d$ d$ d$
4) It recognizes the importance of education.
d$ d$ d$ d$ d$
d $ 22. Which behavior demonstrates that a nurse is developing a healing relationship with a patient?
d $ d $ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Answering a call light using the intercom system d$ d$ d$ d$ d$ d$ d$
2) Telling a patient that there is no time to try something new
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
3) Sitting down in the patient’s room to discuss the plan of care
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
Copyright © 2016 F. A. Davis Compa d$ d$ d$ d$ d$ d$
ny
d$ d$ d$ d$ d$ d$
ny
,Chapter 1: Holistic Caring
d$ d$ d$
Multiple Choice
d$
Identify the choice that best completes the statement or answers the question.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1. According to the 2010 U.S. Census, approximately how many Americans are older than age 65?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) 2%
2) 5%
3) 13%
4) 20%
2. What is the average life expectancy today?
d$ d$ d$ d$ d$ d$
1) 70.2 years d$
2) 75 years d$
3) 81.1 years for women and 76.3 years for men
d$ d$ d$ d$ d$ d$ d$ d$
4) Longer for men than for women d$ d$ d$ d$ d$
3. Which statement is NOT true about holistic nursing?
d$ d$ d$ d$ d$ d$ d$
1) Holistic nursing focuses on the specific disease or disorder a person has in order to tre
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
at it effectively. d$ d$
2) Holistic nursing aims to treat the whole person, not just a specific disease or disorder
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
the person may have.
$ d$ d$ d$
3) Holistic nursing focuses on the individual patient and uses many techniques, such
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
as empathetic listening, music, and imagery, as well as specific clinical skills.
$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
4) Holistic nursing weaves the technical skills of nursing with the social science skills t
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
hat enhance communication and rapport between the nurse and the person receiving
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
care. d$
4. The Science of Human Caring theory was developed by
d$ d$ d$ d$ d$ d$ d$ d$
1) Florence Nightingale d$
2) Clara Barton d$
3) Jean Watson d$
4) Savage and Money d$ d$
5. Which is NOT emphasized in The Science of Human Caring?
d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Providing transpersonal caring d$ d$
2) Focusing on the person while you are with him or her d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
3) Ensuring that all nonessential tasks, such as bathing, are given according to a st
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
rict schedule d$
4) Reaching out to the patient, making eye contact, touching if appropriate, speaking softly
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
6. Which of the following is included as a basic concept of holistic nursing?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Using your developed clinical expertise d$ d$ d$ d$
2) Developing a close relationship with the patient’s family members and significant others
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
3) Remembering the personal intuition and creativity of patients in your nursing plan d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
4) All of the above d$ d$ d$
7. Most elderly people having a heart attack have
d$ d$ d$ d$ d$ d$ d$
1) Pain diffused over the entire chest area
d$ d$ d$ d$ d$ d$
Copyright © 2016 F. A. Davis Compa d$ d$ d$ d$ d$ d$
ny
, 2) No pain d$
3) Crushing sternal pain d$ d$
4) Pain on the left side of the chest and pain that radiates down the left arm
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
8.d $ Compared with the doses of medication given to a young adult, the doses given to an old-
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
old person are usually
d$ d$ d$
1) Smaller
2) Larger, because the old-old person is probably sicker
d$ d$ d$ d$ d$ d$ d$
3) The same d$
4) Minimal, because the person is very old and probably near death
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
9.d$d$ What communication technique has been developed specifically for dealing with demented elderly persons?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Cognitive therapy d$
2) Validation therapy d$
3) Geriatric Depression Scale d$ d$
4) Mini-Mental Status Examination (MMSE) d$ d$ d$
d $ 10. d $An 82-year-old patient is diagnosed with liver cancer and has long-
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
standing cardiovascular problems. The patient begins screaming and pushes his meal tray away. What
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
would be an appropriate response?
d$ d$ d$ d$ d$
1) Take the meal tray and leave the room without saying anything.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
2) Tell him to stop screaming in a loud voice.
d$ d$ d$ d$ d$ d$ d$ d$
3) Calmly ask him what he is upset about and listen carefully to him.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
4) Call your supervisor. d$ d$
d $ 11. d $ The nurse is overhead addressing an 87-year-old patient as “honey.” What is this an example of?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Beneficence
2) Paternalism
3) Caring
4) Malfeasance
d $ 12. d $ The term “elite-old” is used for people
d$ d$ d$ d$ d$ d$
1) 65 to 74 years old
d$ d$ d$ d$
2) 75 to 84 years old
d$ d$ d$ d$
3) 85 to 100 years old
d$ d$ d$ d$
4) Older than 100 years d$ d$ d$
d $ 13. d $ d $ Which is a key concept in holistic nursing?
d$ d$ d$ d$ d$ d$ d$
1) Following physician instructions and follow-up with the physician
d$ d$ d$ d$ d$ d$ d$
2) Developing a relationship with family members of the patient d$ d$ d$ d$ d$ d$ d$ d$
3) Using what you have learned—your clinical experience
d$ d$ d$ d$ d$ d$
4) All of the aboved$ d$ d$
d $ 14. d $ d $ How should the nursing instructor explain the term “gerontology” to a new class of students?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) It means the use of older medications to treat illnesses.
d$ d$ d$ d$ d$ d$ d$ d$ d$
2) It comes from a Greek word that means “related to old age.”
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
3) It focuses on the housing needs of people who are underserved.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
4) It is a way of explaining health problems of people over age 50.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d $ 15. Which term should the nurse use when explaining medical care that an older patient requires?
d $ d $ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Genetics
Copyright © 2016 F. A. Davis Compa
d$ d$ d$ d$ d$ d$
ny
, 2) Geriatrics
3) Gerontology
4) Gentrification
d $ 16.d $ During lunch a nursing colleague states that she never wants to be assigned to care for an older patient.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
What behavior is this nurse demonstrating?
d$ d$ d$ d$ d$ d$
1) Ageism
2) Stereotyping
3) Ethnocentricity
4) Personal preference d$
d $ 17. d $ d $ How should a nursing instructor explain the term “baby boomers” to new students?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) People who have large families d$ d$ d$ d$
2) People who advocate for the care of infants
d$ d$ d$ d$ d$ d$ d$
3) People who have decided not to have large families
d$ d$ d$ d$ d$ d$ d$ d$
4) People born between 1946 and 1965 after World War II
d$ d$ d$ d$ d$ d$ d$ d$ d$
d $ 18. d $ d $ What explains the decline in the elderly black population since 1980?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Diabetes
2) Homicides
3) Hypertension
4) Heart disease d$
d $ 19. d $ d $ Why are older people more likely to participate in exercise programs?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) They have more time to exercise.
d$ d$ d$ d$ d$
2) They are trying to avoid boredom.
d$ d$ d$ d$ d$
3) They initiated the fitness movement.
d$ d$ d$ d$
4) They want to spend time with their grandchildren.
d$ d$ d$ d$ d$ d$ d$
d $ 20. d $ d $ What information would be helpful when explaining Social Security to a group of new nursing students?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) It is a federal and state supported process that provides health care to financia
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
lly disadvantaged people.
d$ d$
2) It is federal regulation providing health care for individuals older than age 65
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d
or individuals who are permanently disabled.
$ d$ d$ d$ d$ d$
3) It is a federal benefit check paid to persons older than age 65 or persons with disabili
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
ties who are unable to work.
d$ d $ d$ d$ d$
4) It is a federal benefit check paid to retired workers of a specific age, disabled worker
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
s of any age, and spouses and minor children of deceased workers.
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
d $ 21. d $ d $ What should be used to describe a nursing philosophy to a new nursing student?
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) It is a personal concept.
d$ d$ d$ d$
2) It defines goals and aspirations.
d$ d$ d$ d$
3) It outlines steps to a successful career.
d$ d$ d$ d$ d$ d$
4) It recognizes the importance of education.
d$ d$ d$ d$ d$
d $ 22. Which behavior demonstrates that a nurse is developing a healing relationship with a patient?
d $ d $ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
1) Answering a call light using the intercom system d$ d$ d$ d$ d$ d$ d$
2) Telling a patient that there is no time to try something new
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
3) Sitting down in the patient’s room to discuss the plan of care
d$ d$ d$ d$ d$ d$ d$ d$ d$ d$ d$
Copyright © 2016 F. A. Davis Compa d$ d$ d$ d$ d$ d$
ny