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TESTBANK FOR Caring for Older Adults Holistically 8th Edition Dahlkemper

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TESTBANK FOR Caring for Older Adults Holistically 8th Edition Dahlkemper

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,TESTBANK FOR Caring for Older Adults Holistically 8th Edition Dahlkemper

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,Chapter 1: Holistic Caring



Multiple Choice
Identify the choice that best completes the statement or answers the question.



1. Which action should the nurse avoid when incorporating the concepts of the Science of Human Caring into patient
care?
1. Implementing transpersonal approaches
2. Making eye contact while speaking softly
3. Listening to the patient during communication
4. Adhering to a strict schedule to complete morning care

Answer: _____



2. Which action should the nurse implement that demonstrates holistic care?
1. Eliminating an order prescribed by the physician
2. Asking the family to leave the room during medication teaching
3. Listening to ways the patient has overcome a health problem in the past
4. Performing an action that may not necessarily be appropriate for the patient’s needs

Answer: _____



3. An older patient with a terminal illness and heart problems is angry and yelling and pushes away the breakfast meal
tray. Which response should the nurse make?
1. Call the supervisor.
2. Loudly tell the patient to stop screaming.
3. Take the meal tray away and silently leave the room.
4. Ask the patient to explain the reason for the outburst and listen to the response.

Answer: _____



4. The nurse overhears a conversation between unlicensed assistive personnel (UAP) and an older adult patient. For which
statement should the nurse counsel the UAP?
1. “Good morning, honey!”
2. “Can I help you with your breakfast?”
3. “Mr. Jones, can I bring you your dentures?”
4. “Please tell me when you want to have your shower.”

Answer: _____



Copyright © 2025 F. A. Davis Company

,5. Which is the best response in explaining the word gerontology?
1. It means the use of older medications to treat illnesses.
2. It comes from a Greek word that means “the study related to old age.”
3. It focuses on the housing needs of people who are underserved.
4. It is a way of explaining health problems of people over age 50.

Answer: _____



6. Which action involves transpersonal caring?
1. Keeping your distance from the patient
2. Engaging in discussion of your personal life
3. Administering the patient medications
4. Addressing the older adult by their first and last names


Answer: _____



7. During an employment interview, the nurse is asked to describe the purpose of a nursing philosophy. Which response
should the nurse make?
1. It is a personal concept.
2. It defines nursing goals and aspirations.
3. It recognizes the importance of education.
4. It outlines the steps to take for a successful career.

Answer: _____



8. Which behavior demonstrates that the nurse wants to develop a healing relationship with a patient?
1. Answering the call light using the intercom system
2. Telling the patient that there is no time to try something new
3. Sitting down in the patient’s room to discuss the plan of care
4. Reminding the patient that other patients need attention at this time

Answer: _____



9. Which skill should the nurse focus on to be successful in providing holistic care?
1. Active listening
2. Critical judgment
3. Care coordination
4. Time management

Answer: _____

Copyright © 2025 F. A. Davis Company

,10. The nurse schedules an interdisciplinary team meeting to address an older adult’s care needs. Who should the nurse
include on the team to ensure that holistic care is provided?
1. The nurse and the older adult
2. The nurse, dietitian, and discharge planner
3. Those who will help meet the patient’s needs
4. The social worker, physical therapist, and nurse

Answer: _____



11. Which would be considered a social determinant of health (SDOH) for older adults?
1. Living with a spouse
2. Having access to nutritious foods
3. Living in an unsafe neighborhood
4. Having more than one chronic illness

Answer: _____



12. During a home visit, an older adult reports planning to have dinner with a close friend and then see a movie. What
does this behavior indicate to the nurse?
1. Industry
2. Self-absorption
3. Identity diffusion
4. Gerotranscendence

Answer: _____




Multiple Response
Identify one or more choices that best complete the statement or answer the question.



13. The home health nurse is completing an admission assessment of an older adult patient. Which health problems should
the nurse identify as being leading chronic diseases of older adults? Select all that apply.
1. Cancer
2. Diabetes
3. Heart disease
4. Hypertension
5. Multiple sclerosis

Answer: _____


Copyright © 2025 F. A. Davis Company

,14. The nurse is preparing a teaching tool for a community recreation center. Which of the following should the nurse
include to explain the reason for the increased number of older adults in today’s society? Select all that apply.
1. Better nutrition
2. Earlier retirement
3. Increased exercise
4. Improved health care
5. Consistent sanitation

Answer: _____



15. The nurse is identifying characteristics to include in a personal philosophy of nursing. Which should the nurse include
as essential elements of this philosophy? Select all that apply.
1. Make it simple.
2. Keep it inexpensive.
3. Identify specific actions.
4. Ensure that it is meaningful.
5. Incorporate popular approaches.

Answer: _____




Copyright © 2025 F. A. Davis Company

,Questions, Answers, and Rationales


MULTIPLE CHOICE
Identify the choice that best completes the statement or answers the question.



1. Which action should the nurse avoid when incorporating the concepts of the Science of Human Caring into patient
care?
1. Implementing transpersonal approaches
2. Making eye contact while speaking softly
3. Listening to the patient during communication
4. Adhering to a strict schedule to complete morning care

ANS: 1
Page: 8
Feedback
1 Transpersonal caring is the human-to-human relationship, which is a part of the Science
of Human Caring.
2 The person is the focus in the Science of Human Caring.
3 Personal contact, eye contact, and speaking softly are parts of the Science of Human
Caring.
4 The nurse needs to treat the whole person, not view care as completing a checklist of
routine tasks.



2. Which action should the nurse implement that demonstrates holistic care?
1. Eliminating an order prescribed by the physician
2. Asking the family to leave the room during medication teaching
3. Listening to ways the patient has overcome a health problem in the past
4. Performing an action that may not necessarily be appropriate for the patient’s needs


ANS: 3
Page: 6
Feedback
1 A basic concept of holistic nursing practice is to always follow the physician’s orders.
Eliminating an order is not a part of holistic care and cannot be done by the nurse.
2 A close relationship is developed with family members and significant others in holistic
nursing.
3 Holistic nursing draws on the intuition and creativity that patients must resolve their
own health problems.
4 The practice of holistic nursing includes developing and using clinical expertise. Per-
forming an action that may not meet the patient’s needs is not a concept of holistic
nursing.



Copyright © 2025 F. A. Davis Company

,3. An older patient with a terminal illness and heart problems is angry and yelling and pushes away the breakfast meal
tray. Which response should the nurse make?
1. Call the supervisor.
2. Loudly tell the patient to stop screaming.
3. Take the meal tray away and silently leave the room.
4. Ask the patient to explain the reason for the outburst and listen to the response.

ANS: 4
Page: 10
Feedback
1 There is no reason to contact the supervisor. The reason for the patient’s outburst needs
to be determined and comfort provided.
2 Telling the patient to stop screaming in a loud voice is responding with anger and does
not determine the cause of the outburst.
3 Removing the meal try and leaving the room is uncaring and insulting to the patient.
4 The nurse should try to find out what is bothering the patient and ask specific questions.
Remember that the patient has a very serious and probably terminal diagnosis, and
anger is understandable. There is a reason for every behavior, and the nurse has the re-
sponsibility to learn the reason before reacting.



4. The nurse overhears a conversation between unlicensed assistive personnel (UAP) and an older adult patient. For which
statement should the nurse counsel the UAP?
1. “Good morning, honey!”
2. “Can I help you with your breakfast?”
3. “Mr. Jones, can I bring you your dentures?”
4. “Please tell me when you want to have your shower.”

ANS: 1
Page: 8-9

Feedback
1 Speaking to patients as if they are children is a form of paternalism. Older adults should
be addressed with respect, usually by Mr. or Mrs., unless they specifically say to use
their first name.
2 Offering help to an older adult patient is appropriate communication.
3 Using the older adult patient’s formal name is an appropriate way to address the patient.
4 Being polite by saying please and asking the patient to decide when care will be pro-
vided is appropriate.



5. Which is the best response in explaining the word gerontology?
1. It means the use of older medications to treat illnesses.
2. It comes from a Greek word that means “the study related to old age.”
3. It focuses on the housing needs of people who are underserved.
4. It is a way of explaining health problems of people over age 50.


Copyright © 2025 F. A. Davis Company

,ANS: 2
Page: 2

Feedback
1 Gerontology is not the use of older medications to treat illnesses.
2 Gerontology comes from a Greek word that means “the study related to old age.”
3 Gerontology does not focus on the housing needs of people who are underserved.
4 Gerontology is not a way of explaining health problems of people over age 50. It is a
term used for individuals aged 65 and older.



6. Which action involves transpersonal caring?
1. Keeping your distance from the patient
2. Engaging in discussion of your personal life
3. Administering the patient medications
4. Addressing the older adult by their first and last names

ANS: 4
Page: 8-9

Feedback
1 Closeness and touch are ways to show transpersonal caring.
2 Transpersonal caring focuses on caring for the individual, not the nurse.
3 Administering medications focuses on the disease process and not the individual.
4 Addressing the older adult by their first and last names shows the older adult respect
and is an example of transpersonal caring.



7. During an employment interview, the nurse is asked to describe the purpose of a nursing philosophy. Which response
should the nurse make?
1. It is a personal concept.
2. It defines nursing goals and aspirations.
3. It recognizes the importance of education.
4. It outlines the steps to take for a successful career.

ANS: 1
Page: 5

Feedback
1 A nursing philosophy is a personal concept that must come from within.
2 A nursing philosophy does not define goals and aspirations.
3 A nursing philosophy is not used to recognize the importance of education.
4 A nursing philosophy does not outline steps to a successful career.




Copyright © 2025 F. A. Davis Company

, 8. Which behavior demonstrates that the nurse wants to develop a healing relationship with a patient?
1. Answering the call light using the intercom system
2. Telling the patient that there is no time to try something new
3. Sitting down in the patient’s room to discuss the plan of care
4. Reminding the patient that other patients need attention at this time

ANS: 3
Page: 6

Feedback
1 Answering a call light using the intercom system does not demonstrate a nurse who is
unrushed and truly wants to develop a relationship with the patient.
2 Telling the patient that there is no time to try something new does not demonstrate a
healing relationship with the patient.
3 Sitting down with the patient to discuss the plan of care indicates an interest in devel-
oping a healing relationship with the patient.
4 Reminding the patient that other patients need attention at this time does not indicate an
interest in developing a healing relationship with the patient.



9. Which skill should the nurse focus on to be successful in providing holistic care?
1. Active listening
2. Critical judgment
3. Care coordination
4. Time management

ANS: 1
Page: 6

Feedback
1 The critical activity to promote holistic care is active listening.
2 Critical judgment is not essential in holistic care. It sets patient priorities.
3 Care coordination is not essential in holistic care.
4 Time management is not essential in holistic care.



10. The nurse schedules an interdisciplinary team meeting to address an older adult’s care needs. Who should the nurse
include on the team to ensure that holistic care is provided?
1. The nurse and the older adult
2. The nurse, dietitian, and discharge planner
3. Those who will help meet the patient’s needs
4. Anyone who wants to be on the team

ANS: 3
Page: 7

Feedback
1 Members of the holistic health-care team include more than the nurse and the older

Copyright © 2025 F. A. Davis Company

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