TEST BANK
Caring for Older Adults Holistically
Tamara R. Dahlkemper
7th Edition
,Table of Contents
Chapter 01 Holistic Caring 1
Chapter 02 The Aging Experience 8
Chapter 03 Supporting Life Transitions and Spirituality 15
Chapter 04 The Use of the Nursing Process and Nursing Diagnosis 22
Chapter 05 Legal, Ethical, and Financial Considerations 28
Chapter 06 Promoting Wellness 35
Chapter 07 Safety 42
Chapter 08 Nutrition 49
Chapter 09 Activity, Rest, and Sleep as Criteria for Health 55
Chapter 10 End-of-Life Issues 62
Chapter 11 Environments of Care 69
Chapter 12 Management and Leadership Role of the Licensed Practical-Vocational Nurse 76
Chapter 13 Infection 83
Chapter 14 Common Medical Diagnoses 90
Chapter 15 Physiological Assessment 96
Chapter 16 Common Clinical Problems-Physiological 102
Chapter 17 Psychological Assessment 109
Chapter 18 Common Clinical Problems-Psychological 116
Chapter 19 Rehabilitation and Restorative Care 123
Chapter 20 Pharmacology 130
Chapter 21 Laboratory Values 137
,______________________________________________________________________________________________
Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
Chapter 1: Holistic Caring
MULTIPLE CHOICE
1. The nurse incorporates the concepts of the Science of Human Caring when providing patient
care. Which action should the nurse avoid?
a. Implementing transpersonal approaches
b. Making eye contact while speaking softly
c. Listening to the patient during communication
d. Adhering to a strict schedule to complete morning care
ANS: D
Feedback
A Transpersonal caring is the human-to-human relationship, which is a part of the
Science of Human Caring.
B The person is the focus in the Science of Human Caring.
C Personal contact, eye contact, and speaking softly are parts of the Science of
Human Caring.
D The nurse needs to treat the whole person, not view care as completing a
checklist of routine tasks.
REF: Page: 8
2. The nurse is planning care for a patient. Which action should the nurse implement that
demonstrates holistic care?
a. Eliminating an order prescribed by the physician
b. Asking the family to leave the room during medication teaching
c. Listening to ways the patient has overcome a health problem in the past
d. Performing an action that may not necessarily be appropriate for the patient’s
needs
ANS: C
Feedback
A 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.
B A close relationship is developed with family members and significant others in
holistic nursing.
C Holistic nursing draws on the intuition and creativity that patients have to
resolve their own health problems.
D The practice of holistic nursing includes developing and using clinical expertise.
Performing an action that may not meet the patient’s needs is not a concept of
holistic nursing.
REF: Page: 6
3. An older patient with a terminal illness and heart problems is angry and pushes away the
breakfast meal tray. Which response should the nurse make?
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Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
a. Call the supervisor.
b. Loudly tell the patient to stop screaming.
c. Take the meal tray away and silently leave the room.
d. Ask the patient to explain the reason for the outburst and listen to the response.
ANS: D
Feedback
A There is no reason to contact the supervisor. The reason for the patient’s outburst
needs to be determined and comfort provided.
B Telling the patient to stop screaming in a loud voice is responding with anger
and does not determine the cause of the outburst.
C Removing the meal try and leaving the room is uncaring and insulting to the
patient.
D 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 responsibility to learn the reason before reacting.
REF: Page: 10
4. The nurse overhears a conversation between unlicensed assistive personnel (UAP) and an
older patient. For which statement should the nurse counsel UAP?
a. “Good morning, honey!”
b. “Can I help you with your breakfast?”
c. “Mr. Jones, can I bring you your dentures?”
d. “Please tell me when you want to have your shower.”
ANS: A
Feedback
A Speaking to patients as if they are children is a form of paternalism. Older
people should be addressed with respect, usually by Mr. or Mrs., unless they
specifically say to use their first name.
B Offering help to an older patient is appropriate communication.
C Using the older patient’s formal name is an appropriate way to address the
patient.
D Being polite by saying please and asking the patient to decide when care will be
provided is appropriate.
REF: Page: 10
5. The nurse is asked to explain the word gerontology. Which response should the nurse make?
a. It means the use of older medications to treat illnesses.
b. It comes from a Greek word that means “related to old age.”
c. It focuses on the housing needs of people who are underserved.
d. It is a way of explaining health problems of people over age 50.
ANS: B
Feedback
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2|Page
,______________________________________________________________________________________________
Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
A Gerontology is not the use of older medications to treat illnesses.
B Gerontology comes from a Greek word that means “related to old age.”
C Gerontology does not focus on the housing needs of people who are
underserved.
D Gerontology is not a way of explaining health problems of people over age 50.
REF: Page: 2
6. The nurse is preparing a program on the health needs of older community members. For
which reason should physical activity and exercise be encouraged?
a. They want to prevent boredom.
b. They have more time to exercise.
c. They initiated the fitness movement.
d. They want to spend more time with grandchildren.
ANS: C
Feedback
A Older people are not more likely to participate in exercise programs because they
are trying to avoid boredom.
B Older people are not more likely to participate in exercise programs because they
have more time to exercise.
C Older people are more likely to participate in exercise programs because they
initiated the fitness movement.
D Older people are not more likely to participate in exercise programs because they
want to spend more time with their grandchildren.
REF: Page: 5
7. During an employment interview, the nurse is asked to describe the purpose of a nursing
philosophy. Which response should the nurse make?
a. It is a personal concept.
b. It defines personal goals and aspirations.
c. It recognizes the importance of education.
d. It outlines the steps to take for a successful career.
ANS: A
Feedback
A A nursing philosophy is a personal concept that has to come from within.
B A nursing philosophy does not define goals and aspirations.
C A nursing philosophy is not used to recognize the importance of education.
D A nursing philosophy does not outline steps to a successful career.
REF: Page: 5
8. The nurse is providing patient care. Which behavior demonstrates that the nurse wants to
develop a healing relationship with this patient?
a. Answering the call light using the intercom system
b. Telling the patient that there is no time to try something new
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Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
c. Sitting down in the patient’s room to discuss the plan of care
d. Reminding the patient that other patients need attention at this time
ANS: C
Feedback
A 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.
B Telling the patient that there is no time to try something new does not
demonstrate a healing relationship with the patient.
C Sitting down with the patient to discuss the plan of care indicates an interest in
developing a healing relationship with the patient.
D Reminding the patient that other patients need attention at this time does not
indicate an interest in developing a healing relationship with the patient.
REF: Page: 7
9. The nurse desires to improve the ability to provide holistic care. On which skill should the
nurse focus to be successful?
a. Active listening
b. Critical thinking
c. Care coordination
d. Time management
ANS: A
Feedback
A The critical activity to promote holistic care is active listening.
B Critical thinking is not essential in holistic care.
C Care coordination is not essential in holistic care.
D Time management is not essential in holistic care.
REF: Page: 6
10. The nurse schedules an interdisciplinary team meeting to address an older patient’s care
needs. Who should the nurse include to ensure that the team provides holistic care?
a. The nurse, doctor, and pharmacist
b. The nurse, dietician, and discharge planner
c. Those who will help meet the patient’s needs
d. The social worker, physical therapist, and nurse
ANS: C
Feedback
A Members of the holistic health-care team may or may not include the doctor and
pharmacist.
B Members of the holistic health-care team may or may not include the dietician
and discharge planner.
C Members of the holistic health-care team include those who will help meet the
patient’s needs.
D Members of the holistic health-care team may or may not include the social
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Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
worker and physical therapist.
REF: Page: 7
11. The nurse attends an educational program on caring. Which action should the nurse take to
become a more caring nurse?
a. Become a caring person.
b. Ensure adequate daily rest.
c. Set aside time for personal activities.
d. Consume nutritious meals and exercise.
ANS: A
Feedback
A To become a more caring nurse, the nurse should become a caring person.
B Adequate rest is not identified as an action to become a more caring nurse.
C Setting aside time for personal activities is not identified as an action to become
a more caring nurse.
D Consuming nutritious meals and exercising are not identified as actions to
become a more caring nurse.
REF: Page: 11
12. During a home visit, an older patient reports planning to have dinner with a close friend and
then see a movie. What does this behavior indicate to the nurse?
a. Industry
b. Self-absorption
c. Identity diffusion
d. Gerotranscendence
ANS: D
Feedback
A Industry is a developmental task of middle childhood.
B Self-absorption is a part of the adult middle age developmental task.
C Identity diffusion is a part of the adolescent developmental task.
D Gerotranscendence means that the older person is satisfied with life and looks
forward to living a full life for the rest of his or her days.
REF: Page: 11
MULTIPLE RESPONSE
13. The home health nurse is completing an admission assessment of an older patient. Which
health problems should the nurse identify as being leading chronic diseases of older adults?
Select all that apply.
a. Cancer
b. Diabetes
c. Heart disease
d. Hypertension
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5|Page
, ______________________________________________________________________________________________
Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
e. Multiple sclerosis
ANS: B, C, D
Feedback
A Cancer is not identified as being a leading chronic disease of older adults.
B Diabetes is identified as being a leading chronic disease of older adults.
C Heart disease is identified as being a leading chronic disease of older adults.
D Hypertension is identified as being a leading chronic disease of older adults.
E Multiple sclerosis is not identified as being a leading chronic disease of older
adults.
REF: Page: 5
14. The nurse is preparing a teaching tool for a community recreation center. Which should the
nurse include that explains the reason for the increased number of older adults in today’s
society? Select all that apply.
a. Better nutrition
b. Earlier retirement
c. Increased exercise
d. Improved health care
e. Consistent sanitation
ANS: A, D, E
Feedback
A Reasons for the increased number of older persons in our society include better
nutrition.
B Reasons for the increased number of older persons in our society do not include
early retirement.
C Reasons for the increased number of older persons in our society do not include
increased exercise.
D Reasons for the increased number of older persons in our society include
improved health care.
E Reasons for the increased number of older persons in our society include
consistent sanitation.
REF: Page: 4
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.
a. Make it simple.
b. Keep it inexpensive.
c. Identify specific actions.
d. Ensure that it is meaningful.
e. Incorporate popular approaches.
ANS: A, C, D
Feedback
______________________________________________________________________________________________
6|Page
Caring for Older Adults Holistically
Tamara R. Dahlkemper
7th Edition
,Table of Contents
Chapter 01 Holistic Caring 1
Chapter 02 The Aging Experience 8
Chapter 03 Supporting Life Transitions and Spirituality 15
Chapter 04 The Use of the Nursing Process and Nursing Diagnosis 22
Chapter 05 Legal, Ethical, and Financial Considerations 28
Chapter 06 Promoting Wellness 35
Chapter 07 Safety 42
Chapter 08 Nutrition 49
Chapter 09 Activity, Rest, and Sleep as Criteria for Health 55
Chapter 10 End-of-Life Issues 62
Chapter 11 Environments of Care 69
Chapter 12 Management and Leadership Role of the Licensed Practical-Vocational Nurse 76
Chapter 13 Infection 83
Chapter 14 Common Medical Diagnoses 90
Chapter 15 Physiological Assessment 96
Chapter 16 Common Clinical Problems-Physiological 102
Chapter 17 Psychological Assessment 109
Chapter 18 Common Clinical Problems-Psychological 116
Chapter 19 Rehabilitation and Restorative Care 123
Chapter 20 Pharmacology 130
Chapter 21 Laboratory Values 137
,______________________________________________________________________________________________
Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
Chapter 1: Holistic Caring
MULTIPLE CHOICE
1. The nurse incorporates the concepts of the Science of Human Caring when providing patient
care. Which action should the nurse avoid?
a. Implementing transpersonal approaches
b. Making eye contact while speaking softly
c. Listening to the patient during communication
d. Adhering to a strict schedule to complete morning care
ANS: D
Feedback
A Transpersonal caring is the human-to-human relationship, which is a part of the
Science of Human Caring.
B The person is the focus in the Science of Human Caring.
C Personal contact, eye contact, and speaking softly are parts of the Science of
Human Caring.
D The nurse needs to treat the whole person, not view care as completing a
checklist of routine tasks.
REF: Page: 8
2. The nurse is planning care for a patient. Which action should the nurse implement that
demonstrates holistic care?
a. Eliminating an order prescribed by the physician
b. Asking the family to leave the room during medication teaching
c. Listening to ways the patient has overcome a health problem in the past
d. Performing an action that may not necessarily be appropriate for the patient’s
needs
ANS: C
Feedback
A 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.
B A close relationship is developed with family members and significant others in
holistic nursing.
C Holistic nursing draws on the intuition and creativity that patients have to
resolve their own health problems.
D The practice of holistic nursing includes developing and using clinical expertise.
Performing an action that may not meet the patient’s needs is not a concept of
holistic nursing.
REF: Page: 6
3. An older patient with a terminal illness and heart problems is angry and pushes away the
breakfast meal tray. Which response should the nurse make?
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
a. Call the supervisor.
b. Loudly tell the patient to stop screaming.
c. Take the meal tray away and silently leave the room.
d. Ask the patient to explain the reason for the outburst and listen to the response.
ANS: D
Feedback
A There is no reason to contact the supervisor. The reason for the patient’s outburst
needs to be determined and comfort provided.
B Telling the patient to stop screaming in a loud voice is responding with anger
and does not determine the cause of the outburst.
C Removing the meal try and leaving the room is uncaring and insulting to the
patient.
D 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 responsibility to learn the reason before reacting.
REF: Page: 10
4. The nurse overhears a conversation between unlicensed assistive personnel (UAP) and an
older patient. For which statement should the nurse counsel UAP?
a. “Good morning, honey!”
b. “Can I help you with your breakfast?”
c. “Mr. Jones, can I bring you your dentures?”
d. “Please tell me when you want to have your shower.”
ANS: A
Feedback
A Speaking to patients as if they are children is a form of paternalism. Older
people should be addressed with respect, usually by Mr. or Mrs., unless they
specifically say to use their first name.
B Offering help to an older patient is appropriate communication.
C Using the older patient’s formal name is an appropriate way to address the
patient.
D Being polite by saying please and asking the patient to decide when care will be
provided is appropriate.
REF: Page: 10
5. The nurse is asked to explain the word gerontology. Which response should the nurse make?
a. It means the use of older medications to treat illnesses.
b. It comes from a Greek word that means “related to old age.”
c. It focuses on the housing needs of people who are underserved.
d. It is a way of explaining health problems of people over age 50.
ANS: B
Feedback
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
A Gerontology is not the use of older medications to treat illnesses.
B Gerontology comes from a Greek word that means “related to old age.”
C Gerontology does not focus on the housing needs of people who are
underserved.
D Gerontology is not a way of explaining health problems of people over age 50.
REF: Page: 2
6. The nurse is preparing a program on the health needs of older community members. For
which reason should physical activity and exercise be encouraged?
a. They want to prevent boredom.
b. They have more time to exercise.
c. They initiated the fitness movement.
d. They want to spend more time with grandchildren.
ANS: C
Feedback
A Older people are not more likely to participate in exercise programs because they
are trying to avoid boredom.
B Older people are not more likely to participate in exercise programs because they
have more time to exercise.
C Older people are more likely to participate in exercise programs because they
initiated the fitness movement.
D Older people are not more likely to participate in exercise programs because they
want to spend more time with their grandchildren.
REF: Page: 5
7. During an employment interview, the nurse is asked to describe the purpose of a nursing
philosophy. Which response should the nurse make?
a. It is a personal concept.
b. It defines personal goals and aspirations.
c. It recognizes the importance of education.
d. It outlines the steps to take for a successful career.
ANS: A
Feedback
A A nursing philosophy is a personal concept that has to come from within.
B A nursing philosophy does not define goals and aspirations.
C A nursing philosophy is not used to recognize the importance of education.
D A nursing philosophy does not outline steps to a successful career.
REF: Page: 5
8. The nurse is providing patient care. Which behavior demonstrates that the nurse wants to
develop a healing relationship with this patient?
a. Answering the call light using the intercom system
b. Telling the patient that there is no time to try something new
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
c. Sitting down in the patient’s room to discuss the plan of care
d. Reminding the patient that other patients need attention at this time
ANS: C
Feedback
A 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.
B Telling the patient that there is no time to try something new does not
demonstrate a healing relationship with the patient.
C Sitting down with the patient to discuss the plan of care indicates an interest in
developing a healing relationship with the patient.
D Reminding the patient that other patients need attention at this time does not
indicate an interest in developing a healing relationship with the patient.
REF: Page: 7
9. The nurse desires to improve the ability to provide holistic care. On which skill should the
nurse focus to be successful?
a. Active listening
b. Critical thinking
c. Care coordination
d. Time management
ANS: A
Feedback
A The critical activity to promote holistic care is active listening.
B Critical thinking is not essential in holistic care.
C Care coordination is not essential in holistic care.
D Time management is not essential in holistic care.
REF: Page: 6
10. The nurse schedules an interdisciplinary team meeting to address an older patient’s care
needs. Who should the nurse include to ensure that the team provides holistic care?
a. The nurse, doctor, and pharmacist
b. The nurse, dietician, and discharge planner
c. Those who will help meet the patient’s needs
d. The social worker, physical therapist, and nurse
ANS: C
Feedback
A Members of the holistic health-care team may or may not include the doctor and
pharmacist.
B Members of the holistic health-care team may or may not include the dietician
and discharge planner.
C Members of the holistic health-care team include those who will help meet the
patient’s needs.
D Members of the holistic health-care team may or may not include the social
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
worker and physical therapist.
REF: Page: 7
11. The nurse attends an educational program on caring. Which action should the nurse take to
become a more caring nurse?
a. Become a caring person.
b. Ensure adequate daily rest.
c. Set aside time for personal activities.
d. Consume nutritious meals and exercise.
ANS: A
Feedback
A To become a more caring nurse, the nurse should become a caring person.
B Adequate rest is not identified as an action to become a more caring nurse.
C Setting aside time for personal activities is not identified as an action to become
a more caring nurse.
D Consuming nutritious meals and exercising are not identified as actions to
become a more caring nurse.
REF: Page: 11
12. During a home visit, an older patient reports planning to have dinner with a close friend and
then see a movie. What does this behavior indicate to the nurse?
a. Industry
b. Self-absorption
c. Identity diffusion
d. Gerotranscendence
ANS: D
Feedback
A Industry is a developmental task of middle childhood.
B Self-absorption is a part of the adult middle age developmental task.
C Identity diffusion is a part of the adolescent developmental task.
D Gerotranscendence means that the older person is satisfied with life and looks
forward to living a full life for the rest of his or her days.
REF: Page: 11
MULTIPLE RESPONSE
13. The home health nurse is completing an admission assessment of an older patient. Which
health problems should the nurse identify as being leading chronic diseases of older adults?
Select all that apply.
a. Cancer
b. Diabetes
c. Heart disease
d. Hypertension
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Caring for Older Adults Holistically, 7th Edition (Dahlkemper, 2020)
e. Multiple sclerosis
ANS: B, C, D
Feedback
A Cancer is not identified as being a leading chronic disease of older adults.
B Diabetes is identified as being a leading chronic disease of older adults.
C Heart disease is identified as being a leading chronic disease of older adults.
D Hypertension is identified as being a leading chronic disease of older adults.
E Multiple sclerosis is not identified as being a leading chronic disease of older
adults.
REF: Page: 5
14. The nurse is preparing a teaching tool for a community recreation center. Which should the
nurse include that explains the reason for the increased number of older adults in today’s
society? Select all that apply.
a. Better nutrition
b. Earlier retirement
c. Increased exercise
d. Improved health care
e. Consistent sanitation
ANS: A, D, E
Feedback
A Reasons for the increased number of older persons in our society include better
nutrition.
B Reasons for the increased number of older persons in our society do not include
early retirement.
C Reasons for the increased number of older persons in our society do not include
increased exercise.
D Reasons for the increased number of older persons in our society include
improved health care.
E Reasons for the increased number of older persons in our society include
consistent sanitation.
REF: Page: 4
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.
a. Make it simple.
b. Keep it inexpensive.
c. Identify specific actions.
d. Ensure that it is meaningful.
e. Incorporate popular approaches.
ANS: A, C, D
Feedback
______________________________________________________________________________________________
6|Page
