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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025), Chapter 1-20 | All Chapters

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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025), Chapter 1-20 | All Chapters

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TEST BANK
Caring for Older Adults Holistically


Tamara R. Dahlkemper
8th Edition

,Table of Contents

Chapter 01 Holistic Caring 1
Chapter 02 The Aging Experience 8
Chapter 03 Promoting Wellness 15
Chapter 04 Supporting Life Transitions and Spirituality 22
Chapter 05 The Use of the Nursing Process and Nursing Diagnosis 29
Chapter 06 Legal, Ethical, and Financial Considerations 35
Chapter 07 Safety 42
Chapter 08 Nutrition 49
Chapter 09 Palliative and End-of-Life Care 55
Chapter 10 Environments of Care 62
Chapter 11 Management and Leadership Role of the Licensed Practical/Vocational Nurse 69
Chapter 12 Infection 76
Chapter 13 Common Medical Diagnoses 83
Chapter 14 Physiological Assessment 90
Chapter 15 Common Clinical Problems: Physiological 96
Chapter 16 Psychological Assessment 103
Chapter 17 Common Clinical Problems: Psychological 110
Chapter 18 Rehabilitation and Restorative Care 117
Chapter 19 Pharmacology 124
Chapter 20 Laboratory Values 131

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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025)

Chapter 1: Holistic Caring


MULTIPLE CHOICE

1. Which action should the nurse avoid when incorporating the concepts of the Science of
Human Caring into patient care?
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: A

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. 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 and cannot be done by
the nurse.
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 must 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 yelling and pushes
away the breakfast meal tray. Which response should the nurse make?



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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025)

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 adult patient. For which statement should the nurse counsel the 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 adults
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 adult patient is appropriate communication.
C Using the older adult 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: 8-9

5. Which is the best response in explaining the word gerontology?
a. It means the use of older medications to treat illnesses.
b. It comes from a Greek word that means “the study 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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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025)

A Gerontology is not the use of older medications to treat illnesses.
B Gerontology comes from a Greek word that means “the study 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. It
is a term used for individuals aged 65 and older.

REF: Page: 2

6. Which action involves transpersonal caring?
a. Keeping your distance from the patient
b. Engaging in discussion of your personal life
c. Administering the patient medications
d. Addressing the older adult by their first and last names
ANS: D

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

REF: Page: 8-9

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 nursing 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 must 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. Which behavior demonstrates that the nurse wants to develop a healing relationship with a
patient?
a. Answering the call light using the intercom system
b. Telling the patient that there is no time to try something new
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




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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025)

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: 6

9. Which skill should the nurse focus on to be successful in providing holistic care?
a. Active listening
b. Critical judgment
c. Care coordination
d. Time management
ANS: A

Feedback
A The critical activity to promote holistic care is active listening.
B Critical judgment is not essential in holistic care. It sets patient priorities.
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 adult’s care needs.
Who should the nurse include on the team to ensure that holistic care is provided?
a. The nurse and the older adult
b. The nurse, dietitian, and discharge planner
c. Those who will help meet the patient’s needs
d. Anyone who wants to be on the team
ANS: C

Feedback
A Members of the holistic health-care team include more than the nurse and the
older adult.
B Members of the holistic health-care team may or may not include the dietitian
and discharge planner; it depends on the older adult’s needs.
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 are the individuals who are involved in
the patient’s care.

REF: Page: 7



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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025)


11. Which would be considered a social determinant of health (SDOH) for older adults?
a. Living with a spouse
b. Having access to nutritious foods
c. Living in an unsafe neighborhood
d. Having more than one chronic illness
ANS: C

Feedback
A SDOHs are the nonmedical factors that negatively affect a person’s health,
well-being, and quality of life. Living alone would be an SDOH.
B Having access to nutritious foods does not negatively affect health.
C Living in an unsafe environment is an SDOH. It is a nonmedical factor that can
negatively affect health.
D SDOHs are conditions that are nonmedical.

REF: Page: 11

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?
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 adult is satisfied with life and looks
forward to living a full life for the rest of his or her days.

REF: Page: 13


MULTIPLE RESPONSE

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.
a. Cancer
b. Diabetes
c. Heart disease
d. Hypertension
e. Multiple sclerosis
ANS: A, C, D




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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025)

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: 4-5

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.
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 adults in today’s society include
better nutrition.
B Reasons for the increased number of older adults in today’s society do not
include earlier retirement.
C Reasons for the increased number of older adults in today’s society do not
include increased exercise.
D Reasons for the increased number of older adults in today’s society include
improved health care.
E Reasons for the increased number of older adults in today’s 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
A A characteristic of a valuable nursing philosophy is that it is simple.
B Cost is not a characteristic of a meaningful nursing philosophy.
C A characteristic of a valuable nursing philosophy is that it is specific.
D A characteristic of a valuable nursing philosophy is that it is meaningful.



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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025)

E Popularity is not a characteristic of a valuable nursing philosophy.

REF: Page: 5




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Test Bank - Caring for Older Adults Holistically, 8th Edition (Dahlkemper, 2025)

Chapter 2: The Aging Experience


MULTIPLE CHOICE

1. The nurse is caring for an older adult. Which information about the aging process
demonstrates the nurse’s respect for this population?
a. As people get older, they become very self-centered.
b. Getting old is a hopeless downward spiral toward death.
c. Older adults maintain unique and individual characteristics.
d. Aging individuals become very rigid and are unable to learn new things.
ANS: C

Feedback
A Believing that older people are self-centered does not respect older adults.
B Getting older is not a hopeless spiral toward death. This statement does not
respect older adults.
C Older people do have unique and individual characteristics. This statement
respects older adults.
D Older people are not rigid and unable to learn new things. This statement does
not respect older adults.

REF: Pages: 21

2. Which is true of normal physiological changes with aging?
a. They are reflective of individual diversity.
b. They represent a predictable and uniform process.
c. They are primarily related to chronic disease processes.
d. They are accompanied by extreme mood swings and predictable depression.
ANS: A

Feedback
A Although aging is a universal experience, each older adult demonstrates a
different pattern of aging.
B Individuals age in different ways.
C Older adults may experience chronic diseases, but these are not normal aging
experiences.
D Older adults may experience depression, but this is not a normal aging
experience.

REF: Page: 22

3. Which is a physiological theory?
a. Continuity
b. Subculture
c. Wear and tear
d. Developmental tasks
ANS: C



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