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