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