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Chapter 1: Holistic Caring
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. According to the 2002 U.S. Census, approximately how many Americans are older than age 65?
a. 5%
b. 20%
c. 12%
d. 2%
____ 2. Today, the average life expectancy is
a. 70.2 years
b. 75 years
c. 79 years for women and 72.9 for men
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d. longer for men than for women
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____ 3. All of the following would be good explanations of “holistic nursing” except
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a. Holistic nursing focuses on the specific disease or disorder a person has in order to treat it
effectively
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b. Holistic nursing aims to treat the whole person, not just a specific disease or disorder the
person may have rs e
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c. Holistic nursing focuses on the individual patient and uses many techniques such as
empathetic listening, music, and imagery as well as specific clinical skills
d. Holistic nursing weaves the technical skills of nursing with the social science skills that
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enhance communication and rapport between the nurse and the person receiving care
aC s
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____ 4. The Science of Human Caring was developed by
a. Florence Nightingale
b. Clara Barton
c. Jean Watson
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d. Savage and Money
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____ 5. The Science of Human Caring emphasizes all of the following except
a. Transpersonal caring
b. A focus on the person while you are with him or her
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c. Ensuring that all nonessential tasks, such as bathing, are given according to a strict
schedule
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d. Reaching out to the patient, making eye contact, touching if appropriate, speaking softly
____ 6. Basic concepts of holistic nursing include
a. Using your developed clinical expertise
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b. Developing a close relationship with the patient’s family members and significant others
c. Remembering the personal intuition and creativity of patients in your nursing plan
d. All of the above
____ 7. Most elderly people having a heart attack have
a. Pain diffused over the entire chest area
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b. No pain
c. Crushing sternal pain
d. Pain on the left side of the chest and pain that radiates down the left arm
____ 8. Compared with the doses of medication given to a young adult, the doses given to an old-old person are
usually
a. Smaller
b. Larger because the old-old person is probably sicker
c. The same
d. Minimal because the person is very old and probably near death
____ 9. What communication technique has been developed specifically for dealing with demented elderly persons?
a. Cognitive therapy
b. Validation therapy
c. Geriatric Depression Scale
d. MMSE (Mini-Mental Status Examination)
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____ 10. Mr. Leopold is an 82-year-old man in your care. He has been diagnosed with liver cancer and has long-
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standing cardiovascular problems. He begins to scream at you and pushes his meal tray away. What would be
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an appropriate response?
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a. Take the meal tray and leave the room without saying anything
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b. Tell him to stop screaming in a loud voice
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c. Calmly ask him what he is upset about and listen carefully to him
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d. Call your supervisor
____ 11. You enter the room of Mrs. Brewster, an 87-year-old frail woman with congestive heart failure. As you enter,
you say, “Good morning, dear. I’d like to bathe you now, honey.” Later, your supervisor reprimands you
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because your way of speaking to Mrs. Brewster was an example of
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a. Beneficence
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b. Paternalism
c. Caring
d. Malfeasance
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____ 12. Mr. Johnson is recovering from abdominal surgery and complains of pain and asks for pain-relieving
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medication. What should be your first action?
a. Ask him to rate the pain on a 1-to-10 scale, with 10 being the most severe pain
b. Observe him and try to ascertain his level of pain
c. Tell him he must tell his physician and that you can do nothing for him
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d. Tell him that the pain medication he had been given earlier should be controlling his pain
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____ 13. The term “elite old” is used for people
a. 85 to 100 years old
b. Older than 100 years
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c. 75 to 84 years old
d. 65 to 74 years old
____ 14. Which of the following are key concepts in holistic nursing?
a. Following physician instructions and follow-up with the physician
b. Developing a relationship with family members of the patient
c. Using what you have learned—your clinical experience
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