Chapter 9 prep u

The instructor provides corrective information to the nursing student when the student refers to the client as the Woman who has diabetes COPDer in 216 Patient who is disabled Man with an MI

COPDer in 216

Which statement is a misconception about chronic disease? Chronic illnesses cannot be prevented. Almost half of chronic deaths occur prematurely in people <70 years of age. Chronic illness typically does not result in sudden death. The major cause of chronic disease is known.

Chronic illnesses cannot be prevented.

Question 2 of 5 Which is a cause related to the increasing number of people with chronic conditions? Improved screening and diagnostic procedures An increase in mortality from infectious disease Shorter lifespans A tendency for these conditions to develop in younger people

Improved screening and diagnostic procedures

Myocardial infarction is an example of which type of disability? Age-related Developmental Acquired Acute nontraumatic

acute non traumatic

A client with multiple sclerosis is being discharged. The nurse understands that living with chronic conditions imposes many challenges, including the need for which accomplishments? Select all that apply. Alleviate and manage symptoms Validate individual self-worth Ignore threats to identity Return to a better state of health than prior Validate family functioning

Alleviate and manage symptoms Validate individual self-worth Validate family functioning

A nurse cares for a client with a chronic illness who has a diagnostic workup for the illness and announces the diagnosis to friends and family. According to the Trajectory Model of Chronic Illness, what phase is the client displaying? Acute Stable Trajectory onset Pretrajectory

Trajectory onset

A nurse is caring for a client with a chronic disease. What statement made by the client indicates that additional teaching is necessary? "Most chronic disease can be traced to modifiable risk factors." "The majority of chronic diseases are known." "Chronic diseases only affect men." "Chronic disease does not typically cause sudden death."

"Chronic diseases only affect men."

A client who is obese and the nurse have established a goal for the client to achieve a weight loss of 1 pound each week. One month later, the nurse evaluates that the client has lost 2 pounds. The nurse first states "You need to work harder to achieve your goal." "You have succeeded in making positive progress." "You are not achieving satisfactory weight loss." "We will have to re-evaluate your goal."

"You have succeeded in making positive progress."

The client who has the chronic condition of diabetes, reports blurry vision, and admits to nonadherence to the diet and medications. The home health nurse checks the client's fasting blood glucose level, which is 412 mg/dL. What phase of the Trajectory Model of Chronic Illness does the nurse assess this client is in? Comeback Pretrajectory Acute Stable

acute

The nurse is concerned that a client with a chronic illness is becoming more debilitated due to increasing body mass index. Which health promotion education will the nurse provide to this client? Select all that apply. "Eat a diet high in fruits and vegetables." "You should aim for 30 minutes of physical activity daily." "Prompt smoking cessation will reverse your symptoms." "Limit consumption of sodium and saturated fats." "Moving from the city to rural areas will improve your health."

"Eat a diet high in fruits and vegetables." "You should aim for 30 minutes of physical activity daily." "Limit consumption of sodium and saturated fats."

A client is diagnosed with type 2 diabetes mellitus. The client takes metformin and exenatide and reports adhering to a diet. The glycohemoglobin is 5.9%. According to the stable phase of the Trajectory Model of Chronic Illness, how should the nurse respond?

Acknowledges that the client is performing satisfactorily In the stable phase of the Trajectory Model of Chronic Illness, the nurse reinforces positive behaviors. The glycohemoglobin is at a level of good control for a client with diabetes. No adjustments need to be made to the diet or the medications.

Which act mandates that people with disabilities have access to job opportunities and to the community? Americans with Disabilities Act of 1990 Title XVI Rehabilitation Act of 1973 Title II

Americans with Disabilities Act of 1990

When caring for clients with disabilities, nurses need to understand not only pathophysiological issues but also the concept of disability. Which of the following statements to the client demonstrates that the nurse understands the concept of disability? "With the many scientific advances, your new disability will not affect your life in the future." "I guess you are going to have to figure that one out on your own when you get out of here." "I have collaborated with a social worker to assess your needs for after discharge." "You do not need to try and do that on your own; that's what I am here for."

"I have collaborated with a social worker to assess your needs for after discharge."

A patient has had a traumatic amputation of the left leg above the knee following an industrial accident. What type of disability does this patient have? Acquired disability Impaired disability Developmental disability Chronic disability

Acquired disability

Question 1 of 5 A nurse is assigned to work with a client who has a disability. The nurse believes that all people with disabilities have a poor quality of life and are dependent and nonproductive. What type of barrier will this client experience? Barrier to health care Structural barrier Transportation barrier Attitudinal barrier

Attitudinal barrier

The nurse recognizes which disorder as a developmental disability in a patient? Osteoarthritis Cerebral palsy Stroke Spinal cord injury

Cerebral palsy

The nurse is caring for a client with diabetes. Which of the following is a characteristic of chronic illness? Chronic conditions only involve one aspect of a person's life. One chronic disease never develops into another chronic condition. Managing chronic conditions must be an individual process. Chronic illness affects the entire family.

Chronic illness affects the entire family.

The nurse is planning care for an older adult. For which reasons will the nurse consider transitional care for this client? Select all that apply. Complex therapies Impaired cognitive status Frail physical condition Family caregiver with low literacy level Multiple chronic conditions Physical limitations

Complex therapies Physical limitations Frail physical condition Multiple chronic conditions

This type of disability represents one that occurs any time from birth to 22 years and results in impairment of physical or mental health, cognition, speech, language, or self-care. Acute nontraumatic Age-related Developmental Acquired

Developmental

The nurse practitioner has four patients with chronic illness that require consistent medical and nursing management. Select the condition that is the best example of a "chronically critical and progressively ill" condition. End-stage renal disease Coronary artery disease Carcinoma-in-situ Type 2 diabetes mellitus

End-stage renal disease Certain illnesses require advanced technology for survival, or intensive care for periods of weeks or months, as in end-stage renal disease (ESRD). People with this condition are chronically critical and progressively ill. Some chronic illnesses have little effect on quality of life, but others, like ESRD, have a considerable effect because it can result in a chronic progressive deterioration.

Which statement provides accurate information related to chronic illness? Most people with chronic conditions do not consider themselves sick or ill. Most people with chronic conditions take on a sick role identity. Most chronic conditions are easily controlled. Chronic conditions do not result from injury.

Most people with chronic conditions do not consider themselves sick or ill.

Which of the following describes the crisis phase of the trajectory model of chronic illness? The client may require more diagnostic tests. The client is in the final days or weeks before death characterized by gradual or rapid shutting down of body processes. The client is experiencing a critical or life-threatening situation requiring emergency treatment. The course of the illness and symptoms are under control.

The client is experiencing a critical or life-threatening situation requiring emergency

A client with impaired hearing communicates through sign language and has been admitted to the unit before scheduled surgery. The interpreter that the hospital employs is at the bedside. The nurse needs to take what actions into consideration prior to doing preoperative teaching with this client? A family member would be better to use as the interpreter. The interpreter may lag a few words behind--especially if names or technical terms are to be finger spelled. An interpreter is not needed. The nurse should talk to the interpreter while teaching the client.

The interpreter may lag a few words behind--especially if names or technical terms are to be finger spelled.

The number of people with disabilities is expected to increase over time. What is a major contributor to this prediction? The ability to cure chronic disorders that are acquired The decrease in the number of people with early-onset disabilities The decrease in risk factors for early-onset disabilities that are genetic in cause The survival of people with severe trauma, chronic disorders, and early-onset disabilities

The survival of people with severe trauma, chronic disorders, and early-onset disabilities

A nurse prepares a diabetes prevention health seminar for community residents. Her teaching points should emphasize the most important factor influencing metabolic syndrome (pre-diabetes). What is that factor? Sedentary lifestyle Smoking Stress Obesity

obesity

The nurse is caring for a client with muscular dystrophy who is confined to bed. The client develops a pressure ulcer on the sacrum. The nurse documents the pressure ulcer as a(n) impairment disease. secondary condition. self-limiting condition. primary disease.

secondary condition

The nurse is providing report to the oncoming shift. In which way will the nurse describe a newly admitted client with hemiplegia? "The hemiplegia client in Room 412." "The client in Room 412 with left-sided hemiplegia." "The wheelchair-bound client in Room 412." "The paralyzed client in Room 412."

"The client in Room 412 with left-sided hemiplegia."

A nurse practitioner would be applying the pre-trajectory model of chronic illness when she: Encouraged a post-fracture patient to continue physical therapy. Explained the significance of a serum glucose level of 160 mg/dL. Advised a woman, whose mother has Huntington's chorea, and who is considering pregnancy, to get genetic testing. Suggested home health care to a stroke victim.

Advised a woman, whose mother has Huntington's chorea, and who is considering pregnancy, to get genetic testing.

Which of the following describes the crisis phase of the trajectory model of chronic illness? The client is in the final days or weeks before death characterized by gradual or rapid shutting down of body processes. The course of the illness and symptoms are under control. The client may require more diagnostic tests. The client is experiencing a critical or life-threatening situation requiring emergency treatment.

The client is experiencing a critical or life-threatening situation requiring emergency treatment.