Chapter 9 Lippincott
Which is a cause related to the increasing number of people with chronic conditions?
A: Improved screening and diagnostic procedures
Which model of disability is the most appropriate for use by nurses to provide care that empowers clients?
A: Interface model
Nursing care of patients with chronic illness is varied and occurs in a variety of settings. Care must be direct and supportive. To provide supportive care, a nurse would do which of the following?
A: Make referrals for additional care
Which is a true statement regarding characteristics of chronic conditions?
A: Managing chronic conditions must be a collaborative process
The nurse is working in a health clinic. Which statements are correct regarding characteristics of chronic conditions? Select all that apply.
A: Managing chronic conditions must be an individual process, The health care team needs to focus on preventing complications, Difficult ethical issues arise in the care of people with chronic conditions
Which statement provides accurate information related to chronic illness?
A: Most people with chronic conditions do not consider themselves sick or ill
The nurse is providing teaching for a client in a wheelchair. How will the nurse provide teaching?
A: Sitting down in a chair during the teaching
A client with a chronic illness lives in a rural community. Which approach will the nurse consider when providing continuing care to this client?
A: Telehealth
The nurse is caring for a young female client who recently experienced a permanent spinal cord injury. Which response will the nurse make when the client asks, "What am I supposed to do when my spouse still wants me to get pregnant and I no longer want to?"
A: Tell me more about what your spouse expects you to do now.
The nurse is caring for a client with COPD who was recently admitted to the hospital with an acute exacerbation of the illness. What indicates to the nurse that the client is in the comeback phase of the Trajectory Model of Chronic Illness?
A: The client gradually returns back to an acceptable way of life within the limits imposed by the illness
Which phase in the trajectory model of chronic illness is characterized by the reactivation of an illness in remission?
A: Unstable
A client with a chronic condition experiences exacerbation of symptoms at the end of every month. On which characteristic of chronic conditions will the nurse focus to identify the reason for the client's symptoms?
A: Therapeutic regimen
Chronic illness can be monitored using the Trajectory Model. In what phase can the nurse's nursing diagnosis help in care planning?
A: Trajectory
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?
A: Trajectory onset
The nurse forms a nursing diagnosis during which phase of the trajectory model of chronic illness?
A: Trajectory onset
According to the U.S. Census (2010), what percentage of people are diagnosed with a disability?
A: 20
The nurse is planning community education on the prevalence and incidence of disabilities in the United States. The nurse includes that, according to the U.S. Census (2010), what percentage of people are diagnosed with a disability?
A: 20
The nurse is caring for a patient who had a stroke and has right-sided hemiparesis. The patient is receiving physical therapy that will continue when discharged through home health care services. After what minimum period of time could this patient's medical condition be termed chronic?
A: 3 months
AWhat percentage of deaths due to chronic disease occur in low- and middle-income countries?
A: 80
Among deaths due to chronic disease, what percentage occurs in low- and middle-income countries?
A: 80
The nurse is performing an initial assessment of a client with a disability. The nurse should assess for which condition? Select all that apply.
A: Abuse, Depression
An elderly female client who has dizziness and osteoporosis fell at home and fractured her hip. She underwent surgical intervention for repair of the fractured hip and is now being discharged to a subacute care facility. In the comeback phase of the Trajectory Model of Chronic Illness, the nurse
A: Acknowledges the client's achievement when she walks to the bedside commode with the walker
A 65-year-old client was diagnosed with multiple sclerosis 10 years ago. The client has difficulty ambulating and is seeking a prescription for a wheelchair. The nurse assesses the type of disability the client has is
A: Acquired
When providing education to the patient with a chronic illness, what is a priority intervention for the nurse to perform?
A: Adapt teaching strategies and materials to the individual patient
A client has been hospitalized with heart failure multiple times. The home health nurse is visiting the client with the overall goal of decreasing the frequency of hospitalizations. Using the nursing process, outline the steps the nurse would do in the correct order from 1 to 5.
A: Assesses the client's weight as 88kg/117% of ideal body weight, Establishes the nursing diagnosis as Excess Fluid Volume, Identifies a goal for the client to weigh 86 kg within 1 week, Intervenes by teaching the client about weighing self every day, Evaluates the client's weight as 86kg 1 week later
The nurse is working with a client with a chronic condition. The nurse includes which elements in the plan of care? Select all that apply.
A: Assessment for identity changes, Interventions to manage symptoms, Interventions to prevent complications
The nurse provides corrective instruction to the nursing assistant when the assistant refers to the client as the
A: Blind diabetic patient
Which statement is a misconception about chronic disease?
A: Chronic illnesses cannot be prevented
A client has had multiple admissions for heart failure. The client is now on continuous oxygen, bedridden, and provided care by his family. The nurse discusses end-of-life preferences with the client. The nurse assesses the client is in the phase of the Trajectory Model of Chronic Illness known as
A: Downward
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD). Despite various medication regimes, the client's symptoms are gradually increasing. The nurse realizes that this client is which phase of the Trajectory Model of Chronic Illness?
A: Downward
After multiple treatment plans, a client with cancer has been told that the tumors continue to grow and have metastasized. The nurse is assisting with arranging hospice care for the client. The nurse assesses the client is in which phase of the Trajectory Model of Chronic Illness?
A: Dying
A client who is legally blind had orthopedic surgery 3 days ago and wants to urinate. She is using a walker for ambulation. It would be best for the nurse to
A: Guide the client's hand to the armrest on the bedside commode prior to the client sitting on the bedside commode
The nurse is preparing to assess a client who had traumatic bilateral lower extremity amputations. Which question will the nurse include in the assessment of this client to help identify the reason for the client's condition?
A: Have you ever served in the military
The client with blindness is hospitalized following a myocardial infarction. Which care measures would the nurse take with this client? Select all that apply.
A: Identify self when walking into the client's room, State when the nurse is leaving the room, Orient the client to the room using a clock reference
A nursing instructor is preparing a class on pressure ulcers. Which of the following would the instructor most likely include as a possible risk factor? Select all that apply.
A: Immobility, Anemia, Increased moisture
A client has been diagnosed with diabetes and has received instructions about managing the disease. The client has undertaken an activity to improve quality of life and maintain functional status. The nurse recognizes this activity as
A: Walking at least one mile 5 days each week
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
A: You have succeeded in making positive progress
A cause related to the increasing number of people with chronic conditions is
A: improved screening and diagnostic procedures
Which phase of the Trajectory Model of Chronic Illness is characterized by the gradual or rapid decline in the condition despite efforts to halt the disorder?
Downward
The nurse is conducting a community education program on chronic illness. The nurse evaluates that additional education is needed when the participants make which statement?
additional education is needed when the participants make which statement? A: Out-of-pocket expenses for chronic illness are low
