Chronic practice exam 1

A client from a low socioeconomic background was diagnosed with a chronic health problem. The client states, "Everything has to die of something". What is the most appropriate response for the nurse?

"You can do some things to minimize the effects of this disease on you health"

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 -validate family functioning

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 -physical limitations -frail physical condition -impaired cognitive status -multiple chronic conditions

The nurse is asked to participate in the redesign of an office of a primary care practice that has a large population of clients with disabilities. Which recommendations will the nurse make to facilitate the care provided to the clients? Select all that apply

-examination tables that can be lowered -scales to accommodate walkers and wheelchairs -elevated commode seats in the client bathroom -bathroom facilities that can accommodate wheelchairs -grab bars along the walls of the examination rooms, hallways, and bathrooms

Clients must content with chronic illness daily. Nurses relate more effectively to clients when they understand the following as characteristics of chronic illness. Choose all that apply

-the management of chronic conditions is a process of discovery -managing chronic conditions must be a collaborative process -chronic illness affects the entire family

The nurse is concerned that a client with a chronic illness is becoming more debilitated fur to increasing body mass index. Which health promotion education will the nurse provide to this client? Select all that apply

-you should aim for 30 minutes of physical activity a day -eat a diet high in fruits and vegetables -limit consumption of sodium and saturated fats

A client who has the chronic conditions of diabetes, reports blurry vision, and admits to nonadherence to the diet and medications. The home health nurse checks the clients fasting blood glucose level, which is 412mg/dL. What phase of the Trajectory Model of Chronic Illness?

Acute

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?

Attitudinal barrier

The instructor provides corrective information to the nursing student when the student refers to the client as the

COPDer in 216

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

Obesity

A client has lost mobility following a stroke. The nurse has established interventions that include providing direct care to the client, teaching, making referrals, and managing the case, to meet the goal. The next step is to

Plan with the client how to incorporate the regimen into the client's activities of daily living

During which phase of the trajectory model of chronic illness is the focus of nursing care on reinforcing positive behaviors and offering ongoing monitoring?

Stable

The nurse is with a client who has a chronic illness and is reinforcing positive behaviors and teaching about health promotion. For which phase of the trajectory model of chronic illness are these nursing actions appropriate?

Stable

Which of the following describes the crisis phase of the trajectory model of chronic illness?

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

The number of people with disabilities is expected to increase over time. What is a major contributor to this prediction?

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

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 the nurses

acknowledge the clients achievement when she walks to the bedside commode with her walker

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

A client who has a chronic condition of diabetes, reports blurry vision, and admits to non-adherence to the diet and medications. The home health nurse checks the client's fasting blood glucose level, which is 412mg/dL. What phase of the trajectory model does the nurse assess this client is in?

acute

A nursing practitioner would be applying the pre-trajectory model of chronic illness when she

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

The nurse is caring for a client with diabetes. which of the following is a characteristic of chronic illness?

chronic illness affects the entire family

Which phase of the trajectory model does the nurse recognize is present when the patient is in remission, after an exacerbation of illness?

comeback

which phase of the trajectory model does the nurse recognize is present when the patient is in remission, after an exacerbation of illness?

comeback

The nurse is concerned that a client with a disability has missing two follow up appointments. Which action will the nurse take to support this client?

contact the client to inquire if they have transportation to the appointment

Spina bifida, cerebral palsy, Down syndrome, and muscular dystrophy are all examples of which type of disability?

developmental

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

developmental

A client has multiple admissions for heat 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 phase of the trajectory model known as

downward

A nursing instructor is discussing the causes of the increasing number of people with chronic conditions. Which of the following would the nurse correctly identify as a cause?

early detection and treatment of diseases

A client had a previous myocardial infarction and has been experiencing angina from occluded coronary arteries. He received rehabilitative therapy following the myocardial infarction. In the unstable phase of the Trajectory Model of Chronic Illness, the nurse

encourage the family to support the clients exercise plan

The nurse practitioner has 4 patients with chronic illness that require consistent medical and nursing management. Select the condition that is the example of a "chronically critical and progressively ill" condition

end stage renal disease

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

guide the clients hand to the armrest on the bedside commode prior to the client sitting on the commode

Which is a cause related to the increasing number of people with chronic illness

improved screening and diagnostic procedures

a client who is blind is hospitalized for hip surgery. The nurse notices that the containers on the client's lunch tray are unopened, the client is fumbling items, and food is on the front of the client's gown. The nurse assists the client by

opening containers and orienting the client to placement of items on the tray

A nurse is talking on the phone with a doctor and Staes, "I am calling you about Mrs. Nye, my client with cancer in room 213". This is an example of language that is important to all people?

people first

A patient who is at risk for developing a chronic condition because of genetic factors is said to be in which phase of the trajectory model?

pre trajectory

the client had a cerebrovascular accident with drooping of the face. Speech is slurred. The nurse is obtaining the admission assessment data. It would be best for the nurse to

repeat back what the client says

The client had a cerebrovascular accident with drooping of the face. Speech is slurred. The nurse is obtaining the admission assessment data. It would be best for the nurse to

repeat back what the client states

A community nurse is working to decrease the incidence of cardiac disease in Nicaragua. The nurse should plan educational health promotion activates around which element?

smoking cessation

A client has constant pain and peripheral neuropathy following chemotherapy for cancer. The nurse assesses the following behavior as a common characteristic of a person with a chronic illness:

the client stops taking some medications due to side effects that are disturbing to the client

Which phase in the trajectory model of chronic illness is characterized by the reactivation of an illness in remission

unstable

A client is experiencing a manic phase of bipolar disorder sustained cuts on the body from falling through a store window. The nurse is preparing to start an intravenous need insertion. How should the nurse explain the procedure to the client?

using clear and simple terms

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:

walking at least one mile 5 days each week