Week 1: Ch. 9: Chronic Illness and Disability
Acute nontraumatic
Myocardial infarction is an example of which type of disability?
Identify self when walking into the client's room. State when the nurse is leaving the room. Leave the bathroom door either completely open or closed.
The client with blindness is hospitalized following a myocardial infarction. Which of the following care measures would the nurse take with this client?
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.
Downward
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
Stable
During which phase of the Trajectory Model of chronic illness is the focus of nursing care on reinforcing positive behaviors and offering ongoing monitoring?
Chronic illness affects the entire family.
The nurse is caring for a client with diabetes. Which of the following is a characteristic of chronic illness?
"Do you need assistance managing your ostomy?"
The nurse is caring for an adult paraplegic with an ostomy. Which is an appropriate statement for the nurse to make?
Sitting down in a chair during the teaching.
The nurse is providing teaching for a client in a wheelchair. How will the nurse provide teaching?
The client stops taking some medications due to side effects that are disturbing to the client.
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:
Plan with the client how to incorporate the regimen into the client's activities of daily living.
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
The interpreter may lag a few words behind--especially if names or technical terms are to be fingerspelled.
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?
Age-associated
An 80-year-old client with osteoarthritis and osteoporosis has difficulty ambulating and is seeking a prescription for a walker. The nurse assesses the client's type of disability as
Repeat back what the client states.
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
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?
improved screening and diagnostic procedures.
A cause related to the increasing number of people with chronic conditions is
-Alleviate and manage symptoms. -Validate individual self-worth. -Validate family functioning.
A client with multiple sclerosis is being discharged. The nurse understands that living with chronic conditions imposes many challenges, including the need to accomplish the following.
Smoking cessation
A community nurse is working to decrease the incidence of cardiac disease in Nicaragua. The nurse should plan educational health promotion activities around which element?
Developmental
A graduate nurse is assigned to care for a client with an acute exacerbation of chronic obstructive pulmonary disease. The client also has Down syndrome. During the shift, the nurse discovers that the client lives alone and holds a full-time job. Which type of disability would the nurse state the client has?
Attitudinal barrier
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?
People-first
A nurse is talking on the phone with a doctor and states, "I am calling you about Mrs. Nye, my client with cancer in room 213." This is an example of what type of language that is important to all people?
Make referrals for additional care.
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?
Acknowledges the client's achievement when she walks to the bedside commode with her walker.
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
Trajectory
Chronic illness can be monitored using the Trajectory Model. In what phase can the nurse's nursing diagnosis help in care planning?
-The management of chronic conditions is a process of discovery. -Managing chronic conditions must be a collaborative process. -Chronic illness affects the entire family.
Clients must contend with chronic illness daily. Nurses relate more effectively to clients when they understand the following as characteristics of chronic illness.
Collaborates with the client to establish an agreed-upon goal
The nurse is working with a client who has difficulty controlling her blood sugar. The overweight client does not adhere to a low-calorie diet and forgets to take medications and check her blood glucose level. The client's glycohemoglobin is 8.5%. When establishing a goal for the client, the nurse first
End-stage renal disease
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.
Cerebral palsy
The nurse recognizes which disorder as a developmental disability in a patient?
