1910 Med Surg Chapter 7: Disability and Chronic Illness
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?
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?
3 months
Among deaths due to chronic disease, what percentage occurs in low- and middle-income countries?
80
A client has a tentative diagnosis of lung cancer following computed tomography (CT) scanning. He is scheduled for a fiberoptic bronchoscopy with biopsy. In the trajectory phase of the Trajectory Model of Chronic Illness, the nurse
Answers the client's questions about the bronchoscopy procedure
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 nurse is concerned that a client with a disability has missed 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
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 client's hand to the armrest on the bedside commode prior to the client sitting on the commode.
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?
Immobility Anemia Increased moisture
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
acquired
A nurse is assigned to care for a client with an acute exacerbation of chronic obstructive pulmonary disease. 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?
acquired
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
An elderly client with chronic osteoarthritis has difficulty ambulating and is seeking a prescription for a walker. How should the nurse categorize the client's disability?
acquired
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?
acute
Which phase of the Trajectory Model does the nurse recognize is present when the patient is in remission, after an exacerbation of illness?
comeback
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
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?
downward
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
The nurse is caring for a client in the unstable phase of the Trajectory Model of Chronic Illness. The nurse should focus on providing which type of care?
guidance
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?
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?
pretrajectory
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)
secondary condition
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
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?
trajectory onset
The nurse forms a nursing diagnosis during which phase of the trajectory model of chronic illness?
trajectory onset
Which phase in the trajectory model of chronic illness is characterized by the reactivation of an illness in remission?
unstable
