Question 1

Which of the following describes the nurse's role for an older patient with a chronic illness?

Accepted Answer

A)  Implement an individualized therapeutic regimen that brings about a cure. 
B)  Provide caring to help the patient live at the optimal level of health and wellness. 
C)  Suggest that the patient accept eventual death to reduce the burdens on the patient's family. 
D)  Encourage the patient to minimize the use of services to control costs. 
A)  Implement an individualized therapeutic regimen that brings about a cure. 
B)  Provide caring to help the patient live at the optimal level of health and wellness. 
C)  Suggest that the patient accept eventual death to reduce the burdens on the patient's family. 
D)  Encourage the patient to minimize the use of services to control costs. B

Question 2

An older woman has severe osteoporosis in the long bones,impaired mobility,and chronic pain.Which acute illness or condition is this woman most likely to experience as a result of osteoporosis?

Accepted Answer

A)  Peripheral neuropathy 
B)  Chronic stable depression 
C)  Intertrochanteric fracture 
D)  Opioid analgesic addiction 
A)  Peripheral neuropathy 
B)  Chronic stable depression 
C)  Intertrochanteric fracture 
D)  Opioid analgesic addiction B

Question 3

Which of the following statements is true about rehabilitation and restorative care for older adults?

Accepted Answer

A)  The purpose of rehabilitation and restorative care is to regain specific abilities lost because of a condition. 
B)  Rehabilitation consists primarily of regular physical therapy sessions. 
C)  A person can learn skills and gain abilities that enable functioning. 
D)  The patient's capabilities are recognized at the time of admission. 
A)  The purpose of rehabilitation and restorative care is to regain specific abilities lost because of a condition. 
B)  Rehabilitation consists primarily of regular physical therapy sessions. 
C)  A person can learn skills and gain abilities that enable functioning. 
D)  The patient's capabilities are recognized at the time of admission. C

Question 4

Which of the following qualities does the nurse need to provide caring?

Accepted Answer

A)  Sensitivity to the needs of other nurses 
B)  Longing to help others live a healthy life 
C)  Desire to have a stable career and income 
D)  Ability to create a trusting environment 
A)  Sensitivity to the needs of other nurses 
B)  Longing to help others live a healthy life 
C)  Desire to have a stable career and income 
D)  Ability to create a trusting environment

Question 5

Which of the following types of phases are included in the chronic illness trajectory (CIT)?

Accepted Answer

A)  Caring 
B)  Plateau 
C)  Instability 
D)  Bargaining 
E)  Deterioration
F)Rehabilitation 
A)  Caring 
B)  Plateau 
C)  Instability 
D)  Bargaining 
E)  Deterioration
F)Rehabilitation

Question 6

Which factor(s)is(are)modifiable health risk behaviors for chronic illness?

Accepted Answer

A)  Physical activity 
B)  Prescription medication use 
C)  Poor nutrition 
D)  Tobacco use 
A)  Physical activity 
B)  Prescription medication use 
C)  Poor nutrition 
D)  Tobacco use

Question 7

Which of the following is a true statement about Medicare for older adults?

Accepted Answer

A)  Eighty percent of Medicare's annual expenditures are for individuals with chronic illnesses. 
B)  Medicare enrollees spend under $1500 annually for out-of-pocket expenses related to chronic illnesses. 
C)  Complementary and alternative medicines (CAM) are not covered by Medicare. 
D)  Medicare covers care for those who have trouble with activities of daily living. 
A)  Eighty percent of Medicare's annual expenditures are for individuals with chronic illnesses. 
B)  Medicare enrollees spend under $1500 annually for out-of-pocket expenses related to chronic illnesses. 
C)  Complementary and alternative medicines (CAM) are not covered by Medicare. 
D)  Medicare covers care for those who have trouble with activities of daily living.

Question 8

An older man who has osteoarthritis (OA)tells the nurse that he has experienced fatigue for the past 2 weeks.Which nursing intervention should the nurse implement to help him manage his fatigue?

Accepted Answer

A)  Recommend an antidepressant. 
B)  Help him plan exercise and rest. 
C)  Plan two or three naps every day. 
D)  Tell him the fatigue is due to his OA. 
A)  Recommend an antidepressant. 
B)  Help him plan exercise and rest. 
C)  Plan two or three naps every day. 
D)  Tell him the fatigue is due to his OA.

Question 9

An older man who is right-handed works as a carpenter,but he has been left with a flaccid right arm after a thrombus occluded a cerebral artery.Which is the most important goal for the plan of care to help this man achieve his optimal state of health and wellness?

Accepted Answer

A)  Maintain skin integrity of right arm. 
B)  Collaborate with occupational therapy (OT). 
C)  Promote plaque-reversing strategies. 
D)  Support effective coping mechanisms. 
A)  Maintain skin integrity of right arm. 
B)  Collaborate with occupational therapy (OT). 
C)  Promote plaque-reversing strategies. 
D)  Support effective coping mechanisms.

Question 10

An older man with myasthenia gravis lives with his wife.Which patient characteristics should the nurse use to identify areas for nursing care in the disability assessment of this man?

Accepted Answer

A)  Successfully manages his finances. 
B)  Lives in an adults-only community. 
C)  Walks around the house for exercise. 
D)  Health care is provided through Medicare. 
E)  Has a history of peptic ulcer disease.
F)Wife is in good health but has poor eyesight. 
A)  Successfully manages his finances. 
B)  Lives in an adults-only community. 
C)  Walks around the house for exercise. 
D)  Health care is provided through Medicare. 
E)  Has a history of peptic ulcer disease.
F)Wife is in good health but has poor eyesight.

Question 11

Which of the following statements is the most suitable for establishing goals when teaching an older adult with a chronic illness about potential changes in the health maintenance regimen?

Accepted Answer

A)  Management of the patient's chronic disease rests on the patient and the caregiver; therefore the goals should be collaboratively set. 
B)  The patient will be able to make needed changes in his or her life if the nurse provides accurate, written instructions. 
C)  Psychological functioning is usually impaired only to a small extent in a patient with a chronic illness. 
D)  The patient's values, culture, and beliefs will have little to do with the types of changes he or she will be able to make. 
A)  Management of the patient's chronic disease rests on the patient and the caregiver; therefore the goals should be collaboratively set. 
B)  The patient will be able to make needed changes in his or her life if the nurse provides accurate, written instructions. 
C)  Psychological functioning is usually impaired only to a small extent in a patient with a chronic illness. 
D)  The patient's values, culture, and beliefs will have little to do with the types of changes he or she will be able to make.

Question 12

The CIT includes eight phases.List the phases in order,beginning with the first phase.
A.Crisis
B.Unstable
C.Downward
D.Dying
E.Stable
F.Acute
G.Trajectory onset
H.Pretrajectory

Accepted Answer

H,G,A,F,E,B,C,D
The phases of

Question 13

An older woman has diabetes mellitus.Which patient assessment validates the nurse's conclusion that she is in the foreground perspective of the shifting perspectives model of chronic illness?

Accepted Answer

A)  Has an amputation of two toes. 
B)  Lives at home with her husband. 
C)  Frequently self-checks her blood sugar. 
D)  Changes the battery in her glucometer. 
A)  Has an amputation of two toes. 
B)  Lives at home with her husband. 
C)  Frequently self-checks her blood sugar. 
D)  Changes the battery in her glucometer.

Question 14

An older female patient is diagnosed with a chronic illness.Which of the following principles should the nurse apply when answering her questions?

Accepted Answer

A)  The most prevalent form of disease in the United States is acute illness. 
B)  Usually, chronic disease has a negligible impact on the family. 
C)  Chronic illness is unending, and coping can be influenced by the perception of uncertainty. 
D)  Older adults successfully cope with chronic disease by learning about the disease. 
A)  The most prevalent form of disease in the United States is acute illness. 
B)  Usually, chronic disease has a negligible impact on the family. 
C)  Chronic illness is unending, and coping can be influenced by the perception of uncertainty. 
D)  Older adults successfully cope with chronic disease by learning about the disease.

Question 15

Over 50% of the population,aged 65 years and older,suffers from which one of the following chronic health conditions?

Accepted Answer

A)  Hypertension 
B)  Renal failure 
C)  Multiple sclerosis 
D)  Cancer 
A)  Hypertension 
B)  Renal failure 
C)  Multiple sclerosis 
D)  Cancer

Question 16

Acute illness is to chronic illness as to which of the following comparisons?

Accepted Answer

A)  An emergency department is to a nursing home 
B)  A hospital staff nurse is to a nurse practitioner 
C)  Health insurance is to Medicare for older adults 
D)  Inpatient surgical care is to outpatient medical care 
A)  An emergency department is to a nursing home 
B)  A hospital staff nurse is to a nurse practitioner 
C)  Health insurance is to Medicare for older adults 
D)  Inpatient surgical care is to outpatient medical care

Exam 14: Living With Chronic Illness

Which of the following describes the nurse's role for an older patient with a chronic illness?

An older woman has severe osteoporosis in the long bones,impaired mobility,and chronic pain.Which acute illness or condition is this woman most likely to experience as a result of osteoporosis?

Which of the following statements is true about rehabilitation and restorative care for older adults?

Which of the following qualities does the nurse need to provide caring?

Which of the following types of phases are included in the chronic illness trajectory (CIT)?

Which factor(s)is(are)modifiable health risk behaviors for chronic illness?

Which of the following is a true statement about Medicare for older adults?

An older man who has osteoarthritis (OA)tells the nurse that he has experienced fatigue for the past 2 weeks.Which nursing intervention should the nurse implement to help him manage his fatigue?

An older man who is right-handed works as a carpenter,but he has been left with a flaccid right arm after a thrombus occluded a cerebral artery.Which is the most important goal for the plan of care to help this man achieve his optimal state of health and wellness?

An older man with myasthenia gravis lives with his wife.Which patient characteristics should the nurse use to identify areas for nursing care in the disability assessment of this man?

Which of the following statements is the most suitable for establishing goals when teaching an older adult with a chronic illness about potential changes in the health maintenance regimen?

The CIT includes eight phases.List the phases in order,beginning with the first phase. A.Crisis B.Unstable C.Downward D.Dying E.Stable F.Acute G.Trajectory onset H.Pretrajectory

An older woman has diabetes mellitus.Which patient assessment validates the nurse's conclusion that she is in the foreground perspective of the shifting perspectives model of chronic illness?

An older female patient is diagnosed with a chronic illness.Which of the following principles should the nurse apply when answering her questions?

Over 50% of the population,aged 65 years and older,suffers from which one of the following chronic health conditions?

Acute illness is to chronic illness as to which of the following comparisons?

Introduction to Healthy Aging

Gerontological Nursing History, Education, and Roles

Care Across the Continuum

Culture and Aging

Theories of Aging and Physical Changes

Social, Psychological, Spiritual, and Cognitive Aspects of Aging

Assessment and Documentation for Optimal Care

Safe Medication Use

Nutrition and Hydration

Elimination

Rest, Sleep, and Activity

Promoting Healthy Skin and Feet

Promoting Safety

Pain and Comfort

Diseases Affecting Vision and Hearing

Metabolic Disorders

Bone and Joint Problems

Cardiovascular and Respiratory Disorders

Neurological Disorders

Cognitive Impairment

Mental Health

Economic and Legal Issues

Relationships, Roles, and Transitions

Loss, Death, and Palliative Care

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