Deck 17: Chronic Illness and Rehabilitation

Question 1

Adherence to prescribed health care treatments by a client with a chronic disease is best facilitated when the nurse does which of the following? Select all that apply.

A)Provides the client with information regarding his disease
B)Assesses the client's ability to understand his disease
C)Defines "health and wellness" for the client
D)Helps the client identify barriers to his personal wellness
E)Coordinates support services to facilitate the client's discharge

Answer 1

Provides the client with information regarding his disease
Assesses the client's ability to understand his disease
Helps the client identify barriers to his personal wellness
Coordinates support services to facilitate the client's discharge

Question 2

The nurse is caring for an older client who recently immigrated to the United States from Asia.In order to best address the client's apparent resistance to the medical and nursing plan of care, the nurse:

A)discusses the client's behavior with Asian staff members.
B)researches the client's cultural views on health care.
C)requests a cultural consult from social services.
D)asks family members to discuss the client's views on health care.

Answer 2

asks family members to discuss the client's views on health care.

Question 3

A 73-year-old client has been diagnosed with congested heart failure (CHF).The nurse provides the greatest support for this client's positive view of self-wellness by presenting information regarding:

A)how to minimize the exacerbation of symptoms.
B)locally available supportive services.
C)the importance of adherence to medical treatment.
D)the need to report symptoms promptly.

Answer 3

how to minimize the exacerbation of symptoms.

Question 4

The nurse is assessing clients diagnosed with chronic disease processes for the probability of hospitalization due to the exacerbation of related symptoms.The nurse recognizes that the client with the highest probability is a(n):

A)72-year-old male with congestive heart failure (CHF).
B)82-year-old male with type 2 diabetes.
C)72-year-old female with chronic bronchitis.
D)82-year-old female with osteoporosis.

Question 5

To best assist an older adult client to cope with a diagnosis of chronic renal failure, the nurse:

A)asks the client to describe her usual coping strategies.
B)provides the client with descriptions of new coping strategies.
C)initiates discussions with the client to explain the disease.
D)offers to arrange a meeting with another client with the diagnosis.

Question 6

The nurse is preparing an older widowed client with several chronic illnesses for discharge to home.The nurse addresses the primary nursing outcome for this client when:

A)assuring the client that social services will arrange for help with medical expenses.
B)arranging for in-home assistance in areas of ADLs and nursing care as needed.
C)educating the client regarding the safety risks caused by these conditions.
D)identifying barriers to ensure adherence to the prescribed drug therapies.

Question 7

An older client diagnosed with severe osteoarthritis has recently moved in with his son because of a history of falls.The son describes how he and his family have eagerly assumed responsibility for "meeting all Dad's needs." The nurse is most concerned that this environment will result in the client:

A)developing a sense of powerlessness and possibly a loss of hope.
B)becoming unnecessarily physically and emotionally dependent.
C)losing his will to "get better" and become independent again.
D)becoming resentful and argumentative with his son's family.

Question 8

The nurse impacts the trajectory of a client's type 2 insulin-dependent diabetes best by:

A)evaluating the client's ability to administer insulin appropriately.
B)providing the client with a written copy of her treatment plan.
C)explaining to the client the importance of serum glucose control.
D)providing the client with research based nursing care.

Question 9

An older client has developed moderate muscle weakness on her left side as a result of a cerebral vascular accident (CVA, stroke).The nurse determines the client possesses the healthiest view of self-wellness when heard stating:

A)"I'll certainly miss hiking, but I guess I'll find something else to do outdoors."
B)"I was getting too old to safely practice karate."
C)"I've decided to take up oil painting since it's difficult for me to knit."
D)"It was getting difficult to work in the garden anyway."

Question 10

The nurse feels most confident that an older client is prepared to assume self-management of her type 2 insulin-dependent diabetes when she:

A)is heard asking her son to check the insulin's expiration date.
B)is able to identify the symptoms of hypoglycemia.
C)asks why she needs to test her glucose levels so frequently.
D)inquires why she needs to have an A1C test every 3 months.