Deck 15: Living With Chronic Illness

Question 1

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

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

Answer 1

Ability to create a trusting environment

Question 2

Which one of the following descriptors represents a phase of the chronic illness trajectory (CIT)?

A)Caring
B)Stable
C)Bargaining
D)Rehabilitation

Answer 2

Stable

Question 3

An older female adult has diabetes mellitus.Which of the following validates the nurse's conclusion that this patient's illness is in the foreground perspective of the Shifting Perspectives Model of Chronic Illness?

A)The older person has an amputation of two toes.
B)The older person lives at home with her husband.
C)The older person self-checks blood sugar frequently.
D)The older person changes the battery in her glucometer.

Answer 3

The older person has an amputation of two toes.

Question 4

An older female adult is diagnosed with a chronic illness.Which principle should the nurse apply when answering her questions?

A)The most prevalent form of disease in Canada 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 persons cope successfully with chronic disease by learning about the disease.

Question 5

An older male adult who has osteoarthritis tells the nurse that he has experienced fatigue for the past two weeks.Which nursing intervention should the nurse implement to help him manage fatigue?

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 osteoarthritis.

Question 6

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

A)Management of the patient's chronic disease rests on the patient and caregiver, so goals should be set collaboratively.
B)The patient will be able to make needed changes in his life if you provide 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 will be able to make.

Question 7

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

A)Implement an individualized therapeutic regimen that brings about a cure.
B)Focus on potential rather than on limitations.
C)Suggest that the patient accept eventual death to reduce burdens on the patient's family.
D)Encourage the patient to minimize the utilization of services to control costs.

Question 8

An older male adult 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?

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

Question 9

An older female adult has gastritis, occasional migraine headaches, and severe osteoporosis in the long bones, with impaired mobility and chronic pain.In the trajectory phase, what health teaching should the nurse offer to the older person?

A)Regular exercise (at least 30 minutes daily) will increase bone density.
B)Daily intake of vitamin C 500 mg will reverse osteoporosis over time.
C)Rest periods of one to two hours throughout the day will prevent osteoporotic pain in long bones.
D)Taking nonsteroidal anti-inflammatory agents (NSAIDs) every two hours will reduce pain.

Question 10

Which statement is true about rehabilitation and restorative care for older persons?

A)The purpose is to regain specific abilities lost because of a condition.
B)Rehabilitation consists primarily of regular physiotherapy 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.