Deck 14: Living With Chronic Illness

Question 1

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?

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.

Answer 1

Management of the patient's chronic disease rests on the patient and the caregiver; therefore the goals should be collaboratively set.

Question 2

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

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

Answer 2

Plateau
Instability
Deterioration

Question 3

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?

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.

Answer 3

Has an amputation of two toes.

Question 4

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?

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 5

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

Question 6

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?

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 7

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

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

Question 8

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

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 9

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?

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

Question 10

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

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.

Question 11

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

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 12

Which 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) 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.

Question 13

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

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

Question 14

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

Question 15

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?

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

Question 16

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

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