Test
Chronic illness & disability
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Preguntas del test (15)
1A client with multiple sclerosis is being discharged. The nurse understands that living with chronic conditions imposes many challenges, including the need for which accomplishments? Select all that apply.
- AAlleviate and manage symptoms
- BValidate family functioning
- CReturn to a better state of health than prior
- DIgnore threats to identity
- EValidate individual self-worth
2A 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?
- APretrajectory
- BAcute
- CUnstable
- DTrajectory
3Which phase of the Trajectory Model does the nurse recognize is present when the patient is in remission, after an exacerbation of illness?
- AAcute
- BDownward course
- CComeback
- DCrisis
4A 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?
- AAcquired disability
- BChronic disability
- CDevelopmental disability
- DImpaired disability
5A nurse practitioner would be applying the pre-trajectory model of chronic illness when she:
- AAdvised a woman, whose mother has Huntington's chorea, and who is considering pregnancy, to get genetic testing.
- BSuggested home health care to a stroke victim.
- CEncouraged a post-fracture patient to continue physical therapy.
- DExplained the significance of a serum glucose level of 160 mg/dL.
6A client is diagnosed with type 2 diabetes mellitus. The client takes metformin and exenatide and reports adhering to a diet. The glycohemoglobin is 5.9%. According to the stable phase of the Trajectory Model of Chronic Illness, how should the nurse respond?
- AResponds, "There are some adjustments to your medications that need to be made"
- BAcknowledges that the client is performing satisfactorily
- CStates, "The glycohemoglobin is too high"
- DAdvises the client that changes must be made to the diet
7An elderly male client was in an automobile accident 2 weeks ago and incurred a spinal cord injury with resulting paralysis. The nurse assesses this disability as
- APermanent
- BAcquired
- CAge–related
- DDevelopmental
8A client has lost mobility following a stroke. The nurse has established interventions that include providing direct care to the client, teaching, making referrals, and managing the case, to meet the goal. The next step is to
- AAssist the family in obtaining equipment that would help the client to walk.
- BRefer the client to physical therapy for ambulation exercise two times a week.
- CPlan with the client how to incorporate the regimen into the client's activities of daily living.
- DInstruct the client what he or she must do.
9The nurse is working with a client who has difficulty controlling her blood sugar. The overweight client does not adhere to a low-calorie diet and forgets to take medications and check her blood glucose level. The client's glycohemoglobin is 8.5%. When establishing a goal for the client, the nurse first
- AInforms the client about what goal the nurse wants the client to achieve
- BPlans the short–term goal as "the client's blood sugar each AM will be less than 110 mg/dL"
- CSets the long–term goal as "the client's glycohemoglobin will be 6.9% in 3 months"
- DCollaborates with the client to establish an agreed-upon goal
10A client has constant pain and peripheral neuropathy following chemotherapy for cancer. The nurse assesses the following behavior as a common characteristic of a person with a chronic illness:
- AThe client and family do not allow the chronic illness to be the focal point of their lives.
- BThe client adheres to the prescribed therapeutic regimen.
- CThe client does not believe that the illness threatens self identity and body image.
- DThe client stops taking some medications due to side effects that are disturbing to the client.
11A graduate nurse is assigned to care for a client with an acute exacerbation of chronic obstructive pulmonary disease. The client also has Down syndrome. 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?
- AAcquired
- BAcute nontraumatic
- CAge-related
- DDevelopmental
12Clients must contend with chronic illness daily. Nurses relate more effectively to clients when they understand the following as characteristics of chronic illness. Choose all that apply.
- AThe management of chronic conditions is a process of discovery.
- BChronic illness involves treating only the medical problems.
- CChronic illness affects the entire family.
- DManaging chronic conditions must be a collaborative process.
- EChronic conditions only involve one phase of a person's life.
13Which of the following describes the crisis phase of the trajectory model of chronic illness?
- AThe client is in the final days or weeks before death characterized by gradual or rapid shutting down of body processes.
- BThe course of the illness and symptoms are under control.
- CThe client may require more diagnostic tests.
- DThe client is experiencing a critical or life-threatening situation requiring emergency treatment.
14The 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?
- AStable
- BDownward
- CComeback
- DAcute
15The 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?
- APretrajectory
- BComeback
- CAcute
- DStable
Información
- Descripción
- 1 (Exam 1) Med Surg Test sobre Chronic illness & disability , creado por Brittnee Gonzalez el 02/06/2019.
- Autor
- Brittnee Gonzalez
- Idioma
- English
- Visitas
- 955
- Etiquetas
- Valoración
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