CHRONIC ILLNESS AND REHABILATION EXAMS WITH
DETAILED ACCURATE ANSWERS TO ALL QUESITIONS
The nurse is preparing an older widowed patient with several chronic illnesses for discharge to
home. The nurse addresses the primary nursing outcome for this patient when
A. Assuring the patient that social services will arrange for help with medical
Expenses.
B. Arranging for in-home assistance with activities of daily living (adls) and nursing
Care as needed.
C. Educating the patient regarding the safety risks caused by these conditions.
D. Identifying barriers to ensure adherence to the prescribed drug therapies.
Accurate answer: d
A key role for the nurse caring for an older adult with a chronic condition is to help the patient
achieve optimal physical and psychosocial health. Staying adherent with drug therapy can help
achieve this outcome. Payment through a third party is not guaranteed. In-home assistance may
or may not be needed. Education is always needed but is not the priority for achieving optimal
wellness.
The nurse works with patients diagnosed with chronic disease processes for the probability
Of hospitalization because of the exacerbation of related symptoms. The nurse recognizes that
the patient 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.
Accurate answer: a
,Individuals with chronic conditions typically have repeated hospitalizations to treat
exacerbations of their illness. The most common reasons for hospitalization in older patients are
heart disease, cancer, pneumonia, and stroke. The 72-year-old male with chf is at highest risk.
An older patient has developed moderate muscle weakness on the left side as a result of a
cerebral vascular accident (cva). The nurse determines the patient 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 because it's difficult for me to knit."
D. "it was getting difficult to work in the garden anyway."
Accurate answer: c
After learning and mastering the requirements imposed by the condition, older adults often
view themselves as "well." with a wellness-in the-foreground perspective, the disease is only
one component of their life and is not their identity, so they substitute lost abilities and
resulting pleasures with others.
A 73-year-old patient has been diagnosed with congestive heart failure (chf). The nurse provides
the greatest support for this patient'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.
Accurate answer: a
Many older adults now seek education about health promotion and management of their
illness. The nurse can support older adults by teaching self-care management in these areas.
, The other actions are also valued but learning how to control symptoms gives patients the
feeling of accomplishment.
The nurse is caring for an older patient who recently immigrated to the united states from asia
and does not speak english. To best address the patient's apparent resistance to the medical
and nursing plan of care, the nurse
A. Discusses the patient's behavior with asian staff members.
B. Researches the patient's cultural views on health care.
C. Requests a cultural consultation from social services.
D. Asks family members to discuss the patient's views on health care.
Accurate answer: d
Concepts of health and illness are deeply rooted in culture, race, and ethnicity and influence an
individual's (and family's) illness perceptions and health and illness behavior. The patient's
family should have the best insight into the patient's culturally biased beliefs. Discussing
behavior with other staff members might be a privacy violation. Researching culture may be
helpful, but each patient is an individual and should not be stereotyped. Social services may or
may not be able to provide cultural services.
The nurse impacts the trajectory of a patient's type 2 insulin-dependent diabetes best by
A. Evaluating the patient's ability to administer insulin appropriately.
B. Providing the patient with a written copy of the treatment plan.
C. Explaining to the patient the importance of serum glucose control.
D. Providing the patient with research-based nursing care.
Accurate answer: a
The illness trajectory can be modified by actions taken by the health care provider that directly
affect the patient's ability/interest to adhere to the treatment plan prescribed. The other
actions are important but do not directly affect the illness trajectory.
DETAILED ACCURATE ANSWERS TO ALL QUESITIONS
The nurse is preparing an older widowed patient with several chronic illnesses for discharge to
home. The nurse addresses the primary nursing outcome for this patient when
A. Assuring the patient that social services will arrange for help with medical
Expenses.
B. Arranging for in-home assistance with activities of daily living (adls) and nursing
Care as needed.
C. Educating the patient regarding the safety risks caused by these conditions.
D. Identifying barriers to ensure adherence to the prescribed drug therapies.
Accurate answer: d
A key role for the nurse caring for an older adult with a chronic condition is to help the patient
achieve optimal physical and psychosocial health. Staying adherent with drug therapy can help
achieve this outcome. Payment through a third party is not guaranteed. In-home assistance may
or may not be needed. Education is always needed but is not the priority for achieving optimal
wellness.
The nurse works with patients diagnosed with chronic disease processes for the probability
Of hospitalization because of the exacerbation of related symptoms. The nurse recognizes that
the patient 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.
Accurate answer: a
,Individuals with chronic conditions typically have repeated hospitalizations to treat
exacerbations of their illness. The most common reasons for hospitalization in older patients are
heart disease, cancer, pneumonia, and stroke. The 72-year-old male with chf is at highest risk.
An older patient has developed moderate muscle weakness on the left side as a result of a
cerebral vascular accident (cva). The nurse determines the patient 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 because it's difficult for me to knit."
D. "it was getting difficult to work in the garden anyway."
Accurate answer: c
After learning and mastering the requirements imposed by the condition, older adults often
view themselves as "well." with a wellness-in the-foreground perspective, the disease is only
one component of their life and is not their identity, so they substitute lost abilities and
resulting pleasures with others.
A 73-year-old patient has been diagnosed with congestive heart failure (chf). The nurse provides
the greatest support for this patient'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.
Accurate answer: a
Many older adults now seek education about health promotion and management of their
illness. The nurse can support older adults by teaching self-care management in these areas.
, The other actions are also valued but learning how to control symptoms gives patients the
feeling of accomplishment.
The nurse is caring for an older patient who recently immigrated to the united states from asia
and does not speak english. To best address the patient's apparent resistance to the medical
and nursing plan of care, the nurse
A. Discusses the patient's behavior with asian staff members.
B. Researches the patient's cultural views on health care.
C. Requests a cultural consultation from social services.
D. Asks family members to discuss the patient's views on health care.
Accurate answer: d
Concepts of health and illness are deeply rooted in culture, race, and ethnicity and influence an
individual's (and family's) illness perceptions and health and illness behavior. The patient's
family should have the best insight into the patient's culturally biased beliefs. Discussing
behavior with other staff members might be a privacy violation. Researching culture may be
helpful, but each patient is an individual and should not be stereotyped. Social services may or
may not be able to provide cultural services.
The nurse impacts the trajectory of a patient's type 2 insulin-dependent diabetes best by
A. Evaluating the patient's ability to administer insulin appropriately.
B. Providing the patient with a written copy of the treatment plan.
C. Explaining to the patient the importance of serum glucose control.
D. Providing the patient with research-based nursing care.
Accurate answer: a
The illness trajectory can be modified by actions taken by the health care provider that directly
affect the patient's ability/interest to adhere to the treatment plan prescribed. The other
actions are important but do not directly affect the illness trajectory.
