N480 Exam #3 Questions and Answers Already Passed Latest Update

N480 Exam #3 Questions and Answers Already Passed Latest Update Chronic illness - definition - categorizing - impact - incidence - expenditures - Answers - Lasts 6 months or longer, Not easily resolved, Rarely cured by surgical procedure or short-term medical therapy - Level of disability Personal perception and adaptation Age of onset ◦On and off-time events Degree of disability and symptoms Stability (constant vs. relapsing vs. regressing) Impact on family functioning ◦Experience ◦Levels of expertise ◦Quality of relationship Degree of care Concurrent diagnoses chronic illness historical perspective - Answers The shift from communicable diseases to lifestyle diseases: ◦In the 1920s, the leading cause of death included pneumonia, tuberculosis, and influenza. Review Title 42 of the United States Code: Public Health Laws: Included public health services, and later, construction and operation of hospitals. Review the Hill-Burton Act: Funding for hospitals for 20 years+ (Title XVI Hospitals). ◦Today's leading cause of death is heart disease. Today's question: How much is preventable? Today's concern: Low health literacy (The Big Seven ◦Heart disease ◦Stroke ◦Diabetes ◦Obesity ◦Cancer ◦Pulmonary disease ◦Mental illness ...cause more than 70% of all deaths annually.) The Incidence of Chronic Illness in America - Answers 133 million Americans are currently living with a chronic illness. ◦By 2020, 157 million Americans will have a chronic illness. ◦20 million children under the age of 18 live with a chronic illness. ◦More than half of the adults with a chronic illness have two or more diagnoses. ◦88% of adults over age 65 have one or more chronic conditions causing 66% of all deaths. ◦More than 1.7 million Americans die each year of a chronic illness (70% of all deaths). PREVENTION!!!! Family Management Style Framework - Answers helps with understanding how family deals with chronic illness - strengths and vulnerabilities This model not only assesses family's cognitive and emotional response to the chronic illness, but also uncovers strengths and vulnerabilities. This model can identify individual responses, as well as responses from dyads (parents, sibling dyads, etc.), and the family as a whole. By understanding different family management styles, the nurse can discuss how this influences parenting philosophies. For example, if a parent pushes a child to become independent because of a strong belief in independence, then a child may be forced into too much responsibility, leading to insecurity and failure. In contrast, a parent who values dependence may have a child struggling with fearfulness of independence and a lowered ability for self-care. These approaches are further influenced by the connection between the parent and the child.