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• NCLEX Exam 4 Answers verified by Expert • A characteristic of a chronic illness is that it (select all that apply): • Has reversible pathologic changes. • Has a consistent, predictable clinical course. • Results in permanent deviation from normal. • Is associated with many stable and unstable phases. • Always starts with an acute illness and the progresses slowly. • An important nursing action helpful to a chronically ill older adult is to • Avoid discussing future lifestyle changes. • Assure the patient that the condition is stable. • Treat the patient as a competent manager of the disease. • Encourage the patient to “fight” the disease as long as possible. • A 65-year-old woman was just diagnosed with Parkinson’s disease. The priority nursing intervention is • Searching the Internet for education videos. • Evaluation the home for environmental safety. • Promoting physical exercise and a well-balanced diet. • Designing an exercise program to strength and stretch specific muscles. • The nurse asses that an 87-year-old woman with Alzheimer’s disease is continually rubbing, flexing, and kicking out her legs throughout the day. The night shift reports that this same behavior escalates at night, preventing her from obtaining her required sleep. The next step the nurse should take is to • Ask the physician for a daytime sedative for the patient. • Request soft restraints to prevent her from falling out of her bed. • Ask the physician for nighttime sleep medication for the patient. • Assess the patient more closely, suspecting a disorder such as restless legs syndrome. • Social effects of a chronic neurologic disease include (select all that apply): • Increased coping mechanisms. • Job loss. • Depression. • Role changes. • Loss of self-esteem. • Dementia is defined as a • Syndrome that results only in memory loss. • Disease associated with abrupt changes in behavior. • Disease that is always due to reduced blood flow to the brain.

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