N330: Disability and Chronic Illness and Management of the older adult
UPDATED ACTUAL Questions and CORRECT Answers
Question: Disability
Correct Answer: Limitation in performance or function in everyday activities - May affect mobility,
communication, cognition, sensory function, self-care, school, or work - Severity varies; some people use
assistive devices or need support for ADLs
Question: Chronic Disease/conditon
Correct Answer: Long-term health condition requiring ongoing management - May be episodic,
continuous, or progressive - Common symptoms include pain, fatigue, and sleep disturbance - multiple
chronic conditions increase complexity, cost, and risk
Question: Chronic Illness
Correct Answer: The human experience of living with a chronic condition - Influence by values, culture,
resources, and prior experiences - Affects roles, identity, family routines, finances, and quality of life
Question: Cognitive disabilities
Correct Answer: Limitations in mental functioning, communication, self-care, and social skills
Question: Developmental disabilities
Correct Answer: Occurs from birth to 22 years, affecting physical or mental health, cognition, speech,
language, or self-care
Question: Intellectual disabilities
Correct Answer: Significant limitations in intellectual functioning and adaptive behavior
Question: Sensory disabilities
Correct Answer: Impairment of sign, hearing, smell, touch, and taste
Question: Psychiatric disabilities
Correct Answer: Mental illness or impairment limiting major life activities
Question: Acquired disabilities
Correct Answer: Result of acute injury, non-traumatic disorders, or progression of chronic disorders
Question: Disability characteristics
Correct Answer: A characteristic or functional limitation the person lives with - May be stable, episodic,
progressive, visible, or invisible - Does not automatically mean dependence
Question: Disabling condition/barrier
Correct Answer: A disease, environment, system, or interaction that limits function or access - Examples:
inaccessible exam table, lack of interpreter, disrupted assistive device routine - Nurses can often reduce the
barrier
Question: Barriers to quality health care
Correct Answer: Structure barriers: stairs, narrow doorways, inaccessible equipment or restrooms -
Communication barriers: lack of interpreter, inaccessible teaching materials, rushed interactions -
, Attitudinal barriers: stigma, stereotyping, ableism, underestimating healthcare needs - Resource barriers:
transportation, cost, limited income, difficulty finding knowledgeable providers
Question: People-First Language and Communication
Correct Answer: Avoid equating the person with the illness or condition - Use respectful language:
"patient with diabetes" rather than "Diabetic patient" - Ask how the patient identifies, what language they
prefer, and what support they need - Speak directly to the patient; use assistive devices, interpreters, or
alternate formats as needed - Include support people appropriately while protecting privacy and autonomy
Question: Nursing Assessment
Correct Answer: Function, Baseline, and Barriers: - What is the patient's usual baseline for ADLs/IADLs,
mobility, communication, cognition, and self-care? - What assistive devices, routines, or caregivers support
independence? - What has changed because of this illness, hospitalization, or environment? - What barriers
can the nurse remove today?
Question: Inclusive Communication Strategies Dos
Correct Answer: Ask before offering help - Speak directly to the person - Use the person's preferred
language - Respect personal space (ex. wheelchairs_ - Be patient and listen
Question: Inclusive Communication Strategies Don'ts
Correct Answer: Assume someone needs help - Speak to a caregiver or interpreter instead - Default to
terms like "differently abled" without asking - Touch or lean on mobility devices - Interrupt or finish
sentences for the person
Question: Characteristics of Chronic Conditions
Correct Answer: Require daily management and long-term decision making - Often involve lifestyle
changes, treatment routines, symptom monitoring, and follow-up care - Use time, social, emotional, and
financial resources - Affect the patient and family over time, not only during acute episodes
Question: Why multiple chronic conditions can be complex
Correct Answer: Multiple specialists, medications, appointments, instructions, and competing priorities -
higher risk for conflicting advice, preventable hospitalization, adverse drug events, and caregiver strain -
Patients and families may face increased cost, transportation demands, and treatment burden - Nursing care
centers on coordination, simplification, safety, and realistic goals
Question: Health Disparities and Chronic Disease
Correct Answer: Chronic disease burned is shaped by social, economic, and environmental factors -
income, education, physical environment, transportation, insurance, and bias affect outcomes - Disability
and chronic illness can compound barriers to care - Nurses assess context and advocate for resources, not
just individual behavior change
Question: Supporting Self-Management and Family Care
Correct Answer: Assess what the patient and family already know, do, and value - Teach in formats the
patient can use; reassess learning needs as conditions change - Set realistic goals for symptoms,
medications, activity, nutrition, follow-up, and warning signs - Coordinate discharge resources, home
health, telehealth, transportation, and caregiver support
Question: Clinical Judgement Wrap-Up for disability
UPDATED ACTUAL Questions and CORRECT Answers
Question: Disability
Correct Answer: Limitation in performance or function in everyday activities - May affect mobility,
communication, cognition, sensory function, self-care, school, or work - Severity varies; some people use
assistive devices or need support for ADLs
Question: Chronic Disease/conditon
Correct Answer: Long-term health condition requiring ongoing management - May be episodic,
continuous, or progressive - Common symptoms include pain, fatigue, and sleep disturbance - multiple
chronic conditions increase complexity, cost, and risk
Question: Chronic Illness
Correct Answer: The human experience of living with a chronic condition - Influence by values, culture,
resources, and prior experiences - Affects roles, identity, family routines, finances, and quality of life
Question: Cognitive disabilities
Correct Answer: Limitations in mental functioning, communication, self-care, and social skills
Question: Developmental disabilities
Correct Answer: Occurs from birth to 22 years, affecting physical or mental health, cognition, speech,
language, or self-care
Question: Intellectual disabilities
Correct Answer: Significant limitations in intellectual functioning and adaptive behavior
Question: Sensory disabilities
Correct Answer: Impairment of sign, hearing, smell, touch, and taste
Question: Psychiatric disabilities
Correct Answer: Mental illness or impairment limiting major life activities
Question: Acquired disabilities
Correct Answer: Result of acute injury, non-traumatic disorders, or progression of chronic disorders
Question: Disability characteristics
Correct Answer: A characteristic or functional limitation the person lives with - May be stable, episodic,
progressive, visible, or invisible - Does not automatically mean dependence
Question: Disabling condition/barrier
Correct Answer: A disease, environment, system, or interaction that limits function or access - Examples:
inaccessible exam table, lack of interpreter, disrupted assistive device routine - Nurses can often reduce the
barrier
Question: Barriers to quality health care
Correct Answer: Structure barriers: stairs, narrow doorways, inaccessible equipment or restrooms -
Communication barriers: lack of interpreter, inaccessible teaching materials, rushed interactions -
, Attitudinal barriers: stigma, stereotyping, ableism, underestimating healthcare needs - Resource barriers:
transportation, cost, limited income, difficulty finding knowledgeable providers
Question: People-First Language and Communication
Correct Answer: Avoid equating the person with the illness or condition - Use respectful language:
"patient with diabetes" rather than "Diabetic patient" - Ask how the patient identifies, what language they
prefer, and what support they need - Speak directly to the patient; use assistive devices, interpreters, or
alternate formats as needed - Include support people appropriately while protecting privacy and autonomy
Question: Nursing Assessment
Correct Answer: Function, Baseline, and Barriers: - What is the patient's usual baseline for ADLs/IADLs,
mobility, communication, cognition, and self-care? - What assistive devices, routines, or caregivers support
independence? - What has changed because of this illness, hospitalization, or environment? - What barriers
can the nurse remove today?
Question: Inclusive Communication Strategies Dos
Correct Answer: Ask before offering help - Speak directly to the person - Use the person's preferred
language - Respect personal space (ex. wheelchairs_ - Be patient and listen
Question: Inclusive Communication Strategies Don'ts
Correct Answer: Assume someone needs help - Speak to a caregiver or interpreter instead - Default to
terms like "differently abled" without asking - Touch or lean on mobility devices - Interrupt or finish
sentences for the person
Question: Characteristics of Chronic Conditions
Correct Answer: Require daily management and long-term decision making - Often involve lifestyle
changes, treatment routines, symptom monitoring, and follow-up care - Use time, social, emotional, and
financial resources - Affect the patient and family over time, not only during acute episodes
Question: Why multiple chronic conditions can be complex
Correct Answer: Multiple specialists, medications, appointments, instructions, and competing priorities -
higher risk for conflicting advice, preventable hospitalization, adverse drug events, and caregiver strain -
Patients and families may face increased cost, transportation demands, and treatment burden - Nursing care
centers on coordination, simplification, safety, and realistic goals
Question: Health Disparities and Chronic Disease
Correct Answer: Chronic disease burned is shaped by social, economic, and environmental factors -
income, education, physical environment, transportation, insurance, and bias affect outcomes - Disability
and chronic illness can compound barriers to care - Nurses assess context and advocate for resources, not
just individual behavior change
Question: Supporting Self-Management and Family Care
Correct Answer: Assess what the patient and family already know, do, and value - Teach in formats the
patient can use; reassess learning needs as conditions change - Set realistic goals for symptoms,
medications, activity, nutrition, follow-up, and warning signs - Coordinate discharge resources, home
health, telehealth, transportation, and caregiver support
Question: Clinical Judgement Wrap-Up for disability
