Chapter 30: Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Chapter 30: Major Health Issues and Chronic Disease Management of Adults Across the Life Span

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. Which statement about eating disorders is correct?

a.	Individuals with anorexia frequently complain about weight loss.
b.	Purging is associated with anorexia.
c.	Most women with bulimia are concerned with the shape and weight of their body.
d.	Bulimia has more medical complications than anorexia.

 

 

ANS:   C

Those with bulimia are usually concerned with the shape and weight of their body. Those with anorexia view themselves as normal or overweight; purging is associated with bulimia; and anorexia is considered to have more complications than bulimia.

 

DIF:    Cognitive level: Understanding         REF:    p. 681

TOP:    Nursing process: Evaluation

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

2. An older person is in the last stages of dying. Which type of care would be the best for him?

a.	Home health
b.	Assisted living
c.	Nursing home
d.	Hospice

 

 

ANS:   D

Hospice would be the best form of care for a person in the last stages of dying. Home health care provides individual and environmental assessments, direct skilled care and treatment, and short-term guidance for individuals in the home. Assisted living offers a wide variety of living choices, from a single shared room to a full-service, life-care community. Nursing homes provide care to meet the health care needs of those needing rehabilitation, as well as for those needing a permanent supportive residence.

 

DIF:    Cognitive level: Applying                  REF:    p. 688

TOP:    Nursing process: Planning

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

3. A nurse is caring for a client who has designated someone else to make health care decisions when he or she is unable to do so. Which of the following is being used by the client?

a.	An advanced medical directive
b.	A living will
c.	A durable medical power of attorney
d.	The Patient Self-Determination Act

 

 

ANS:   C

Durable medical power of attorney is the legal way for a client to designate someone else to make health care decisions when he or she is unable to do so. An advanced medical directive includes both a living will and a durable medical power of attorney. A living will allows the client to express the wishes regarding the use of medical treatments in the event of a terminal illness. The Patient Safe Determination Act requires those providers receiving Medicare and Medicaid funds to give clients written information regarding their legal options for treatment choices if they become incapacitated.

 

DIF:    Cognitive level: Applying                  REF:    p. 674

TOP:    Nursing process: Evaluation

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care

 

4. The nurse is caring for an elderly client who has written advanced medical directives. Which of the following best describes what this means?

a.	The client has made decisions regarding treatment if he becomes incapacitated.
b.	The client has a living will.
c.	The client has a Do Not Resuscitate order.
d.	The client’s family has decided on a medical treatment regimen.

 

 

ANS:   A

Two parts of advance directives are the living will and a durable power of attorney. An advance directive indicates treatment choices if clients become incapacitated. A living will allows the client to express the wishes regarding the use of medical treatments in the event of a terminal illness. A Do Not Resuscitate order is a specific order from a physician not to use cardiopulmonary resuscitation.

 

DIF:    Cognitive level: Applying                  REF:    p. 674

TOP:    Nursing process: Evaluation

MSC:   NCLEX: Safe and Effective Care Environment: Management of Care