Chapter 16: Chronic Illness and Rehabilitation

Chapter 16: Chronic Illness and Rehabilitation

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. 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:

ANS:  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.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   16-4

TOP:   Nursing Process: Assessment           MSC:  Physiologic Integrity

2. The nurse is assessing 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):

ANS:  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 with CHF is at highest risk.

DIF:    Remembering (Knowledge)             REF:   N/A                OBJ:   16-4

TOP:   Nursing Process: Assessment           MSC:  Physiologic Integrity

3. An older patient has developed moderate muscle weakness on the left side as a result of a cerebral vascular accident (CVA, stroke). The nurse determines the patient possesses the healthiest view of self-wellness when heard stating:

ANS:  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.

DIF:    Evaluating (Evaluation)                   REF:   N/A                OBJ:   16-2

TOP:   Nursing Process: Evaluation            MSC:  Psychosocial Integrity

4. A 73-year-old patient has been diagnosed with congested heart failure (CHF). The nurse provides the greatest support for this patient’s positive view of self-wellness by presenting information regarding:

ANS:  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.

DIF:    Applying (Application)                    REF:   N/A                OBJ:   16-5

TOP:   Teaching-Learning                          MSC:  Physiologic Integrity