Chapter 27 Chronic Physical Health Problems

Chapter 27   Chronic Physical Health Problems

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1) The student is preparing a presentation on common chronic diseases. Which definition should the student use for this presentation?

1. A condition that persists over a period of time that cannot be cured but can be controlled.
2. Problems in body function and structure such as significant deviation or loss.
3. A multidimensional phenomenon that results from the interaction between people and their physical and social environment.
4. Problems an individual may experience in life situations.

Answer:  1

Explanation:  1. A chronic disease is a condition that persists over a significant period of time that is not amenable to cure, but can be controlled. Chronic conditions are characterized by uncertain or complex etiologies, multiple risk factors, and typically long periods of latency prior to symptom development, a prolonged course of illness, noncommunicability, functional impairment or disability, and an absence of a cure. Impairment refers to problems in body function and structure such as significant deviation or loss. Activity limitations are defined as difficulties an individual may have in executing activities. Disability is a multidimensional phenomenon that results from the interaction between people and their physical and social environments. Participation restrictions are problems an individual may experience in life situations.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Physiological Integrity

Cognitive Level:  Application

Learning Outcome:  27-1

2) The population health nurse is preparing a class about pain. The percentage the nurse cites for how many adults in the United States experience daily pain is:

1. 27%.
2. 43%.
3. 55%.
4. 63%.

Answer:  2

Explanation:  2. It is estimated that 43% of U.S. adults experience daily pain, not 27%, 55%, or 63%.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Psychosocial Integrity

Cognitive Level:  Application

Learning Outcome:  27-1

3) The population health nurse is planning a program focusing on the societal effects of chronic kidney disease. The community members with which health problems should the nurse encourage attending this program? (Select all that apply.)

1. 64 year old male client with hypertension.
2. 17 year old male client being treated for asthma.
3. 78 year old female client diagnosed with osteoporosis.
4. 58 year old female client with type 2 diabetes mellitus.
5. 34 year old male client recovering from testicular cancer.

Answer:  1, 4

Explanation:  1. Diabetes and hypertension are major risk factors for chronic kidney disease. Asthma, osteoporosis, and testicular cancer are not risk factors for the development of chronic kidney disease.

4. Diabetes and hypertension are major risk factors for chronic kidney disease. Asthma, osteoporosis, and testicular cancer are not risk factors for the development of chronic kidney disease.

Nursing/Int.Conc:  Nursing Process: Planning

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  27-1

4) The population health nurse is preparing a presentation about pediatric health care. Since most people believe that chronic health problems occur primarily among the elderly, the nurse should include which information in the presentation?

1. In the United States, 8% of children experience some form of disability related to a variety of chronic conditions.
2. Disabilities are rarely seen in the pediatric population.
3. Diabetes is more common in the pediatric population than in the adult population.
4. Young children are the only high-risk age group for epilepsy.

Answer:  1

Explanation:  1. It is a fact that 8% of United States children experience some form of disability related to chronic health conditions. Diabetes prevalence is more than two times higher in people over age 60 than in younger people. Young children and the elderly are at higher risk for epilepsy than other age groups.

Nursing/Int.Conc:  Nursing Process: Implementation

Client Need:  Health Promotion and Maintenance

Cognitive Level:  Application

Learning Outcome:  27-2