Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 34- Living in Harmony With Chronic Conditions
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is well aware of the high incidence and prevalence of chronic conditions among older adults. The nurse would recognize which of the following phenomena as currently contributing to this high rate of incidence? (Select all that apply.) | |
| A) | Longevity is increasing. | |
| B) | Many previously fatal diseases are now treatable. | |
| C) | Increasing numbers of older adults can afford medical care. | |
| D) | Older adults have increased expectations for treatment. | |
| E) | New chronic conditions are being identified by medical researchers. | |
| Ans: | A, B | |
| Feedback: | ||
| The combination of increased lifespan with the availability of treatment options for previously fatal conditions has contributed to the increased incidence of chronic conditions in the elderly. Answers C, D, and E are not noted to contribute to the phenomenon. | ||
| Origin: Chapter 34- Living in Harmony With Chronic Conditions, 2
Chapter: 34 Client Needs: A1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 1 Page and Header: 457, Box 34-1 |
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| 2. | A nurse planning a health workshop for senior citizens wants to provide discussion topics that will interest everyone. In a typical group of seniors, which disorder will afflict the greatest number? | |
| A) | Hypertension | |
| B) | Hearing impairment | |
| C) | Heart condition | |
| D) | Arthritis | |
| Ans: | D | |
| Feedback: | ||
| All these disorders are common in elderly people, but arthritis will afflict almost half of them. More than one-third will have hypertension, nearly one-third will have a hearing impairment, and more than one-fourth will have a heart condition. These are the “top four” conditions a nurse in this situation would want to present to the group. | ||
| Origin: Chapter 34- Living in Harmony With Chronic Conditions, 3
Chapter: 34 Client Needs: B Cognitive Level: Application Difficulty: Difficult Integrated Process: Teaching/learning Objective: 2 Page and Header: 457, Goals for Chronic Care |
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| 3. | Mr. W has recently been diagnosed with rheumatoid arthritis, a chronic condition that is having a significant impact on his daily routines and his quality of life. Which one of the nurse’s following statements best reflects recognition of the importance of healing rather than curing Mr. W’s condition? | |
| A) | “A combination of physical therapy and corticosteroid treatment holds a strong chance of mitigating the effects of your arthritis.” | |
| B) | “The best way for us to foster your overall well-being is to eliminate the symptoms that are most affecting your daily routines.” | |
| C) | “There are changes that I can help you make that can help you live a full life in spite of this health problem.” | |
| D) | “There are lifestyle changes, coupled with promising new therapies, that hold out hope for being free from this problem.” | |
| Ans: | C | |
| Feedback: | ||
| Answer C best reflects a focus on living a satisfying life in spite of the presence of the chronic condition. The other answers prioritize treatment aimed at eliminating the chronic condition itself. | ||
| Origin: Chapter 34- Living in Harmony With Chronic Conditions, 4
Chapter: 34 Client Needs: B Cognitive Level: Application Difficulty: Easy Integrated Process: Nursing process Objective: 3 Page and Header: 457, Goals for Chronic Care |
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| 4. | Which of the following statements about the goals for persons with chronic illnesses are appropriate? (Select all that apply.) | |
| A) | Chronic illnesses can be cured with proper and persistent treatment. | |
| B) | Healing requires the mobilization of the body, mind, and spirit. | |
| C) | Appropriate care measures focus on helping patients live in harmony with chronic disease. | |
| D) | Controlling symptoms, promoting a sense of well-being, and enhancing the quality of life are appropriate goals for persons with chronic illnesses. | |
| Ans: | B, C, D | |
| Feedback: | ||
| Healing requires the mobilization of the body, mind, and spirit. Appropriate care measures focus on helping patients live in harmony with chronic disease. Controlling symptoms, promoting a sense of well-being, and enhancing the quality of life are appropriate goals for persons with chronic illnesses. Chronic illnesses cannot be cured. | ||
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