Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 4- Health and Illness
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A nurse is caring for a child with Huntington’s chorea, a hereditary condition. Which of the following statements is true of hereditary conditions? | |
| A) | The symptoms are manifested immediately after birth. | |
| B) | The condition is due to maternal exposure to toxins. | |
| C) | The condition is acquired from genes of one or both parents. | |
| D) | The course is associated with exacerbations and remissions. | |
| Ans: | C | |
| Feedback: | ||
| Hereditary conditions are acquired from genes of one or both parents. The symptoms may or may not be manifested immediately after birth. Some hereditary diseases, including Huntington’s chorea, remain asymptomatic and undiagnosed until adulthood. Hereditary conditions are not necessarily due to abnormalities in embryonic development. | ||
| 2. | A nurse is caring for a client diagnosed with pancreatitis. Which of the following is a priority need for nursing management? | |
| A) | Acute pain in the abdomen | |
| B) | Depression due to recurrent symptoms | |
| C) | Inability to take care of family | |
| D) | Lack of self-confidence | |
| Ans: | A | |
| Feedback: | ||
| Acute pain in the abdomen is a physiologic need of the client that receives attention on a priority basis. According to Maslow’s hierarchy of human needs, physiologic needs are the most important. These needs are to be fulfilled before seeking to fulfill the other needs. The needs for safety and security, love and belonging, esteem and self-esteem, and self-actualization can only be met if the basic physiologic needs are fulfilled. | ||
| 3. | A nurse is caring for a client who is confined to bed due to paralysis. The client has a medical history of stroke, hypertension, and diabetes mellitus for the past 5 years, besides having asthma since childhood. Which of the following is the best example of a secondary illness seen in the client? | |
| A) | Diabetes mellitus | |
| B) | Asthma | |
| C) | Hypertension | |
| D) | Stroke | |
| Ans: | D | |
| Feedback: | ||
| Stroke is a secondary illness caused by high blood pressure and diabetes. Secondary illness is a disorder that develops from a preexisting condition. In this case, the client had a history of hypertension, which is a primary illness that caused a stroke. Diabetes mellitus and asthma represent primary illnesses in the client, as there are no preexisting conditions predisposing the client to asthma and diabetes mellitus. | ||
| 4. | A client with Crohn’s disease in remission is admitted to the nursing unit for follow-up care. The remission state is characterized by which of the following? | |
| A) | Permanent relief from the signs and symptoms | |
| B) | Temporary disappearance of signs and symptoms associated with the disease | |
| C) | Periodic occurrence in clients with long-standing diseases | |
| D) | Reactivation of the disease and presence of symptoms | |
| Ans: | B | |
| Feedback: | ||
| Remission is a temporary state of disappearance of the signs and symptoms related to a particular disease. It is of short duration, but the duration is unpredictable. It is a condition opposite to exacerbation, which is characterized by reactivation of symptoms. Remission is not permanent, but is rather a temporary relief from signs and symptoms. Exacerbation is the periodic occurrence of disease in clients with chronic diseases. | ||
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