Chapter 11: Living With Chronic Illness

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Chapter 11: Living With Chronic Illness - Quiz

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Questions and Answers
  • 1. 
    The diagnosis of a chronic illness may be seen as a crisis or a psychosocial transition, but both views acknowledge that such a diagnosis
    • A. 

      Requires adaptation

    • B. 

      Affects families more than individuals

    • C. 

      Is more difficult for women than for men

    • D. 

      Is more difficult for people with diabetes than Alzheimer's disease

  • 2. 
    In contrast to people with acute illnesses, those with chronic disorders are more likley to
    • A. 

      Develop a hopeless attitude toward their condition

    • B. 

      Accept their physician's authority

    • C. 

      Comply with medical advice

    • D. 

      Be aware of their disease

  • 3. 
    Wilford has just received a diagnosis of Type 2 diabetes and has agreed to participate in a cognitive behavioral program to help him cope with his diabetes.
    • A. 

      This program will help Wilfrod develop emotion-focused coping strategies

    • B. 

      This program will allow Wilford to discontinue his medication

    • C. 

      This program will help Wilford and his family adapt to the changes he needs to make in his life

    • D. 

      This type of program will not be as effective in helping Wilford as relaxation of hypnosis

  • 4. 
    Families with a chronically ill child should
    • A. 

      Find some positive aspect to their situation

    • B. 

      Devote themselves full-time to their child

    • C. 

      Reinforce the child's illness behaviors

    • D. 

      Realize that the child's chronic illness will soon be cured

  • 5. 
    The underlying causes of Alzheimer's disease are not known, but ____ seems to be involved in the development of this disease
    • A. 

      Glucagon

    • B. 

      Epinephrine

    • C. 

      Corticosteroid

    • D. 

      Apolipoprotein E

  • 6. 
    Which of the following is NOT a risk for Alzheimer's disease?
    • A. 

      High educational level

    • B. 

      Type 2 diabetes

    • C. 

      Having a head injury

    • D. 

      Experiencing prolonged bouts of inflammation during one's life

  • 7. 
    Inez, a 75-yr. old owman, has trouble sleeping, wanders from home at night, displays memory loss, becomes unexpectantly angry with her husband, and is suspicous of her children. These symptoms best describe a person with
    • A. 

      Type 1 diabetes

    • B. 

      Kaposi's sarcoma

    • C. 

      Alzheimer's disease

    • D. 

      AIDS

  • 8. 
    Drugs are most often given to Alzheimer's patients
    • A. 

      To delay the progress of cognitive and psychological impairment

    • B. 

      To reverse cognitive impairment

    • C. 

      For their placebo effect

    • D. 

      To prevent wandering

  • 9. 
    Which of these characteristics are the LEAST typical of Alzheimer's caregivers?
    • A. 

      Grief

    • B. 

      Male

    • C. 

      Neglect of personal appearance

    • D. 

      Shame and embarrassment

  • 10. 
    Glucagon acts to ___, and insulin acts to_____.
    • A. 

      Stimulate the stomach...stimulate the pancreas

    • B. 

      Increase hunger...decrease hunger

    • C. 

      Decrease blood sugar levels...increase blood sugar level

    • D. 

      Stimulate the release of glucose...take glucose into cells

  • 11. 
    Why are the terms "juvenile-onset" and "adult-onset" no longer used to describe types of diabetes?
    • A. 

      Too few children develop diabetes to make the term "juvenile-onset" meaningful

    • B. 

      Large number of overweight children began to develop Type 2 diabetes

    • C. 

      A large number of underweight adults began to develop Type 2 diabetes

    • D. 

      A large number of underweight adults began to develop Type 1 Diabetes

  • 12. 
    Which ethnic group has the lowest risk for Type 2 diabetes?
    • A. 

      Asian Americans

    • B. 

      African Americans

    • C. 

      Hispanic Americans

    • D. 

      European Americans

  • 13. 
    One of the difficulties that children and adolescents face in coping with diabetes is that
    • A. 

      Most parents fil to accept their child's disorder

    • B. 

      They do not have the cognitive sophistication to plan their regimens

    • C. 

      They may resist adhering to the dietarly restrictions and exercise requirements

    • D. 

      Children fear the long-term complications of diabetes

  • 14. 
    The leading casue of death among adult Type 1 and Type 2 diabetics is
    • A. 

      Cardiovascular disease

    • B. 

      Lung cancer

    • C. 

      Suicide

    • D. 

      Unintentional injuries

  • 15. 
    With regard to the perception of glucose levels, most diabetics
    • A. 

      Develop effective strategies that allow them to predict their insulin needs

    • B. 

      Have inaccurate beliefs about blood glucose levels

    • C. 

      With Type 1 diabetes have more accurate beliefs than those with Type 2 diabetes

    • D. 

      Would prefer to turn their care over to professionals rather than learn self-monitoring

  • 16. 
    The _____ model hypothesizes that genetic vulnerability interacts with environmental factors to stimulate asthmatic reactions
    • A. 

      Hardiness

    • B. 

      Hierarchy of needs

    • C. 

      Diathesis-stress

    • D. 

      Allergy

  • 17. 
    • Triggers for an asthmatic attack are LEAST likely to include
    • A. 

      Newspaper ink

    • B. 

      Cigarette smoke

    • C. 

      Dust mites

    • D. 

      Chemical sprays

  • 18. 
    Acquired immune deficiency syndrome (AIDS)
    • A. 

      Is caused by the human immunodeficiency virus

    • B. 

      Is a mutated form of cancer that can be traced back to early 1900s

    • C. 

      Is an altered form of pneumonia that first appeared in Africa

    • D. 

      Causes the human immunodeficiency virus

  • 19. 
    Death from AIDS is due to
    • A. 

      A direct effect of the deadliness of the human immunodeficiency virus (HIV)

    • B. 

      The destruction of the immune system, leaving people vulnerable to a variety of infections, any of which can be fatal

    • C. 

      Poor medical care for those infected

    • D. 

      The tendency of those who are infected to avoid medical care until a critical stge of infection has been reached

  • 20. 
    Since 1993, death rates from AIDS in the US have decline due to
    • A. 

      A drop in the incidence of AIDS

    • B. 

      A shorter survival time of AIDS patients

    • C. 

      A decrease in the prevalence of HIV infection among heterosexual men

    • D. 

      A decrease in the prevalence of HIV infection among heterosexual women

  • 21. 
    In the US, most people who are HIV poisitive are
    • A. 

      Middle-aged men

    • B. 

      Young men

    • C. 

      Young children

    • D. 

      Young infection drug users

  • 22. 
    Donna has been experiencing night sweats, swollen lymph nodes, fever, loss of appetite, persistent diarrhea, a painful skin rash, and white spots in her mouth. She is currently in a monogamous relationship with her boyfriend whom she has known for six months. As her friend, you should tell her
    • A. 

      That women in monogamous sexual relationships do not contact the HIV virus

    • B. 

      To get bed rest until her symptoms disappear

    • C. 

      To get tested for HIV infection

    • D. 

      That she is probably in the first stage of HIV infection

  • 23. 
    When HIV positive women give birth to a child,
    • A. 

      Use of antiretroviral drugs drastically reduces the chance of transmission to the baby

    • B. 

      All or nearly all of the infants will test positive for HIV virus

    • C. 

      The infants cannot become HIV positive through breast feeding

    • D. 

      Both b and c are correct

  • 24. 
    Elizabeth Kubler-Ross proposed five stages of dying. Reseach has indicated that
    • A. 

      The denial stage is the longest of the five stages

    • B. 

      People experience the reactions described in the stages but not in the order she proposed

    • C. 

      Most people skip the bargaining stage

    • D. 

      Most people do not reach the acceptance stage

  • 25. 
    The process of grieving
    • A. 

      Occurs in people who have been diagnosed witha chronic illness

    • B. 

      Requires psychological counseling

    • C. 

      Occurs in people whose loved ones have died

    • D. 

      Both a and c

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