Fhcn- Chapter 9.10 Chronic Illness

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1. Environmental and behavioural risk factors that could be effectively addressed through prevention programs.

Explanation

This answer is correct because it addresses the topic of environmental and behavioral risk factors that can be effectively addressed through prevention programs. Chronic illness is often linked to these risk factors, such as unhealthy lifestyles, exposure to environmental toxins, and poor mental health. By addressing and addressing these risk factors through prevention programs, the occurrence of chronic illnesses can be reduced.

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Fhcn- Chapter 9.10 Chronic Illness - Quiz

Explore key aspects of chronic illness management in FHCN- chapter 9.10. The quiz covers individual and family factors, family health models, and the role of nursing in caregiving.... see moreIt assesses understanding of emotional, environmental, and behavioral dimensions critical for students and professionals in healthcare. see less

2. Finding supports and understanding that the child caregiver has normal development needs.

Explanation

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3.  The person is CENTRAL to chronic care self-management

Explanation

The correct answer is A. Types of care in the EMPOWERMENT MODEL. This answer is supported by the statement "The person is CENTRAL to chronic care self-management." The EMPOWERMENT MODEL focuses on empowering individuals to take an active role in managing their own chronic care. This includes recognizing the importance of the individual in self-management and providing them with the necessary tools and support to make informed decisions about their health. Therefore, the person is central to this model.

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4. Emotional connections during routine gatherings need to be redefined.    

Explanation

The given answer suggests that the emotional connections during routine gatherings need to be redefined. This implies that there is a need to reassess and redefine the way in which people emotionally connect with each other during these gatherings. It could mean that the current ways of emotional connection are not effective or meaningful enough, and there is a need for a new approach or understanding.

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5.  Involve habits linked with usual ADL's such as hygiene.
 

Explanation

The correct answer is B. Self-care routines. This answer is suggested because the statement mentions habits linked with usual ADL's (Activities of Daily Living) such as hygiene. Self-care routines refer to the habits and activities that individuals engage in to take care of themselves and maintain their personal hygiene. This aligns with the habits mentioned in the statement.

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6. Mr. Wright is seen in the office for follow-up of his coronary artery disease and diabetes mellitus. During the interview, which comment MOST SUGGESTS psychological distress?

Explanation

The comment "I'm so worried about my wife" suggests psychological distress because it indicates that Mr. Wright is experiencing anxiety or concern about his wife's well-being. This comment is unrelated to his own medical conditions and suggests that he may be experiencing emotional or psychological stress.

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7. Mr. Martin has locally advanced transitional cell cancer of the bladder with chronic pelvic and abdominal pain.  Which of the following is MOST IMPORTANT in determining the maximum dose of oral morphine during dose titration?

Explanation

The most important factor in determining the maximum dose of oral morphine during dose titration is pain relief. The goal of titration is to find the dose that provides adequate pain relief without causing excessive side effects. Therefore, the priority is to ensure that the patient's pain is adequately managed, rather than focusing on other factors such as respiratory depression, regulatory limits, or the strength of the pill.

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8. Explore own beliefs, attitudes, and experiences. Reflection will form the foundation for inner strength that will enable provision of optimal care.

Explanation

The correct answer is D. Personal Assumptions and Biases About Death and Dying. The explanation for this answer is that exploring one's own beliefs, attitudes, and experiences is essential for understanding and addressing personal assumptions and biases about death and dying. By reflecting on these aspects, healthcare professionals can gain insight into their own perspectives and potential biases, which can ultimately impact the quality of care they provide to patients at the end of life. This self-awareness and understanding can help healthcare professionals approach end-of-life care with empathy, respect, and sensitivity.

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9. .- Individual factors (Ex. Values, personality, coping, etc.) - Family processes factors (Ex. resilience, boundaries, cohesiveness, etc.) - Member/Family processes (Ex. communication, coordination, caregiving, etc.)  

Explanation

The given options suggest different factors that can influence the well-being of individuals and families. The functional domain refers to the ability of individuals and families to carry out everyday tasks and activities effectively. This includes self-management, family processes, and member/family processes. The other options, such as self-management and stressors when raising a child with chronic illness, are specific aspects that fall under the broader functional domain. Therefore, option B, functional domain, is the correct answer.

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10. 9. Neuropathic pain is:

Explanation

Neuropathic pain refers to pain that is caused by a dysfunction or damage to the nerves. This can occur due to various conditions such as diabetes, nerve compression, or nerve trauma. Unlike other types of pain, neuropathic pain is not caused by direct stimulation of intact nociceptors, which are the pain receptors in the body. Instead, it is a result of abnormal nerve signaling and processing. Therefore, the correct answer is B. A result of disordered nerve function.

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11. Any time there is a major change in the health care management of an individual.

Explanation

This answer is correct because a major change in the health care management of an individual often involves transitioning from one form of care to another. This could include moving from a hospital to a rehabilitation facility, changing medications or treatment plans, or transitioning from pediatric to adult care. Transitioning in health care management is a common occurrence and can have a significant impact on an individual's health and well-being.

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12. Focuses exclusively on immediate period around death.

Explanation

This answer is correct because end-of-life care specifically refers to the care and support provided to individuals in the immediate period around death. It involves managing symptoms, providing emotional support, and ensuring a comfortable and dignified death. This option aligns with the given statement that the focus is exclusively on the immediate period around death.

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13. The focus is on the family as a UNIT.  

Explanation

The focus being on the family as a unit suggests that the question is referring to a specific aspect or approach within the field of palliative care. Palliative care is a type of medical care that focuses on providing relief from the symptoms and suffering associated with serious illnesses, rather than attempting to cure the illness itself. It often involves a holistic approach that includes not only the patient, but also their family and loved ones. Therefore, option A, which mentions palliative care, is the most appropriate answer.

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14. . Lung, heart, and liver disease.

Explanation

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15. The need for follow-up with the family after the death by involved HCP's. This support may help prevent/alleviate prolonged suffering.

Explanation

Bereavement care is the most appropriate answer because it directly addresses the need for follow-up with the family after the death by involved healthcare professionals. Bereavement care refers to the support and assistance provided to individuals and families who are grieving the loss of a loved one. This type of care helps prevent or alleviate prolonged suffering by providing emotional support, counseling, and resources to help individuals cope with their grief.

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16. Considers multiple traits, interactive processes, and life experiences that influence health/illness of interacting/developing persons

Explanation

The correct answer is D. The Family Health Model. This model takes into account multiple traits, interactive processes, and life experiences that influence the health and illness of interacting and developing persons within a family. It recognizes that health and illness are not solely determined by individual factors, but are also influenced by family dynamics, relationships, and environmental factors. The Family Health Model emphasizes the importance of understanding and addressing these various factors in order to promote the health and well-being of the entire family unit.

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17. The single MOST IMPORTANT feature that defines opioid drug addiction (psychological dependence) is:

Explanation

The single most important feature that defines opioid drug addiction is the development of withdrawal symptoms when the drug is stopped. This indicates that the individual has become physically dependent on the drug and experiences discomfort and distress when it is no longer available. The other options, such as an increasing need for the drug over time, complaint of excessive pain, and evidence of adverse life consequences, may also be present in opioid addiction, but they are not as defining or specific to the condition as the development of withdrawal symptoms.

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18. Individuals within the family disagree about importance of different medical routines, and routines needed to be realigned in the service of the child's health.

Explanation

The given answer, C. Realignment, is the most suitable explanation for the situation described. The explanation suggests that the routines within the family need to be adjusted or realigned in order to prioritize the child's health. This implies that there may be disagreements or differing opinions within the family about the importance of certain medical routines, and a realignment is necessary to ensure the child's well-being. The other options, such as reeducation or the family health model, do not specifically address the need for adjusting routines in the service of the child's health. Therefore, C. Realignment is the correct answer.

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19. All of the following are key elements of palliative care EXCEPT:

Explanation

The correct answer is B. Psychological and spiritual support. Palliative care focuses on improving the quality of life for patients with serious illnesses. It includes pain and symptom management, coordination of care, and addressing the physical, emotional, and social needs of the patient. While psychological and spiritual support can be important aspects of palliative care, they are not considered key elements.

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20. .- Self-care -  Safety/precautions -  Mental health behaviours -  Family care - Illness care - Member caretakin    

Explanation

This answer is correct because it refers to the different aspects or domains of care that are mentioned in the question. The options provided include self-care, safety/precautions, mental health behaviors, family care, illness care, and member caretaking. These aspects of care fall under the structural domain, which refers to the organization and structure of care delivery. The other options, such as self-management and contextual domain, do not encompass all the aspects mentioned in the question.

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21. . Mrs. DeGilio is an 84 year old woman with rheumatoid arthritis affecting hands, feet and knees.  Today she notes increased swelling and pain in her knees.  An important question in pain assessment is:

Explanation

The question "How does it affect your life?" is an important question in pain assessment because it helps to understand the impact of the pain on the individual's daily functioning and quality of life. This information can provide valuable insights into the severity and limitations caused by the pain, as well as guide the healthcare provider in developing a comprehensive treatment plan to address the patient's specific needs and improve their overall well-being.

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22. You are completing a family meeting for a patient with for moderately advanced Alzheimer's type dementia in which you have been describing the nature and likely course of the disease.  The patient is unable to participate.  In concluding the meeting, it is MOST IMPORTANT to:

Explanation

In concluding the family meeting for a patient with moderately advanced Alzheimer's type dementia, it is most important to summarize the plan for care. This is crucial because the patient is unable to participate, and the family needs to have a clear understanding of the next steps and the care that will be provided. Summarizing the plan for care helps ensure that the family is well-informed and can make informed decisions regarding the patient's treatment and well-being. Reassuring the family and telling them to be strong may be comforting, but it is not as important as providing them with a clear plan for care. Summarizing their decisions about code status may also be important, but it is not the most crucial aspect in concluding the meeting.

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23. The single MOST IMPORTANT supplemental therapy to consider when starting patients on opioids for pain is:

Explanation

When starting patients on opioids for pain, it is important to consider the use of anti-emetics to treat nausea. Opioids commonly cause nausea and vomiting as side effects, which can lead to poor adherence to the medication and decreased pain relief. By using anti-emetics, the nausea can be effectively managed, allowing patients to continue taking the opioids and receive the full benefit of pain relief. This can improve patient satisfaction and overall treatment outcomes.

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Environmental and behavioural risk factors that could be effectively...
Finding supports and understanding that the child caregiver has normal...
 The person is CENTRAL to chronic care self-management
Emotional connections during routine gatherings need to be redefined....
 Involve habits linked with usual ADL's such as hygiene. ...
Mr. Wright is seen in the office for follow-up of his coronary artery...
Mr. Martin has locally advanced transitional cell cancer of the...
Explore own beliefs, attitudes, and experiences. ...
.- Individual factors (Ex. Values, personality, coping, etc.) ...
9. Neuropathic pain is:
Any time there is a major change in the health care management of an...
Focuses exclusively on immediate period around death.
The focus is on the family as a UNIT.  
. Lung, heart, and liver disease.
The need for follow-up with the family after the death by involved...
Considers multiple traits, interactive processes, and life experiences...
The single MOST IMPORTANT feature that defines opioid drug addiction...
Individuals within the family disagree about importance of different...
All of the following are key elements of palliative care EXCEPT:
.- Self-care ...
. Mrs. DeGilio is an 84 year old woman with rheumatoid arthritis...
You are completing a family meeting for a patient with for moderately...
The single MOST IMPORTANT supplemental therapy to consider when...
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