Fhcn- Chapter 9.10 Chronic Illness

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Fhcn- Chapter 9.10 Chronic Illness - Quiz

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Questions and Answers
  • 1. 

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

    • A.

      A. Self-management

    • B.

      B. Functional domain

    • C.

      C. Structural domain

    • D.

      D. Stressors when raising a child w/ chronic illness

    Correct Answer
    B. B. Functional domain
    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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  • 2. 

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

    • A.

      A. Reeducation

    • B.

      B. Core Family Processes

    • C.

      C. The 3 areas that nurses provide support for to families dealing with chronic illness are...

    • D.

      D. The Family Health Model

    Correct Answer
    D. D. The Family Health Model
    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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  • 3. 

    Emotional connections during routine gatherings need to be redefined.  

    • A.

      A. Illness-care routines

    • B.

      B. Redefinition

    • C.

      C. Adolescent transition

    • D.

      D. Remediation

    Correct Answer
    B. B. Redefinition
    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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  • 4. 

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

    • A.

      A. Remediation

    • B.

      B. Chronic illness is often linked to...

    • C.

      C. Mental health routines

    • D.

      D. Safety and prevention routines

    Correct Answer
    B. B. Chronic illness is often linked to...
    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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  • 5. 

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

    • A.

      A. Redefinition

    • B.

      B. Self-care routines

    • C.

      C. Family-care routines

    • D.

      D. Illness-care routines

    Correct Answer
    B. B. Self-care routines
    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. 

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

    • A.

      A. Illness-care routines

    • B.

      B. How do nurses help a young child provide care for an adult in the family with a chronic illness?

    • C.

      C. Chronic illness is often linked to...

    • D.

      D. Safety and prevention routines

    Correct Answer
    B. B. How do nurses help a young child provide care for an adult in the family with a chronic illness?
  • 7. 

     The person is CENTRAL to chronic care self-management

    • A.

      A. Types of care in the EMPOWERMENT MODEL

    • B.

      B. Contextual domain

    • C.

      C. Stressors when raising a child w/ chronic illness

    • D.

      D. HCP's helping those living with chronic illness

    Correct Answer
    A. A. Types of care in the EMPOWERMENT MODEL
    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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  • 8. 

    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.

    • A.

      A. Reeducation

    • B.

      B. The Family Health Model

    • C.

      C. Realignment

    • D.

      D. Family Household

    Correct Answer
    C. C. Realignment
    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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  • 9. 

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

    • A.

      A. Contextual domain

    • B.

      B. Self-management

    • C.

      C. Functional domain

    • D.

      D. Structural domain

    Correct Answer
    D. D. Structural domain
    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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  • 10. 

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

    • A.

      A. Transition

    • B.

      B. Mental health routines

    • C.

      C. Chronic illness is often linked to...

    • D.

      D.Self-care routines

    Correct Answer
    A. A. Transition
    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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  • 11. 

    Focuses exclusively on immediate period around death.

    • A.

      A. End-of-life care

    • B.

      B. Involvement of the family

    • C.

      C. In palliative care...

    • D.

      D. Personal Assumptions and Biases About Death and Dying

    Correct Answer
    A. A. End-of-life care
    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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  • 12. 

    The focus is on the family as a UNIT.

    • A.

      A. In palliative care...

    • B.

      B. End-of-life care

    • C.

      C. Involvement of the family

    • D.

      D. Bereavement care

    Correct Answer
    A. A. In palliative care...
    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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  • 13. 

    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?

    • A.

      A. “My leg hurts right here.”

    • B.

      B. “I’m so worried about my wife.”

    • C.

      C. “I don’t know how I’ll get to my appointment.”

    • D.

      D. “Why did I get this disease?”

    Correct Answer
    B. B. “I’m so worried about my wife.”
    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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  • 14. 

    . 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:

    • A.

      A. Have you noticed a fever?

    • B.

      B. How does it affect your life?

    • C.

      C. Have you lost weight?

    • D.

      D. How are you feeling overall?

    Correct Answer
    B. B. How does it affect your life?
    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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  • 15. 

    9. Neuropathic pain is:

    • A.

      A. Usually treated with anti-inflammatory agents

    • B.

      B. A result of disordered nerve function

    • C.

      C. Due to direct stimulation of intact nociceptors

    • D.

      D. Rarely responsive to opioid analgesics

    Correct Answer
    B. B. A result of disordered nerve function
    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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  • 16. 

    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?

    • A.

      A. Pain relief

    • B.

      B. Respiratory depression

    • C.

      C. Risk of overstepping regulatory limits

    • D.

      D. Strength of pill

    Correct Answer
    A. A. Pain relief
    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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  • 17. 

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

    • A.

      A. Pain and symptom management

    • B.

      B. Psychological and spiritual support

    • C.

      C. Getting the patient to be DNR

    • D.

      D. Coordination of care

    Correct Answer
    B. B. Psychological and spiritual support
    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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  • 18. 

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

    • A.

      A. An increasing need for the drug over time

    • B.

      B. Complaint of pain exceeding that expected for a given medical problem

    • C.

      C. Development of withdrawal when the drug is stopped

    • D.

      D. Evidence of adverse life consequences from drug use

    Correct Answer
    C. C. Development of withdrawal when the drug is stopped
    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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  • 19. 

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

    • A.

      A. Nsaids for adjuvant pain

    • B.

      B. Laxatives for constipation

    • C.

      C. Anti-depressants to supplement pain relief

    • D.

      D. Anti-emetic to treat nausea

    Correct Answer
    D. D. Anti-emetic to treat nausea
    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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  • 20. 

    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:

    • A.

      A. Summarize the plan for care

    • B.

      B. Reassure the family that all will be OK

    • C.

      C. Tell them to be strong

    • D.

      D. Summarize their decisions about code status

    Correct Answer
    A. A. Summarize the plan for care
    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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  • 21. 

    . Lung, heart, and liver disease.

    • A.

      A. Palliative care

    • B.

      B. Curative care turns into palliative care when...

    • C.

      C. Palliative care principles

    • D.

      D. Palliative care is difficult to introduce in illnesses that are hard to prognosticate such as...

    Correct Answer
    D. D. Palliative care is difficult to introduce in illnesses that are hard to prognosticate such as...
  • 22. 

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

    • A.

      A. End-of-life care

    • B.

      B. Involvement of the family

    • C.

      C. Experiences with death may differ due to...

    • D.

      D. Personal Assumptions and Biases About Death and Dying

    Correct Answer
    D. D. Personal Assumptions and Biases About Death and Dying
    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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  • 23. 

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

    • A.

      A. Experiences with death may differ due to...

    • B.

      B. In palliative care...

    • C.

      C. Involvement of the family

    • D.

      D. Bereavement care

    Correct Answer
    D. D. Bereavement care
    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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  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • May 19, 2020
    Quiz Created by
    Htna.stn
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