Fhcn- Chapter 9.10 Chronic Illness

23 Questions | Total Attempts: 76

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Fhcn- Chapter 9.10 Chronic Illness

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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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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?”

  • 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?

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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...

  • 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

  • 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

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