1. To preserve function and the ability to perform activities of…

Question Answered step-by-step 1. To preserve function and the ability to perform activities of… 1. To preserve function and the ability to perform activities of daily living, what will the nurse teach the client with osteoarthritisa. Repeat forceful movement to reduce pianb. Maintain normal activities during an acute episode to prevent loss of functionc. Avoid exercise that involves the affected jointsd. Plan and organize less stressful ways to perform task2. A nurse is assessing a client for social isolation. Which statement best reflects the assessment of this concept.a. A client living with rheumatoid arthritis who reports having 21 social contacts including neighbours and family members who are helpful.b. A client living with chronic illness, has 3 children and appreciates her time to read long novels and take winter hikesc. A client living with osteoarthritis whose adult child visits weekly but who is unable to visit her peers at their religious institution due to hip and knee pain3. Which of the following reflects the experiences of partners and families of people living with chronic pain as noted in the article? Chronic pain and the family. The experience pf the partners of people living with chronic pain. (West et al., 2021)a. Financial loss ranges from minor financial inconvenience to catastrophic life changing lossesb. Loss of friendship directly caused by the impact of the chronic pain resulted in limited social contact and family outingsc. Physical and emotional limitations caused by the pain changed the meaning of the relationship they sharedd. Roles had to be changed or revised because of the person with chronic illness.e. Feeling selfish, a sense of self blame and blaming the pain for the changes it caused for their family1. a,c, d2. a, c,d, e3. b,c,d,e4. a,b,c,d,e5. abc4. which of the following statement by a client with sickle cell anemia indicates good understanding of the nurses teaching about prevention of sickle cell and crisisa. fluids from foods are not counted as part of hydration therapyb. daily use of narcotics is prescribed to prevent a crisisc. the use of medical identification bracelet is not recommended for a child with sickle cell anemiad. risk for a crisis can be lowered by having an annual influenza vaccination5. Based on the article a meta synthesis of factors affecting self management of chronic illness (Shulman-Green , Jaser , Parker & Whittemore 2016) identify key areas of assessment impacting personal lifestyle characteristics that would affect self management. Select all that apply.a. The client’s understanding of their chronic illnessb. The client’s lack of insurance coveragec. Their level of self efficacy to self managementd. The client’s perception of their health status6. A 48-year-old male recently experienced vison loss resulting from an accident. Which component of the international classification of functioning, disability and health ( ICF) would describe this issue.a. Participation restrictionb. Impairmentc. Activity limitationd. System related challenges7. Which of the following diagnostic studies of rheumatic arthritis are indicative of the inflammatory process? Select all that apply.a. Tissue biopsyb. C-reactive proteinc. Platelet countd. Erythrocyte counte. Erythrocyte sedimentation ratef. Creatinine levels8. Which statement best represents rehabilitative care?a. Ensure a team approach is available daily to complete all client care needsb. Goal is to ensure clients return to baseline functional statusc. Assuring client that pressure sores are inevitable in the rehabilitative settingd. Use a team approach to maximize client independence in meeting care needs9. What are the key findings in the labore et al. (2007) article? Exploring transition to self-management within the culture of sickle cell disease. Select all that apply.a. Participation felt as if hospitals were a familiar place due to frequent hospitalizationb. Participation grew to understand the limits of their diseasec. Participants felt that parental relationships evolve over time for the worst d. Participants described a strong maternal relationship as essential to their transition to self management10. Which of the following persons can experience social isolation and chronic illness?a. Clients and caregiversb. Caregivers onlyc. Spouses of clients onlyd. Clients only11. Most parents of children with special needs tend to experience chronic sorrow. What is one characteristic of chronic sorrowa. Periods of intensified sorrow while experiencing anger and guiltb. Lack of acceptance of the child limitationc. Periods of intensified sorrow and loss that occur in waves overtimed. Lack of available support to prevent sorrow12. Long-term effects of Hydroxyurea include which of the followinga. Increased risk of hemorrhageb. Increased need for blood transfusionc. Decreased frequency of Vaso-occlusive crisisd. Increased risk of cardiovascular complications.13. The nurse is teaching a patient about the clinical manifestation of rheumatoid arthritis . which statement indicates the need for further teaching.a. My joints can feel stiff which can last 1hr or more in the morningb. I may experience a great deal of fatiguec. My hands can become deformed due to swellingd. I will experience swelling and tenderness in my calf.14. Which of the following best reflects nursing care of children with chronic illness and complex pain.a. Experiencing multiple symptoms can make it hard to isolate pain from other concurrent symptomsb. The most important aspect of assessment is use of appropriate questionerc. Potential barriers to effective pain management include the clinician’s lack of knowledge about paind. Assessment should include asking the family about symptoms and complications that occur concurrently1. A.b2. A,b,c,d3. A,c,d4. B,c,d5. A,b,c15. Which of the following is true of disability in Canada as cited by statistics Canada (2018)a. Empowerment likelihood is not impacted by disability severity b. Men have a higher prevalence of disability in most age groupsc. Disabilities related to mobility and mental health were the most common typesd. The most prevalence disability in Canada is hearing impairment16. A client with hip pain is diagnosed with osteoarthritis. The nurse may need to teach the client about the use of which of the following. Select all that apply.a. Interferon beta – 1a (avonex)b. Sulphasalazine (salazopyrin)c. Phenytoin ( Dilantin)d. Arthrotec (misoprostol and diclotenac)e. Capsaicin cream ( zostrix)f. Ibuprofen (motrin)17. Which is the basis for achieving the best health and wellness outcomes for individuals living with chronic illnessa. Shifting perspectivesb. Self-efficacyc. Illness trajectoryd. Self management18. Which of the following best describes the expanded chronic care modela. It focuses on acute, episodic model of care to best meet the needs of clients and families with chronic illnessb. It promotes individual strength to enable people to reach peak physical functioningc. It supports the role that the social determinant of health play in influencing individual, community, and population healthd. It includes governmental legislation to foster tax revenue to support the financial burden of chronic illness19. Which of the following best reflect the concept of disability according to world health organization world report on disability (2011) Chapter 1 – understanding disabilitya. Health conditions that result in impairments mean disability is a characteristics of the person b. Implementation of specialized schools that segregate and meet unique needs reduce disabilityc. Interaction between health conditions and personal and environmental factors shape disabilityd. Implementation and policies focused on community and educational inclusion reduce disability.1. A,b2. B,c,d3. A,b,c4. C,d20. A client is 81 year old who is seen routinely in an out patient clinic , has a chronic illness and lives with her cat. All her close family members have passed away and she does not know her neighbours . what interventions could help this woman to become less socially isolateda. The nurse offers to connect the patient to a support groupb. Suggests that she keep emergency numbers beside her phonec. Ensure she gives her cat up for adoptiond. Tell her to watch more television21. The nurse obtains a history from a client with rheumatoid arthritis. It is most important for the nurse to follow up on which client statement.a. I take a 20-minute nap in the afternoon even though I sleep 9 hours at nightb. I perform range of motion exercise at lease once a dayc. I restrict fluids to prevent edema when taking methotrexated. I use a healing pad for 20 minutes to reduce morning stiffness22. Methotrexate is prescribed for a client with a new diagnosis of rheumatoid arthritis. Which laboratory result will the nurse monitor to determine whether signs of bone marrow suppression have developed?a. Blood glucose testb. C-reactive protein levelc. Thyroxine leveld. Complete blood count teste. Serum electrolyte level23. Strategies to support siblings of chronically ill children include which of the following? Select all that apply.a. Provide siblings opportunities to verbalize their concernsb. Have the siblings babysit the ill child whenever possiblec. Encourage parents to be fair in giving time and attention to both children d. Ensure the siblings receive age-appropriate information about the ill child’s chronic condition24. Which clinical manifestation should the nurse expect when a child sickle cell anemia experience as acute Vaso occlusive crisisa. Hepatomegaly intrahepatic cholestaticb. Cardiomegaly systolic murmursc. Painful swelling of the hands and feet, painful jointsd. Circulatory collapse25. When assessing the family with child that has a sever complex condition which will the nurse document as characteristics of parental approach behavioura. The father being unwilling to talk about possible need for pallative care of the childb. Hiding the severity of illness from family membersc. The family clarifying the treatment plan with the health care teamd. The family monopolizing the child’s time26. What strategies can a nurse suggest to promote supportive therapies during a Vaso-occlusive sickle cell crisis ? select all that applya. Apply heat b. Administer high flow oxygen therapy to maintain oxygen saturation > and equal to 95%c. Passive range of motion (ROM)d. Apply cold27. According to the Canadian guide for opioid therapy and chronic non cancer pain (Busse et al. 2017) which of the following client statements about being prescribed an opioid requires further health teachinga. My doctor want to slowly reduce the amount of the morphine I am taking due to the side effectsb. I should take my ibuprofen as prescribedc. I know I need to work with my physiotherapist when learning therapeutic exercised. This codeine medication will eliminate my pain28. Which of the following reflect the themes identified in the article Client-Centered rehabilitation: Client perspectives (Cott 2004)a. Client found routine group work helpful in fostering client centered individualizationb. Client felt that control of knowledge by specialist helped support decision making c. Clients want to be actively involved in defining their needs, goals and outcomesd. Clients want specialists to define their care needs and outcomese. Clients felt well prepared to manage emotional challenges and interpersonal relationships29. Which of the following information should the nurse include when teaching range of motion exercises to a client with an exacerbation of rheumatoid arthritis?a. Application of cold packs before exercise may decrease joint painb. Affected join should not be exercised when pain is presentc. Walking may substitute for range of motion (ROM) exercise on some daysd. Exercise should be performed passively by someone other than the client30. Froehich -Grobe , Jones, Businelle, Kendzor, and Balasubramanian (2016) reported which of the following findings in the impact of disability and chronic conditions on healtha. Promoting health for people living with disabilities is a growing public health concern b. People with disability need greater access to health promotion programs that are feasible to adapt.c. Sustained healthy behaviours are less effective in people with disability as a result of functional impairmentd. People with a chronic condition and disability reported significantly more unhealthy days than those without disability1. A,b,d2. A,b,c,d3. B,c,d4. B,d5. A,b31. Which of the following best describes chronic illnessa. The client’s experience of medical condition that requires long term managementb. The practitioners observations of the manifestation of a medical conditionc. A dysfunction in the state of physical, mental and social health and wellnessd. The clients experience of a sudden  of signs and symptoms of a medical condition32. Morbidity is best described by which statementA. Rate of disease in a specific regionB. The rate of death in a specific regionC. The rate of disease in a populationD. The rate of death33. Which of the following factors can influence the clients sense of self efficacy when they wish to make a change in their health behaviour, such as quitting smokinga. The client believes they have what it takes to succeedb. The client is learning from others who have tried to quit smokingc. A health care provider encourages the client that they are capable of quitting smokingd. The client experiences a low amount of stress in their daily life1. B,c,d2. A,b,c,d3. A,c,d4. A,d34. Which of the following noncommunicable disease rank highest in the worlda. Chronic heart disease, lung disease, cancer and diabetesb. Lung diabetes, cancer , diabetes, arthritisc. Chronic heart disease, kidney disease, lung disease , cancerd. Cancer, diabetes, arthritis, kidney disease35. Which statement best reflect nursing care that is focused on rehabilitation goals, based on Manuk, & Kramer -Kile (2014) within the chronic illness in Canada. Impact and intervention chapter? Select all that applya. Work with client experiencing coronary artery disease to prevent complicationb. Support client empowerment efforts to live independently with MSc. Teach client that the goal of rehabilitation is facilitating their financial independenced. Support client following a spinal cord injury to enhance quality of life36. Which of the following reflect the world health organization (2014) nine voluntary global targets for non- communication disease (NCD’s)a. To reduce the prevalence of insufficient physical activityb. To accelerate action against the leading risk factor of NCDsc. To strengthen national health system responsed. To reduce premature mortality from cardiovascular diseases , cancer, diabetes, or chronic respiratory disease37. Best buys according to WHO (2011) involvesa. The most effective means of preventing chronic illnessb. Raising taxes on tobacco and alcoholc. Promoting public awareness about diet and physical activityd. Educating the public about the transmission of infectious disease38. Based on the shifting perspective model of chronic illness which of the following statement best reflects wellness is in the foreground?a. A person living with chronic kidney disease and attending art work twice a weekb. A person living with diabetes and fearful of eating out at restaurantsc. A person living with chronic kidney disease and declining any social invitationsd. A person living with diabetes and monitoring their blood sugar level every hour39. Which client history best indicates multimorbiditya. Chronic obstructive pulmonary disease and a urinary tract infectionb. Diabetes treatment exacerbates rheumatoid arthritisc. Lung cancer and pneumoniad. Chronic kidney disease and an appendectomy   Health Science Science Nursing NUR 286 Share QuestionEmailCopy link Comments (0)