Chapter 7 Chronic Illness NUR 235 Questions and Correct Answers
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Course
NUR 235
Institution
NUR 235
A client has a tentative diagnosis of lung cancer following computed tomography (CT) scanning. He is scheduled for a fiberoptic bronchoscopy with biopsy. In the trajectory phase of the Trajectory Model of Chronic Illness, the nurse Provides postprocedure care following the bronchoscopy Administers ...
Chapter 7 Chronic Illness NUR 235
Questions and Correct Answers
A client has a tentative diagnosis of lung cancer following computed tomography (CT)
scanning. He is scheduled for a fiberoptic bronchoscopy with biopsy. In the trajectory
phase of the Trajectory Model of Chronic Illness, the nurse
Provides postprocedure care following the bronchoscopy
Administers the preoperative medication for the bronchoscopy
Answers the client's questions about the bronchoscopy procedure
Obtains the signature of the client on the consent form ✅Answers the client's
questions about the bronchoscopy procedure
Which phase of the Trajectory Model does the nurse recognize is present when the
patient is in remission, after an exacerbation of illness?
Acute
Downward course
Comeback
Crisis ✅Comeback
The client who has the chronic condition of diabetes, reports blurry vision, and admits to
nonadherence to the diet and medications. The home health nurse checks the client's
fasting blood glucose level, which is 412 mg/dL. What phase of the Trajectory Model of
Chronic Illness does the nurse assess this client is in?
Comeback
Pretrajectory
Stable
Acute ✅Acute
According to the U.S. Census (2010), what percentage of people are diagnosed with a
disability? ✅20
An elderly female client who has dizziness and osteoporosis fell at home and fractured
her hip. She underwent surgical intervention for repair of the fractured hip and is now
being discharged to a subacute care facility. In the comeback phase of the Trajectory
Model of Chronic Illness, the nurse
Discontinues the intravenous needle and changes the surgical dressing prior to
discharge from the hospital
Acknowledges the client's achievement when she walks to the bedside commode with
her walker
Teaches the client about osteoporosis ✅Acknowledges the client's achievement when
she walks to the bedside commode with her walker
, A client with multiple sclerosis is being discharged. The nurse understands that living
with chronic conditions imposes many challenges, including the need for which
accomplishments? Select all that apply.
Validate family functioning
Alleviate and manage symptoms
Validate individual self-worth
Return to a better state of health than prior
Ignore threats to identity ✅Validate individual self-worth
Alleviate and manage symptoms
Validate family functioning
This type of disability represents one that occurs any time from birth to 22 years and
results in impairment of physical or mental health, cognition, speech, language, or self-
care.
Acute nontraumatic
Developmental
Acquired
Age-related ✅Developmental
A nurse cares for a client with a chronic illness who has a diagnostic workup for the
illness and announces the diagnosis to friends and family. According to the Trajectory
Model of Chronic Illness, what phase is the client displaying?
Acute
Trajectory onset
Pretrajectory
Stable ✅Trajectory onset
Nursing care of patients with chronic illness is varied and occurs in a variety of settings.
Care must be direct and supportive. To provide supportive care, a nurse would do which
of the following?
Assess the patient's physical status.
Make referrals for additional care.
Provide treatments.
Manage the medication regime. ✅Make referrals for additional care.
The client with blindness is hospitalized following a myocardial infarction. Which care
measures would the nurse take with this client? Select all that apply.
State when the nurse is leaving the room.
Pat the canine service animal immediately upon entering the client's room.
Orient the client to the room using a clock reference.
Speak in a slightly louder voice.
Identify self when walking into the client's room. ✅Identify self when walking into the
client's room.
State when the nurse is leaving the room.
Orient the client to the room using a clock reference.
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