Chapter 31: Living with Chronic Diseases

Question 1

The goal of living with chronic diseases is to maintain a high-quality, satisfying life, and not be controlled by ___

Answer 1

the disease

Question 2

Gerontological nurses need to understand the unique __ and __ for older patients living with chronic conditions

Answer 2

challenges & goals

Question 3

Older adults are living ___ and the life expectancy is ___.

Answer 3

longer

longer

Question 4

__% of older adults have at least one chronic disease

Answer 4

80%

Question 5

Incidence of chronic disease is ___ with advancing age

Answer 5

higher

Question 6

The goals are always meant to ____

Answer 6

promote healing

Question 7

__ implies the mobilization of the body, mind, & spirit to control symptoms

Answer 7

healing

Question 8

Maintain or improve self-care capacity promotes ___

Answer 8

independence

Question 9

You can boost the body’s healing abilities through ___ ___.

Answer 9

effective nutrition

Question 10

You want to die with ___ and ___

Answer 10

comfort & dignity

Question 11

A goal for chronic care could be to delay ___ and ___.

Answer 11

deterioration and decline

Question 12

Nurses should create a ___ human & physical environment for their patient.

Answer 12

therapeutic

Question 13

The nurse should facilitate the ___ ___.

Answer 13

healing process

Question 14

The nurse’s role includes doing what 6 things for patients?

Answer 14

Educate, empower, reinforce, affirm, validate, & remove barriers

Question 15

__ __ must be reviewed & validated with the patient & family members to develop goals for care

Answer 15

Care needs

Question 16

A factor that promotes a positive physician-patient relationship can include:

Answer 16

feeling comfortable with your physician.

Question 17

Role of the chronic care coach:

Answer 17

feedback & positive reinforcement, support, encouragement, & assistance

Question 18

What are examples of a chronic care coach?

Answer 18

case managers, social workers, etc.

Question 19

___ patients are able to manage & prevent complications

Answer 19

Informed

Question 20

Where can chronic care patients obtain/increase knowledge?

Answer 20

• Newspapers
• Libraries
• Organizatioons
• Center for Disease Control
• Internet (NOT GOOGLE)

Question 21

What can be located through:
Telephone directories
Local agency on aging-senior centers
National organization headquarters

Answer 21

support groups

Question 22

Patients should make smart lifestyle choices such as:

Answer 22

Compliance with treatment plan
Dietary practices
Regular exercise
Stress Management
Assertiveness
Development of a healing attitude & mind set

Question 23

Utilization of the body’s capacity to heal itself is ____ ____.

Answer 23

CAM therapies

Question 24

The ___ is in charge of the healing process in CAM therapies.

Answer 24

patient

Question 25

In CAM therapies, the nurse needs to discuss therapies with the __ __ __.

Answer 25

health care provider

Question 26

___ medication can interfere with pharmacological medicine

Answer 26

Herbal

Question 27

Why are herbal medications not approved by the FDA?

Answer 27

because you don’t truly know the side effects to the medications.

Question 28

If someone has difficulty sustaining treatment measures, what should the nurse do?

Answer 28

Ask and figure out why they are not being compliant.

Question 29

___ is a huge factor in the course of chronic care.

Answer 29

Motivation

Question 30

If someone has no ___, they won’t be effective with managing their disease.

Answer 30

motivation

Question 31

4 Reactions as Defense Mechanisms:

Answer 31

Denial Anger Depression Regression

Question 32

What factors can impact the degree to which the patient lives effectively and lead to altered self-concept?

Answer 32

Psychosocial

Question 33

The goal of the course of chronic care is to achieve ___ ____ ____.

Answer 33

optimum psychosocial health

Question 34

What are 3 potential effects of the caregiving role?

Answer 34

- sacrifices and compromises - disruption to health - resources (can offer them help)

Question 35

You need to realistically evaluate caregiving responsibilities & identify the options for __.

Answer 35

care

Question 36

There is __% of chronic care patients institutionalized at any given time.

Answer 36

5%

Question 37

At some point in lives, ___ older men & __ older women spend time in LTC (long term care)

Answer 37

1/3 | ½

Question 38

The first choice of the need for institutional care is generally caregiving in __ __

Answer 38

the home

Question 39

___ need support & assistance from the nurse when the decision for assisted living or nursing home care is needed.

Answer 39

Families

Question 40

The nurse should always be monitoring of the __ and __ health.

Answer 40

patient and family