Chronic Illness and Older Adults

Chronic Illness and Older Adults
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. Examples of primary prevention strategies include
a. colonoscopy at age 50.
b. avoidance of tobacco products.
c. intake of a diet low in saturated fat in a patient with high cholesterol.
d. teaching the importance of exercise to a patient with hypertension.
2. A characteristic of a chronic illness is that it (select all that apply)
a. has reversible pathologic changes.
b. has a consistent, predictable clinical course.
c. results in permanent deviation from normal.
d. is associated with many stable and unstable phases.
e. always starts with an acute illness and then progresses slowly.
3. Ageism is characterized by
a. denial of negative stereotypes regarding aging.
b. positive attitudes toward the elderly based on age.
c. negative attitudes toward the elderly based on age.
d. negative attitudes toward the elderly based on physical disability
4. An ethnic older adult may feel a loss of self-worth when the nurse
a. informs the patient about ethnic support services.
b. allows a patient to rely on ethnic health beliefs and practices.
c. has to use an interpreter to provide explanations and teaching.
d. emphasizes that a therapeutic diet does not allow ethnic foods.
5. An important nursing action to help a chronically ill older adult
is to
a. avoid discussing future lifestyle changes.
b. assure the patient that the condition is stable.
c. treat the patient as a competent manager of the disease.
d. encourage the patient to “fight” the disease as long as possible.
6. Older adults who become ill are more likely than younger adults to
a. complain about the symptoms of their problems.
b. refuse to carry out lifestyle changes to promote recovery.
c. seek medical attention because of limitations on their lifestyle.
d. alter their daily living activities to accommodate new symptoms.
7. An appropriate care choice for an older adult who lives with an
employed daughter but requires help with activities of daily living
is
a. adult day care.
b. long-term care.
c. a retirement center.
d. an assisted living facility
8. Nursing interventions directed at health promotion in the older
adult are primarily focused on
a. disease management.
b. controlling symptoms of illness.
c. teaching positive health behaviors.
d. teaching regarding nutrition to enhance longevity

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