Nursing 109

N108: Transition to the Registered Professional Nurse Role Study Guide

Chapter 3

1. B Acute illness has a sudden onset that may or may not result in death. Chronic illness typically has a much slower onset that may go unnoticed for some time. 2. C The initial or pre-trajectory phase occurs before any signs or symptoms are present. The downward phase is characterized by progressive deterioration in mental and physical status. The stable phase starts once symptoms are under control. The nurse should recognize that Julio’s symptoms are controlled. The crisis phase is when a potentially life-threatening situation arises. 3. B The downward phase is characterized by progressive deterioration in mental and physical status. 4. D Increased self-esteem is not a problem and a personwith a chronic illness is not likely to have increased self-esteem. The individual with a chronic illness may have a decreased ability to perform his own ADLs, and a progressive decline in health and family issues as a result of the illness. 5. C Acceptance of the chronic illness is a desired outcome and typically does not adversely influence the course of the illness. 6. B In addition to understanding the possible impairments caused by the illness, the nurse should anticipate the special equipment the individual will need, should encourage the individual to do as much as his condition will allow, and should help the family understand the limitations that may require their intervention and assistance. 7. A Although the other diagnoses might be appropriate for the patient, ineffective coping is the diagnosis that is more appropriate for a patient who is becoming silent and withdrawn. 8. C Because chronic illness is a progressivedisease, the individual with ineffective coping should be assisted to begin to accept the condition and prognosis. Again, the other goals might be appropriate for other nursing diagnoses, but acceptance of the condition is the most appropriate for an ineffective coping diagnosis. 9. D As long as the daughter is willing and able to care for her father in the evening and night, adult day care may be the most appropriate choice for care. This choice would allow him to stay with family in a familiar environment, while also socializing with others during the day in a safe environment. 10. C A person with Alzheimer’s should not be left alone, even when sleeping, since there is a chance he will awaken and leave the house. An individual with dementia should never be allowed to drive since he is putting himself and others at risk. Restraints should never be used without constant supervision since the risk of injury is high.

©2018

Achieve

Page 149

of 154