Nursing 109

N109: Foundations in Nursing Practice Study Guide 6. When assessing the physical condition of an individual with a chronic illness, the community nurse should: a. Ignore the specific equipment the individual will require and concentrate instead on current needs b. Understand the impairments that may prevent the individual from performing ADLs c. Perform the ADLs for the individual d. Inform the family that they should not assist the individual since he must learn to take care of himself 7. During the downward phase of the chronic illness trajectory model, the nurse notes that her patient is becoming more silent and withdrawn. An appropriate nursing diagnosis for this problem might be: a. Ineffective coping related to decline in physical condition b. Activity intolerance related to decline in physical condition c. Impaired mobility related to decline in physical condition d. Pain related to decline in physical condition 8. For the patient in the previous question, the goal for the problemmight be: a. Return to previous activities of daily living b. Decreased pain c. Acceptance of condition d. Increased mobility using aids as needed 9. An older adult who requires constant assistance is living with his daughter who works during the day. An appropriate choice of care for this man would be: a. Nursing home b. Hospital c. Skilled nursing facility d. Adult day care 10. The nurse is talking to the wife of a patient with Alzheimer’s disease. The nurse knows the wife understands the disease and needs of the patient when the wife says: a. “I go grocery shopping when my husband is sleeping.” b. “My husband’s driving has gotten worse over the past few months.” c. “I have an aide who comes in to sit with him for a few hours each day so I can go out for a while.” d. “I restrain him in bed at night so I can get some rest without having to worry about him getting out of bed.” The answer key is on page 149.

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