Eliopoulos - Gerontological Nursing 8th
Ed - Living in Harmony with Chronic
Conditions, Long-Term Care Exam
1. A nurse is well aware of the high incidence and prevalence of chronic conditions
among older adults. The nurse would recognize which of the following phenomena as
currently contributing to this high rate of incidence? (Select all that apply.)
A) Longevity is increasing.
B) Many previously fatal diseases are now treatable.
C) Increasing numbers of older adults can afford medical care.
D) Older adults have increased expectations for treatment.
E) New chronic conditions are being identified by medical researchers. - Answers -A)
Longevity is increasing.
B) Many previously fatal diseases are now treatable.
2. A nurse planning a health workshop for senior citizens wants to provide discussion
topics that will interest everyone. In a typical group of seniors, which disorder will afflict
the greatest number?
A) Hypertension
B) Hearing impairment
C) Heart condition
D) Arthritis - Answers -D) Arthritis
3. Mr. W has recently been diagnosed with rheumatoid arthritis, a chronic condition that
is having a significant impact on his daily routines and his quality of life. Which one of
the nurse's following statements best reflects recognition of the importance of healing
rather than curing Mr. W's condition?
A) "A combination of physical therapy and corticosteroid treatment holds a strong
chance of mitigating the effects of your arthritis."
B) "The best way for us to foster your overall well-being is to eliminate the symptoms
that are most affecting your daily routines."
C) "There are changes that I can help you make that can help you live a full life in spite
of this health problem."
D) "There are lifestyle changes, coupled with promising new therapies, that hold out
hope for being free from this problem." - Answers -C) "There are changes that I can
help you make that can help you live a full life in spite of this health problem."
4. Which of the following statements about the goals for persons with chronic illnesses
are appropriate? (Select all that apply.)
A) Chronic illnesses can be cured with proper and persistent treatment.
B) Healing requires the mobilization of the body, mind, and spirit.
, C) Appropriate care measures focus on helping patients live in harmony with chronic
disease.
D) Controlling symptoms, promoting a sense of well-being, and enhancing the quality of
life are appropriate goals for persons with chronic illnesses - Answers -B) Healing
requires the mobilization of the body, mind, and spirit.
C) Appropriate care measures focus on helping patients live in harmony with chronic
disease.
D) Controlling symptoms, promoting a sense of well-being, and enhancing the quality of
life are appropriate goals for persons with chronic illnesses.
5. A homecare nurse has begun providing care for an older adult male in the community
who has recently been diagnosed with type 2 diabetes. The nurse is responsible for
creating a care plan for the client and has consequently identified a number of goals for
his care. Which of the following goals of care is most in need of reexamination or
modification?
A) "The client will gain the knowledge and skills necessary to manage his diabetes
independently and effectively within 3 months."
B) "The client will remain free of common complications of diabetes."
C) "The client will maintain a high quality of life despite his diabetes."
D) "The client will no longer require blood sugar monitoring or oral antihyperglycemic
medications within 12 months." - Answers -D) "The client will no longer require blood
sugar monitoring or oral antihyperglycemic medications within 12 months."
6. Despite the fact that the patient is now receiving palliative care because of the
progression of her congestive heart failure (CHF), a nurse views the care that was
provided for the patient as a success. Which of the following aspects of the patient's
situation would most likely lead the nurse to this conclusion?
A) The client was able to live independently and care for herself until very late in the
progression of her disease.
B) The client maintained an acceptable cardiac output for the majority of the time that
she lived with CHF.
C) The client was able to teach other older adults about the experience of living with
CHF and the way it affected her life.
D) The client remained largely pain-free from the time of diagnosis until the present. -
Answers -A) The client was able to live independently and care for herself until very late
in the progression of her disease.
7. A nurse is providing care for an 82-year-old woman on the palliative care unit of a
hospital. The woman has a long-standing diagnosis of diabetes that has manifested in
serious cardiac problems and she is not expected to survive the weekend. How can the
nurse best understand this course of events in light of the chronic care that the patient
has long received?
A) Death represents the ultimate failure of the provision of care.
B) Dying in comfort and dignity is the final component of high-quality chronic care.
C) The period of death represents the transition from chronic care to acute care.
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