NSG 3250 Disability and Chronic Illness exam with answers, Exams of Nursing

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NSG 3250 Disability and Chronic Illness exam with answers

1. A |client |who |uses |a |wheelchair |was |unable |to |enter |a |health |care |clinic |because|the

|pavement|was|too|high.|The|client|filed|a|formal|complaint|stating |that |reasonable

|accommodations |were |not |met.|What |is |an |example |of |a |reasonable |accommodation |under

|the | 1990 |American |Disabilities |Act |(ADA)?

A. Priority |medical |appointments |and |grab |bars

B. Low-cost |transportation |and |elevated |toilet |seats

C. Accessible |facilities |and |equipment

D. Alternate |communication |methods |and |medical |home |visits:|C.|Accessible |facilities

|and |equipment

2. A |client |tells |the |nurse |that |the |doctor |just |told |the |client |that |a |new |diagnosis |of

|rheumatoid |arthritis |is |considered |to |be |a |"chronic |condition." |The|client |asks|the|nurse

|what|"chronic|condition"|means.|What|would|be|the |nurse's |best |response?

A. "It |is |a |health |problem |that |require |managements |of |several |months |or |longer."

B. "Chronic |conditions |are |disabilities |that |require |medical |treatments |that |limit

|activity."

C. "Medical |conditions |are |chronic |when |they |culminate |in |disabilities |that |require

|hospitalization."

D. "Chronic |conditions |are |conditions |that |require |short-term |management |in |extended-

care |facilities.": |A. |"It |is |a |health |problem |that |require |managements |of |several |months

|or |longer."

3. A |medical-surgical |nurse |is |teaching |a |client |about |the |health |implications |of|the|client's

|recently|diagnosed|with|type| 2 |diabetes.|The|nurse|should|teach |the |client |to |be |proactive

|with |glycemic |control |to |reduce |the |risk |of |what |health |problem?

A. Urinary |tract |infections

B. Renal |failure

C. Pneumonia

D. Inflammatory |bowel |disease:|B.|Renal |failure

4. An |international |nurse |has |noted |that |a |trend |in |emerging |countries |is |a |decrease |in

|mortality |from |some |acute |conditions.|What |has |contributed |to |this |decrease |in |mortality

|from |some |acute |conditions?

A. Improved|nutrition

B. Integration |of |alternative |health |practices

C. Stronger |international |security |measures

D. Decreases |in |obesity:|A.|Improved |nutrition

5. A |37-year-old |client |with |multiple |sclerosis |is |married |and |has |three |children. |The |nurse |has

|worked |extensively |with |the |client |and |family |to |plan |appropri- |ate |care. |What |is |the |nurse's

|most |important |role |with |this |client?

A. Ensure |the |client |adheres |to |all |treatments.

B. Provide |the |client |with |advice |on |alternative |treatment |options.

C. Provide |a |detailed |plan |of |activities |of |daily |living |(ADLs) |for |the |client.

D. Help|the|client|develop|strategies|to|implement|treatment|regimens.:|D.|Help |the |client

|develop |strategies |to |implement |treatment |regimens.

6. A |client |has |recently |been |diagnosed |with |type | 2 |diabetes.|The |client |is |clinically |obese

|and |has |a |sedentary |lifestyle.|How |can |the |nurse |best |begin |to |help |the |client |increase

|their |activity |level?

A. Set |up |appointment |times |at |a |local |fitness |center |for |the |client |to |attend.

B. Have |a |family|member |ensure |the |client |follows |a |suggested |exercise |plan.

C. Construct |an |exercise |program |and |have |the |client |follow |it.

D. Identify|barriers |with |the |client |that |inhibit |lifestyle |changes.:|D.|Identify |barriers

|with |the |client |that |inhibit |lifestyle |changes.

7. A |home |care |nurse |is |making |an |initial |visit |to |a |68-year-old |client. |The |nurse |finds |the |client

|tearful |and |emotionally |withdrawn. |Even |though |the |client |lives |alone |and |has |no |family, |the

|client |has |been |managing |well |at |home |until |now. |What |would |be |the |most |appropriate |action

|for |the |nurse |to |take?

A. Reassess |the |client's |psychosocial |status |and |make |the |necessary |refer- |rals.

B. Have |the |client |volunteer |in |the |community |for |social |contact.

C. Arrange |for |the |client |to |be |reassessed |by |a |social |worker.

D. Encourage |the |client |to |focus |on |the |positive |aspects |of |life.:|A.|Reassess |the |client's

|psychosocial |status |and |make |the |necessary |referrals.

8. The |nurse |is |caring |for |a |male |client |with |a |history |of |chronic |angina.|The |client |states

|that |after |breakfast |he |usually|takes |a |shower |and |shaves.|It |is |at |this |time,|the |client |says,|that

|he |tends |to |experience |chest |pain.|What |should |the |nurse |counsel |the |client |to |do |to

|decrease |the |likelihood |of |angina |in |the |morning?

A. Shower |in |the |evening |and |shave |before |breakfast.

B. Skip |breakfast |and |eat |an |early |lunch.

C. Take |a |nitroglycerin |tab |prior |to |breakfast.

D. Shower |once |a |week |and |shave |prior |to |breakfast.:|A.|Shower |in |the |evening |and |shave

|before |breakfast.

9. A |client |uses |a |wheelchair.|The |client |wants |to |attend |a |church-sponsored |support

|group |for |parents |of |children |diagnosed |with |autism |spectrum |dis- |order.|The |client

|arrives |at |the |church |and |realizes |there |are |no |ramps |or |elevators |to |the |basement.|What

|type |of |barrier |did |this |client |encounter?

A. structural |barrier

B. A |barrier |to |health |care

C. An |institutional |barrier

D. A |transportation |barrier:|A.|structural |barrier

10. A |client |who |is |legally |blind |is |being |admitted |to |the |hospital.|The |client |informs |the

|nurse |that |they |need |to |have |their |guide |dog |present |during |hospitalization.|What |is |the

|nurse's |best |response |to |the |client?

A. "Arrangements |can |be |made |for |your |guide |dog |to |be |at |the |hospital |with |you |during

|your |stay."

B. "I |will |need |to |check |with |the |care |team |before |that |decision |can |be |made."

C. "Because |of |infection |control,|your |guide |dog |will |likely |not |be |allowed |to |stay |in |your

|room |during |your |hospitalization."

D. "Your |guide |dog |can |stay |with |you |during |your |hospitalization, |but |it |will |need|to|stay|in|a

|cage|or|crate|that|you|will|need|to|provide.":|A.|"Arrangements |can |be |made |for |your |guide |dog |to |be |at |the |hospital |with |you |during |your |stay."

11. A |nurse |is |taking |an |Advanced |Cardiovascular |Life |Support |class.|The |nurse|has

|dyslexia|and|is|given|an|extra|hour|to|complete|the|exam.|What|type |of |disability |best |defines

|the |nurse's |condition?

A. Intellectual |disability

B. Sensory |disability

C. Psychiatric |disability

D. Cognitive |disability: |B.|Sensory |disability

12. A |19-year-old |client |with |a |diagnosis |of |Down |syndrome |is |being |admit- |ted |to |the |unit

|for |the |treatment |of |community-acquired |pneumonia.|When |planning |this |client's |care,|the

|nurse |recognizes |that |this |client's |disability |is |categorized |as |what |type?

A. |A |sensory |disability

B.|A |developmental |disability

C. |An |acquired |disability

D.|An |age-associated |disability:|B.|A|developmental |disability

13. The |nurse |is |reviewing |the |importance |of |preventive |health |care |with |a |client |who

|has |a |disability.|The |client |describes |intense |financial |pressures |associated |with |being

|disabled.|What |is |the |nurse's |best |response?

A. "Limited |finances |are |a |common |problem |for |clients |with |a |disability."

B. "Is |there |anyone |who |you |might |be |able |to |borrow |money|from |in |the |short |term?"

C. "I'll|look|into|federal|assistance|programs|that|provide|financial|assistance |for |health-

related |expenses |for |people |with |disabling |conditions."

D. "Many |of |your |expenses |should |be |tax |deductible,|so |you |should |consult |with |your

|accountant |and |then |make |your |appointments.": |C. |"I'll |look |into |federal |assistance |programs |that |provide |financial |assistance |for |health-related |expenses |for |people |with |disabling |conditions."

14. As |a |case |manager, |the |nurse |oversees |the |multidisciplinary |care |of |several |clients |living

|with |chronic |conditions. |Two |of |the |nurse's |clients |are |living |with |spina |bifida. |The |center |of

|care|for|these|two|clients|will|typically|exist|where?

A. In |the |hospital

B. In |the |health |care |provider's |office

C. In |the |home

D. In |the |rehabilitation |facility: |C.|In |the |home

15. 15.|A |nurse |is |planning |the |care |of |a |client |who |has |been |diagnosed |with |asthma, |which

|the |nurse |recognizes |as |being |a |chronic |condition.|Which |of |the |following |descriptors

|apply |to |chronic |conditions? |Select |all |that |apply.

A. Resolve |slowly

B. Rarely |are |completely |cured

C. Have |a |short, |unpredictable |course

D. Do |not |resolve |spontaneously

E. Have |a |prolonged |course:|B.|Rarely |are |completely |cured

D.|Do|not |resolve |spontaneously E.|Have |a |prolonged |course

16. A |55-year-old |woman |with |multiple |sclerosis |is |deficient |in |completing |health

|screening |and |health |promotion |tests. |Based |on |the |information |pro- |vided,|and |statistical

|data,|what |is |the |most |likely |test |that |the |client |missed?

A. Yearly|physical

B. Pelvic |examination

C. Colonoscopy

D. Hearing |test:|B.|Pelvic |examination

17. A |client |who |has |recently |been |diagnosed |with |chronic |heart |failure |is |being|taught|by

|the|nurse|how |to|live|successfully|with|the|chronic|condition. |The|client's|ability|to|meet|this

|goal|will|primarily|depend|on|the|client's|ability |to |do |which |of |the |following?

A. Lower |the |client's |expectations |for |quality |of |life |and |level |of |function.

B. Access |community |services |to |eventually |cure |the |disease.

C. Adapt |a |lifestyle |to |accommodate |the |client's |symptoms.

D. Establish |good |rapport |with |the |client's |primary|care |provider.:|C.|Adapt |a |lifestyle |to

|accommodate |the |client's |symptoms.

18. A |major |cause |of |health-related |problems |is |the |increase |in |the |incidence |of |chronic

|conditions. |Which |factor |has |contributed |to |the |increased |incidence |of |chronic |diseases |in

|developing |countries?

A. A |decrease |in |average |life |expectancy

B. Increasing |amounts |of |health |research

C. A |lack |of |health |infrastructure |to |manage |illness

D. Adoption |of |a |more |sedentary |lifestyle,|which |is |increasing |obesity:|D. |Adoption |of

|a |more |sedentary |lifestyle, |which |is |increasing |obesity

19. A |client |with |a |spinal |cord |injury |is |being |assessed |by |the |nurse |prior |to |being

|discharged |from |the |rehabilitation |facility.|The |nurse |is |planning |care |through |the |lens |of

|the |interface |model |of |disability.|Within |this |model, |the |nurse |will |plan |care |based |on

|what |belief?

A. The |client |has |the |potential |to |function |effectively |despite |the |disability.

B. The |client's |condition |does |not |have |to |affect |their |lifestyle.

C. The |client |will |not |require |care |from |professional |caregivers |in |the |home |setting. |D.|The

|client's |disability |is |the |most |significant |aspect |of |the |client's |personal |identity.:|A.|The |client |has |the |potential |to|function |effectively|despite |the |disability.

20. During |the |care |conference |for |a |client |who |has |multiple |chronic |condi- |tions,|the

|case |manager |has |alluded |to |the |principles |of |the |interface |model |of |disability.|What

|statement |is |most |characteristic |of |this |model?

A. "This |client |should |be |free |to |plan |their |care |without |our |interference."

B. "This |client |can |be |empowered |and |doesn't |have |to |be |dependent."

C. "This |client |was |a |very |different |person |before |the |emergence |of |these |health

|problems."

D. "This|client's|physiologic |problems|are|the|priority|over |their |psychosocial |status.": |B.

|"This |client |can |be |empowered |and |doesn't |have |to |be |dependent."

21. The |nurse |is |caring |for |a |25-year-old |client |with |a |traumatic |brain |injury |and |severe

|disabilities |caused |by |a |motor |vehicle |accident.|The |client |asks |the |nurse |for |education

|about |sex |in |regards |to |their |condition.|How |should |the |nurse |respond?

A. "I |can |have |another |health |care |provider |discuss |it |with |you |tomorrow."

B. "Try|to |focus |on |the |bigger |picture |of |getting |physically|stronger.|We |can |talk |about |sex

|once |you |are |more |stable."

C. "First,|I |think |you |should |talk |to |your |significant |other |to |discuss |the |limits |of |your

|physical |relationship."

D. "Do|you|have|specific|questions|first?|I|can|bring|additional|resources|into |the |discussion

|as |needed.":|D.|"Do |you |have |specific |questions |first? |I |can |bring |additional |resources |into |the |discussion |as |needed."

22. The |nurse |is |caring |for |a |25-year-old |client |who |has |Down |syndrome |and |who|has|just

|been|diagnosed|with|type| 2 |diabetes.|What|consideration|should |the |nurse |prioritize |when

|planning |this |client's |nursing |care?

A. How |the |new |diagnosis |affects |health |attitudes

B. How |diabetes |affects |the |course |of |Down |syndrome

C. How |the |chromosomal |disorder |affects |the |client's |glucose |metabolism

D. How |the |developmental |disability |influences |the |client's |health |manage- |ment:|D.

|How |the |developmental |disability|influences |the |client's |health |manage- |ment

23. The |nurse |is |caring |for |a |young |mother |who |has |a |longstanding |diagnosis |of |multiple

|sclerosis |(MS).|The |parent |was |admitted |with |a |postpartum |infec- |tion | 3 |days |ago, |and |the

|plan |is |to |discharge |the |client |home |when |the |client |has |finished | 5 |days |of |IV |antibiotic

|therapy.|What |information |would |be |most |useful |for |the |nurse |to |provide |at |discharge?

A. A |long |discussion |and |overview |of |postpartum |infections

B. How |the |response |to |infection |never |differs |in |clients |with |MS

C. The |same |information |you |would |provide |to |a |client |without |a |chronic |con- |dition |D.

|Information |on |effective |management |of |MS |in |the |home |setting: |C. |The |same |information |you |would |provide |to |a |client |without |a |chronic |condition

24. A|new |client|has|been|admitted|with|a|diagnosis|of|stage|IV|breast|cancer. |The |client |has |a

|comorbidity |of |myasthenia |gravis. |During |the |initial |assess- |ment, |the |client |states |that

|they |felt |the |lump |in |the |breast |about | 9 |months |ago.|The |nurse |asks |the |client |why |they |did

|not |see |the |health |care |provider |when |first |finding |the |lump |in |breast.|What |would |be |a

|factor |that |is |known |to |influence |the |client |in |seeking |health |care |services?

A. Lack |of |insight |due |to |the |success |of |self-managing |a |chronic |condition

B. Lack |of |knowledge |about |treatment |options

C. Overly |sensitive |client |reactions |to |health |care |services |D. |Unfavorable

|interactions|with|health|care|providers:|D.|Unfavorable |interactions |with|health |care |providers

25. The |community|nurse |is |caring |for |a |client |who |has |paraplegia |following |a |farm |accident

|when |they |were |an |adolescent.|This |client |is |now | 64 |years |old |and |has |just |been |diagnosed

|with |congestive |heart |failure.|The |client |states, |"I'm |so |afraid |about |what |is |going |to |happen

|to |me."|What |would |be |the |best |nursing |intervention |for |this |client?

A. Assist |the |client |in |making |suitable |plans |for |care.

B. Take |the |client |to |visit |appropriate |long-term |care |facilities.

C. Give |the |client |pamphlets |about |available |community |resources.

D. Have|the|client|visit|with|other|clients|who|have|congestive|heart|failure.:|A. |Assist |the

|client |in |making |suitable |plans |for |care.

26. An |initiative |has |been |launched |in |a |large |hospital |to |promote |the |use |of |"people-first"

|language |in |formal |and |informal |communication.|What |is |the |significance |to |the |client

|when |the |nurse |uses |"people-first" |language?

A. The |nurse |clearly |defines |how |the |disability |shapes |the |client's |character.

B. The |client |is |of |more |importance |to |the |nurse |than |the |disability.

C. The |client's |disability |mandates |their |relationships |and |life |choices.

D. The |nurse |knows |that |the |client's |disability |is |a |curable |condition.:|B.|The |client |is |of

|more |importance |to |the |nurse |than |the |disability.

27. A |client |who |is |recovering |from |a |stroke |expresses |frustration |about |their |care |to |the

|nurse, |stating, |"It |seems |like |everyone |sees |me |as |just |a |problem |that |needs |fixing."|This

|client's |statement |is |suggestive |of |what |model |of |disability?

A. Biopsychosocial |model

B. Social |model

C. Rehabilitation |model

D. Interface |model:|C.|Rehabilitation |model

28. The |interface |model |of |disability |is |being |used |to |plan |the |care |of |a |client |who |is |living

|with |the |effects |of |a |stroke.|Why |should |the |nurse |prioritize |this |model?

A. It |fosters |dependency |and |rapport |between |the |caregiver |and |the |client.

B. It|encourages|the|provision|of|care|that|is|based|specifically|on|the|disabil- |ity.

C. It |promotes |interactions |with |clients |focused |on |the |root |cause |of |the |disability.|D.|It

|promotes |the |idea |that |clients |are |capable |and |responsible.:|D. |It |promotes |the |idea |that |clients |are |capable |and |responsible.

29. A |nurse |knows |that |clients |with |"invisible" |disabilities |like |chronic |pain |often |feel |that

|their |chronic |conditions |are |more |challenging |to |deal |with|than |more |visible

|disabilities.|Why |would |they |feel |this |way?

A. Invisible|disabilities|create|negative|attitudes|in|the|health|care|community.

B. Despite |appearances,|invisible |disabilities |can |be |as |disabling |as |visible |disabilities.

C. Disabilities, |such |as |chronic |pain, |are |apparent |to |the |general |population.

D. Disabilities,|such|as|chronic|pain,|may|not|be |curable,|unlike|visible|disabil- |ities.: |B.

|Despite |appearances, |invisible |disabilities |can |be |as |disabling |as |visible |disabilities.

30. A |couple |who |are |in |their |early |80s |have |provided |constant |care |for |their |44-year-old

|child |who |has |Down |syndrome.|When |planning |this |family's |care, |the |nurse |should |be |aware

|that |the |parents |most |likely|have |concerns |around |what |question?

A. "What |could |we |have |done |better |for |our |child?"

B. "Why|was |our |child |born |with |Down |syndrome |while |our |other |children |are |healthy?"

C. "Who |will |care |for |our |child |once |we're |unable?"

D. "Will|we|experience|the|effects|of|developmental|disabilities|late|in|life?": |C. |"Who |will

|care |for |our |child |once |we're |unable?"

31. Many|individuals|with|disabilities|are|employed.|What|has|research|shown |about |this

|employed |population?

A. Their |salaries |are |commensurate |with |their |experience.

B. They |enjoy |their |jobs |more |than |people |who |do |not |have |disabilities.

C. Employment |rates |are |higher |among |people |with |a |disability |than |those |without. |D.

|People |with |disabilities |earn |less |money |than |people |without |disabilities.:|D.|People |with |disabilities |earn |less |money |than |people |without |dis- |abilities.

32. A |43-year-old |female |client |with |epilepsy |is |admitted |to |the |hospital.|The |client|has |been

|on |seizure |medications |most |of |their |adult |life.|What |would |be |an |appropriate |care |plan |for

|this |client?

A. Altered |mental |status |related |to |history |of |seizures

B. Increased |fall |risk |related |to |medication |regimen

C. Risk |for |aspiration |related |to |swallowing |difficulties

D. Self-care|deficit |related |to |cognitive |impairment:|B.|Increased |fall |risk |related |to

|medication |regimen

33. A |nurse |is |presenting |at |a |health |fair |and |is |promoting |the |benefits |of |maintaining |a

|healthy |body |weight.|The |nurse |should |refer |to |reductions |in |the |risks |of |what |diseases?

|Select |all |that |apply.

A. Heart |disease

B. Stroke

C. Neurologic |cancers

D. Diabetes

E. Hypertension: |A. |Heart |disease

B.|Stroke D.|Diabetes E.|Hypertension

34. A |nurse |is |aware |that |the |number |of |people |in |the |United |States |who |are |living |with

|disabilities |is |expected |to |continue |increasing.|What |is |considered |to |be |one |of |the |factors

|contributing |to |this |increase?

A. The |decrease |in |the |number |of |people |with |early-onset |disabilities

B. The |increased |inability |to |cure |chronic |disorders

C. Changes |in |infection |patterns |resulting |from |antibiotic |resistance

D. Increased|survival|rates|among|people|who|experience|trauma:|D.|Increased |survival

|rates |among |people |who |experience |trauma

35. A|45-year-old|client|was|diagnosed|with|schizophrenia|at|the|age|of|20.|The |client |is |having

|trouble |finding |community-based |services |to |help |increase |their |quality |of |life.|Which

|program |would |most |benefit |the |client?

A. Medicaid

B. Tricare

C. American |Disabilities |Act

D. Medicare:|A.|Medicaid

36. A |39-year-old |client |with |paraplegia |has |been |admitted |to |the |hospital |for |the |treatment

|of |a |sacral |pressure |injury.|The |nurse |is |aware |that |the |client |normally |lives |alone |in |an

|apartment |and |manages |their |ADLs |independently. |Before |creating |the |client's |plan |of

|care, |how |should |the |nurse |best |identify |the |level |of |assistance |that |the |client |will |require |in

|the |hospital?

A. Make |referrals |for |assessment |to |occupational |therapy|and |physical |thera- |py.

B. Talk |with |the |client |about |the |type |and |level |of |assistance |that |the |client

desires. |C. |Obtain |the |client's |previous |medical |record |and |note |what |was |done |during |their

|most |recent |admission.

D. |Apply |a |standardized |care |plan |that |addresses |the |needs |of |a |client |with

|paraplegia.:|B.|Talk |with |the |client |about |the |type |and |level |of |assistance |that |the |client |desires.

37. A |community |health |nurse |has |drafted |a |program |that |will |address |the |health

|promotion |needs |of |members |of |the |community |who |live |with |one |or |more

|disabilities.|Which |area |of |health |promotion |education |is |known |to |be |neglected |among

|adults |with |disabilities?

A. Blood |pressure |screening

B. Diabetes |testing

C. Nutrition

D. Sexual|health:|D.|Sexual |health