Nokea
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 patient when the nurse uses people-first language?
- A. The nurse knows more clearly who the patient is.
- B. The person is of more importance to the nurse than the disability.
- C. The patients disability is the defining characteristic of the patients life.
- D. The patients disability is a curable condition.
Correct Answer: B
Rationale: This simple use of language conveys the message that the person, rather than the illness or disability, is of greater importance to the nurse. The other answers are incorrect because no matter what language the nurse uses, the nurse knows who the patient is, that the patients disability is not most important in the patients life, and that the patients disability most likely will never be cured.
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A patient tells the nurse that her doctor just told her that her new diagnosis of rheumatoid arthritis is considered to be a chronic condition. She asks the nurse what chronic condition means. What would be the nurses best response?
- A. Chronic conditions are defined as health problems that require management of several months or longer.
- B. Chronic conditions are diseases that come and go in a relatively predictable cycle.
- C. Chronic conditions are medical conditions that culminate in disabilities that require hospitalization.
- D. Chronic conditions are those that require short-term management in extended-care facilities.
Correct Answer: A
Rationale: Chronic conditions are often defined as medical conditions or health problems with associated symptoms or disabilities that require long-term management (3 months or longer). Chronic diseases are usually managed in the home environment. They are not always cyclical or predictable.
The nurse is caring for a patient diagnosed with cancer of the liver who has chosen to remain in his home as long as he is able. The nurse reviews the care plan for the patient and notes that it focuses on palliative measures. The nurse also notes that over the last 3 weeks, the patients condition has continued to deteriorate. What is the nurses best response to this clinical information?
- A. Recognize that death will most likely occur in the next week.
- B. Recognize that the patient is in the trajectory phase of chronic illness and should be kept pain-free.
- C. Recognize that the patient is in the downward phase of chronic illness and should be reassessed.
- D. Recognize that the patient should immediately be admitted into the hospital.
Correct Answer: C
Rationale: The downward phase occurs when symptoms of chronic illness worsen despite attempts to control the course through proper regimen management. A downward turn does not necessarily lead to death. A downward trend can be arrested and the trajectory reestablished at any point, depending on the condition and the treatment. A patient who is palliative may not desire hospitalization and aggressive treatment.
The interface model of disability is being used to plan the care of a patient 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 patient.
- B. It encourages the provision of care that is based specifically on the disability.
- C. It promotes interactions with patients focused on the root cause of the disability.
- D. It promotes the idea that patients are capable and responsible.
Correct Answer: D
Rationale: The interface model promotes the view that people with disabilities are capable, responsible people who are able to function effectively despite having a disability. It does not foster dependency, does not encourage giving care based on the patients disability, and does not encourage or promote interactions with patients that are focused on the cause of the disability.
The nurse is reviewing the importance of preventative health care with a patient who has a disability. The patient states that she will not have the money to pay for her annual gynecologic exams or mammograms due to the cost of this hospitalization. What information would be appropriate for the nurse to share with the patient?
- A. Limited finances are a common problem for patients with a disability. Since you were hospitalized this year, you can likely forego the gynecologic exam and mammogram.
- B. These are very important health preventative measures, so you will need to borrow the money to pay for the exam and mammogram.
- C. Ill look into federal assistance programs that provide financial assistance for health-related expenses for people with disabling conditions.
- D. These preventative measures should likely be tax deductible, so you should consult with your accountant and then make your appointments.
Correct Answer: C
Rationale: Several federal assistance programs provide financial assistance for health-related expenses for people with some chronic illnesses, acquired disabling acute and chronic diseases, and diseases from childhood. Lack of financial resources, including health insurance, is an important barrier to health care for people with disabilities. Each of the other responses is inappropriate and inaccurate.
A 37-year-old woman with multiple sclerosis is married and has three children. The nurse has worked extensively with the woman and her family to plan appropriate care. What is the nurses most important role with this patient?
- A. Ensure the patient adheres to all treatments
- B. Provide the patient with advice on alternative treatment options
- C. Provide a detailed plan of activities of daily living (ADLs) for the patient
- D. Help the patient develop strategies to implement treatment regimens
Correct Answer: D
Rationale: The most important role of the nurse working with patients with chronic illness is to help patients develop the strategies needed to implement their treatment regimens and carry out activities of daily living. The nurse cannot ensure the patient adheres to all treatments. Providing information of treatment options is not the nurses most important role. The nurse does not provide the patient with a detailed plan of ADLs, though promotion of ADLs is a priority.