Nokea
You are presenting patient teaching to a 48-year-old man who was just diagnosed with type 2 diabetes. The patient has a BMI of 35 and leads a sedentary lifestyle. You give the patient information on the risk factors for his diagnosis and begin talking with him about changing behaviors around diet and exercise. You know that further patient teaching is necessary when your patient tells you what?
- A. I need to start slow on an exercise program approved by my doctor.
- B. I know theres a chance I could have avoided this if Id always eaten better and exercised more.
- C. There is nothing that can be done anyway, because chronic diseases like diabetes cannot be prevented.
- D. I want to have a plan in place before I start making a lot of changes to my lifestyle.
Correct Answer: C
Rationale: The major causes of chronic diseases are known, and if these risk factors were eliminated, at least over 80% of heart disease, stroke, and type 2 diabetes would be prevented. In addition, over 40% of cancers would be prevented. The other listed options are accurate statements.
You may also like to solve these questions
A medical-surgical nurse is teaching a patient about the health implications of her recently diagnosed type 2 diabetes. The nurse should teach the patient to be proactive with her glycemic control in order to reduce her risk of what health problem?
- A. Arthritis
- B. Renal failure
- C. Pancreatic cancer
- D. Asthma
Correct Answer: B
Rationale: One chronic disease can lead to the development of other chronic conditions. Diabetes, for example, can eventually lead to neurologic and vascular changes that may result in visual, cardiac, and kidney disease and erectile dysfunction. Diabetes is not often linked to cancer, arthritis, or asthma.
A patient who undergoes hemodialysis three times weekly is on a fluid restriction of 1000 mL/day. The nurse sees the patient drinking a 355-mL (12 ounce) soft drink after the patient has already reached the maximum intake of fluid for the day. What action should the nurse take?
- A. Take the soft drink away from the patient and inform the dialysis nurse to remove extra fluid from the patient during the next dialysis treatment
- B. Document the patients behavior as noncompliant and notify the physician
- C. Further restrict the patients fluid for the following day and communicate this information to the charge nurse
- D. Reinforce the importance of the fluid restriction and document the teaching and the intake of extra fluid
Correct Answer: D
Rationale: Management of chronic conditions includes learning to live with symptoms or disabilities and coming to terms with identity changes resulting from having a chronic condition. It also consists of carrying out the lifestyle changes and regimens designed to control symptoms and to prevent complications. Although it may be difficult for nurses and other health care providers to stand by while patients make unwise decisions about their health, they must accept the fact that the patient has the right to make his or her own choices and decisions about lifestyle and health care.
A home care nurse is making an initial visit to a 68-year-old man. The nurse finds the man tearful and emotionally withdrawn. Even though the man lives alone and has no family, he has been managing well at home until now. What would be the most appropriate action for the nurse to take?
- A. Reassess the patients psychosocial status and make the necessary referrals
- B. Have the patient volunteer in the community for social contact
- C. Arrange for the patient to be reassessed by his social worker
- D. Encourage the patient to focus on the positive aspects of his life
Correct Answer: A
Rationale: The patient is exhibiting signs of depression and should be reassessed and a referral made as necessary. Patients with chronic illness are at an increased risk of depression. It would be simplistic to arrange for him to volunteer or focus on the positive. Social work may or may not be needed; assessment should precede such a referral.
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 community nurse is caring for a patient who has paraplegia following a farm accident when he was an adolescent. This patient is now 64 years old and has just been diagnosed with congestive heart failure. The patient states, Im so afraid about what is going to happen to me. What would be the best nursing intervention for this patient?
- A. Assist the patient in making suitable plans for his care.
- B. Take him to visit appropriate long-term care facilities.
- C. Give him pamphlets about available community resources.
- D. Have him visit with other patients who have congestive heart failure.
Correct Answer: A
Rationale: The nurse should recognize the concerns of people with disabilities about their future and encourage them to make suitable plans, which may relieve some of their fears and concerns about what will happen to them as they age. Taking him to visit long-term care facilities may only make him more afraid, especially if he is not ready and/or willing to look at long-term care facilities. Giving him pamphlets about community resources or having him visit with other patients who have congestive heart failure may not do anything to relieve his fears.