Author Question: Acute illness is to chronic illness as to which of the following comparisons? a. An emergency ... (Read 73 times)

Mr. Wonderful · **on:** Jul 11, 2018

Acute illness is to chronic illness as to which of the following comparisons?

a. An emergency department is to a nursing home
b. A hospital staff nurse is to a nurse practi-tioner
c. Health insurance is to Medicare for older adults
d. Inpatient surgical care is to outpatient medical care

Question 2

Which of the following statements is the most suitable for establishing goals when teaching an older adult with a chronic illness about potential changes in the health maintenance regimen?

a. Management of the patient's chronic dis-ease rests on the patient and the caregiver; therefore the goals should be collabora-tively set.
b. The patient will be able to make needed changes in his or her life if the nurse pro-vides accurate, written instructions.
c. Psychological functioning is usually im-paired only to a small extent in a patient with a chronic illness.
d. The patient's values, culture, and beliefs will have little to do with the types of changes he or she will be able to make.

nekcihc358 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Acute illness can be likened to an emergency department because it treats conditions with sudden onset and sudden exacerbations of existing conditions with short-term treatment options, as compared with a nursing home, which cares for individuals with long-term conditions that warrant admission after a decline in health or to individuals with long-term health care needs. The acute-chronic analogy is a comparison of sudden and short-term versus gradual and long-term.
The comparison between a nurse and a nurse practitioner is one of the practice settings and the scope of the practice. Medicare is a type of health insurance; however, chronic illness is not a type of acute illness. Inpatient surgical care can be emergent and elective, and outpatient medical care is usually for ongoing health care but can also be applied to emergent conditions.

Answer to Question 2

A
The patient must remain involved in the decision making; the patient and the caregiver may have different priorities. Instructions, by themselves, are not sufficient. Psychological functioning may be more impaired than physical functioning. The patient's values, cultures, and beliefs profoundly shape the patient's response to chronic illness and to therapeutic interventions.