A major difference in the diagnosis of chronic disease between ...

[SO00]

A major difference in the diagnosis of chronic disease between younger adults and older adults is that:
 
  a. chronic disease is often diagnosed earlier in younger adults and measures can be im-plemented to prevent later problems.
  b. chronic disease is often diagnosed earlier in older adults since they are more likely to seek medical care.
  c. chronic disease is usually not identified in older adults because of the many age-related changes.
  d. chronic illness is uncommon in younger adults.

Question 2

The daughter of an older patient says to a nurse, I am so concerned that my dad is still driving. He is dangerous He has had a couple of accidents and I am worried that he is going to kill him-self or, worse, somebody else. What can I do?
 
  The nurse recommends which of the following involved type action strategies for driving cessa-tion? (Select all that apply.)
  a. Report the person to the division of motor vehicles for license suspension.
  b. Hold a family meeting with the person to discuss the situation and come to a mutual agreement of the problem.
  c. Arrange for alternate transportation for the person.
  d. Confiscate the keys to the car.
  e. Ask the patient's physician to write a pre-scription for the person to stop driving.

[hollysheppard095]

Answer to Question 1

ANS: A
In a younger adult, the early signs of a pending chronic disease may be identified early enough to prevent later problems (e.g., a finding of an elevated cholesterol level). In older adults, a chronic disease may not be diagnosed until some amount of end organ damage has already occurred. For example, diabetic retinopathy may be found during an annual eye examination indicating that the diabetes has been present for some time. Although there are many age-related changes in the older adult, it is still possible to identify chronic illness. Chronic illness is common in younger adults, although it is more common in older adults.

Answer to Question 2

ANS: B, C
Options B and C are examples of the involved type of action strategies for driving cessation. Op-tions A, D, and E are all examples of the imposed type of action strategies for driving cessation.