Author Question: Illness can strike anyone at anytime. Some illnesses are acute, whereas others become chronic. In ... (Read 16 times)

jCorn1234 · **on:** Jul 17, 2018

Illness can strike anyone at anytime. Some illnesses are acute, whereas others become chronic. In either case, the family must deal with an enormous amount of pressure when one of its members faces illness.

The nurse is collecting data about the impact of their mother's diagnosis of dementia. Which factors are essential for the nurse to collect data about at this time?
1 . The duration of the illness
2 . The meaning of the illness to the family
3 . The coping strategies that other families have used when a family member is diagnosed with dementia
4 . The incidence of dementia in the local community
A) 1, 2
B) 1, 3
C) 2, 4
D) 3, 4

Question 2

A nurse is assigned to care for a client who is experiencing a decrease in taste. The nurse knows which could be the most likely cause of the client's condition?

A) The client's stomach may be irritated.
B) The client has a short frenulum.
C) The client may be experiencing achalasia.
D) The client may be a smoker.

kalskdjl1212 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
Feedback:
It is critical for the nurse to identify the duration of the illness and the meaning of the illness to the family. The duration of the illness will identify the response to the major stressor as being in the adjustment or adaptation phase because a family will employ different coping strategies. Coping mechanisms used by other families may not be relevant because families vary greatly in their functions and makeup. The incidence of dementia in the community is not related to the specific family issues.

Answer to Question 2

D
Feedback:
The nurse should know that if the client is experiencing a decrease in taste, the client may be a habitual smoker. Smoking decreases the ability to taste and to smell. If the stomach is irritated or too full it leads to reverse peristalsis, which further leads to vomiting or emesis. If the lower esophageal sphincter (LES) does not relax as it should, food can be prevented from entering the stomach. This condition is known as achalasia; achalasia is not known to cause a decrease in taste or smell. If the frenulum is short or too tightly attached, it results in speech difficulties; however, a short frenulum does not decrease the ability to taste.