Author Question: During a home visit with a new community member, the nurse suspects that a client has a chronic ... (Read 288 times)

wrbasek0 · **on:** Jul 23, 2018

During a home visit with a new community member, the nurse suspects that a client has a chronic illness. What did the nurse assess to make this clinical decision?

1. Experienced symptoms for 8 months
2. Has periods where the symptoms disappear
3. Altered activities of daily living because of the illness
4. Problem disappeared with over-the-counter medication
5. Symptoms appeared abruptly and disappeared after treatment

Question 2

The nurse case manager is concerned about a particular client being discharged from the hospital. Which factors should alert the nurse to possible problems with this client's adherence to treatment?

1. The prescribed therapy is costly and of unknown duration.
2. The therapy will require no lifestyle changes of the client.
3. The client has not had difficulty understanding the regimen.
4. The client's culture is supportive of Western medicine.

s.meritte · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1, 2, 3

Rationale 1: A chronic illness is one that lasts for an extended period, usually 6 months or longer, and often for the person's life.

Rationale 2: Chronic illnesses usually have a slow onset and often have periods of remission, when the symptoms disappear.

Rationale 3: With chronic illnesses clients often need to modify activities of daily living.

Rationale 4: An acute illness may subside with the help of over-the-counter medication.

Rationale 5: Symptoms of an acute illness appear abruptly and subside quickly after intervention.

Answer to Question 2

Correct Answer: 1
Rationale: Adherence to a particular therapy can be compromised if the therapy is expensive or if the duration of the proposed therapy is long.