NURS 280 CHRONIC AND PAL CARE EXAM 200
QUESTIONS & CORRECT ANSWERS LATEST 2025
An elderly patient has presented to the clinic with a new diagnosis of osteoarthritis.
The patients daughter is accompanying him and you have explained why the
incidence of chronic diseases tends to increase with age. What rationale for this
phenomenon should you describe?
A) With age, biologic changes reduce the efficiency of body systems.
B) Older adults often have less support and care from their family, resulting in
illness.
C) There is an increased morbidity of peers in this age group, and this leads to the
older adults desire to also assume the sick role.
D) Chronic illnesses are diagnosed more often in older adults because they have
more contact with the health care system. - ANSWER-A
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. - ANSWER-A
,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 - ANSWER-B
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 - ANSWER-D
A patient with end-stage lung cancer has been admitted to hospice care. The
hospice team is meeting with the patient and her family to establish goals for care.
What is likely to be a first priority in goal setting for the patient?
A) Maintenance of activities of daily living
B) Pain control
C) Social interaction
D) Promotion of spirituality - ANSWER-B
,An international nurse has noted that a trend in developing countries is a decrease
in mortality from some acute conditions. This has corresponded with an increase in
the incidence and prevalence of chronic diseases. What has contributed to this
decrease in mortality from some acute conditions?
A) Improved nutrition
B) Integration of alternative health practices
C) Stronger international security measures
D) Decrease in obesity - ANSWER-A
A 37-year-old woman with multiple sclerosis is married and has three children.
The nurse has worked extensively with the woman and her family to plan
appropriate care. What is the nurses most important role with this patient?
A) Ensure the patient adheres to all treatments
B) Provide the patient with advice on alternative treatment options
C) Provide a detailed plan of activities of daily living (ADLs) for the patient
D) Help the patient develop strategies to implement treatment regimens -
ANSWER-D
A patient has recently been diagnosed with type 2 diabetes. The patient is clinically
obese and has a sedentary lifestyle. How can the nurse best begin to help the
patient increase his activity level?
A) Set up appointment times at a local fitness center for the patient to attend.
B) Have a family member ensure the patient follows a suggested exercise plan.
C) Construct an exercise program and have the patient follow it.
D) Identify barriers with the patient that inhibit his lifestyle change. - ANSWER-D
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 - ANSWER-A
You are caring for a patient with a history of chronic angina. The patient tells you
that after breakfast he usually takes a shower and shaves. It is at this time, the
patient says, that he tends to experience chest pain. What might you counsel the
patient to do to decrease the likelihood of angina in the morning? A. Shower in the
evening and shave before breakfast.
B. Skip breakfast and eat an early lunch.
C. Take a nitro tab prior to breakfast.
D. Shower once a week and shave prior to breakfast. - ANSWER-A
A man with a physical disability uses a wheelchair. The individual wants to attend
a support group for the parents of autistic children, which is being held in the
basement of a church. When the individual arrives at the church, he realizes there
are no ramps or elevators to the basement so he will not be able to attend the
support group. What type of barrier did this patient encounter?
A) A structural barrier
B) A barrier to health care
C) An institutional barrier
D) A transportation barrier - ANSWER-A
A patient who is legally blind is being admitted to the hospital. The patient informs
the nurse that she needs to have her guide dog present during her hospitalization.
What is the nurses best response to the patient?
QUESTIONS & CORRECT ANSWERS LATEST 2025
An elderly patient has presented to the clinic with a new diagnosis of osteoarthritis.
The patients daughter is accompanying him and you have explained why the
incidence of chronic diseases tends to increase with age. What rationale for this
phenomenon should you describe?
A) With age, biologic changes reduce the efficiency of body systems.
B) Older adults often have less support and care from their family, resulting in
illness.
C) There is an increased morbidity of peers in this age group, and this leads to the
older adults desire to also assume the sick role.
D) Chronic illnesses are diagnosed more often in older adults because they have
more contact with the health care system. - ANSWER-A
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. - ANSWER-A
,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 - ANSWER-B
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 - ANSWER-D
A patient with end-stage lung cancer has been admitted to hospice care. The
hospice team is meeting with the patient and her family to establish goals for care.
What is likely to be a first priority in goal setting for the patient?
A) Maintenance of activities of daily living
B) Pain control
C) Social interaction
D) Promotion of spirituality - ANSWER-B
,An international nurse has noted that a trend in developing countries is a decrease
in mortality from some acute conditions. This has corresponded with an increase in
the incidence and prevalence of chronic diseases. What has contributed to this
decrease in mortality from some acute conditions?
A) Improved nutrition
B) Integration of alternative health practices
C) Stronger international security measures
D) Decrease in obesity - ANSWER-A
A 37-year-old woman with multiple sclerosis is married and has three children.
The nurse has worked extensively with the woman and her family to plan
appropriate care. What is the nurses most important role with this patient?
A) Ensure the patient adheres to all treatments
B) Provide the patient with advice on alternative treatment options
C) Provide a detailed plan of activities of daily living (ADLs) for the patient
D) Help the patient develop strategies to implement treatment regimens -
ANSWER-D
A patient has recently been diagnosed with type 2 diabetes. The patient is clinically
obese and has a sedentary lifestyle. How can the nurse best begin to help the
patient increase his activity level?
A) Set up appointment times at a local fitness center for the patient to attend.
B) Have a family member ensure the patient follows a suggested exercise plan.
C) Construct an exercise program and have the patient follow it.
D) Identify barriers with the patient that inhibit his lifestyle change. - ANSWER-D
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 - ANSWER-A
You are caring for a patient with a history of chronic angina. The patient tells you
that after breakfast he usually takes a shower and shaves. It is at this time, the
patient says, that he tends to experience chest pain. What might you counsel the
patient to do to decrease the likelihood of angina in the morning? A. Shower in the
evening and shave before breakfast.
B. Skip breakfast and eat an early lunch.
C. Take a nitro tab prior to breakfast.
D. Shower once a week and shave prior to breakfast. - ANSWER-A
A man with a physical disability uses a wheelchair. The individual wants to attend
a support group for the parents of autistic children, which is being held in the
basement of a church. When the individual arrives at the church, he realizes there
are no ramps or elevators to the basement so he will not be able to attend the
support group. What type of barrier did this patient encounter?
A) A structural barrier
B) A barrier to health care
C) An institutional barrier
D) A transportation barrier - ANSWER-A
A patient who is legally blind is being admitted to the hospital. The patient informs
the nurse that she needs to have her guide dog present during her hospitalization.
What is the nurses best response to the patient?
