Which phase of the trajectory model of chronic illness is characterized by reactivation of the illness? a) Unstable The unstable phase is characterized by development of complications or reactivation of the illness. b) Stable The stable phase indicates that the symptoms and disability are under control or managed. c) Acute The acute phase is characterized by sudden onset of severe or unrelieved symptoms or complications that may necessitate hospitalization for their management. d) Comeback The comeback phase is the period in the trajectory marked by recovery after an acute period.

Which phase of the trajectory model of chronic illness is
characterized by reactivation of the illness?
a) Unstable
The unstable phase is characterized by development of complications
or reactivation of the illness.
b) Stable
The stable phase indicates that the symptoms and disability are under
control or managed.
c) Acute
The acute phase is characterized by sudden onset of severe or
unrelieved symptoms or complications that may necessitate
hospitalization for their management.
d) Comeback
The comeback phase is the period in the trajectory marked by
recovery after an acute period.
by

1 Answer

Answer :

a) Unstable
The unstable phase is characterized by development of complications
or reactivation of the illness.
by

Related questions

In which phase of the trajectory model of chronic illness are the symptoms under control and managed? a) Stable The stable phase indicates that the symptoms and disability are under control or managed. b) Acute The acute phase is characterized by sudden onset of severe or unrelieved symptoms or complications that may necessitate hospitalization for their management. c) Comeback The comeback phase is the period in the trajectory marked by recovery after an acute period. d) Downward The downward phase occurs when symptoms worsen or the disability progresses despite attempts to control the course through proper management.

Description : In which phase of the trajectory model of chronic illness are the symptoms under control and managed? a) Stable The stable phase indicates that the symptoms and disability are under ... symptoms worsen or the disability progresses despite attempts to control the course through proper management.

Last Answer : a) Stable The stable phase indicates that the symptoms and disability are under control or managed.

When up to a 6-month period elapses between the experience of trauma and the onset of symptoms of posttraumatic stress disorder (PTSD), the episode is termed a) delayed. In the case of delayed PTSD, there may be up to a 6-month period of time that elapses between the trauma and the manifestation of symptoms. b) acute. Acute PTSD is defined as the experience of symptoms for less than a 3-month period. c) chronic. Chronic PTSD is defined as the experience of symptoms lasting longer than 3 months. d) primary. The concept of primary disease is not used in relation to PTSD.

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Last Answer : a) delayed. In the case of delayed PTSD, there may be up to a 6-month period of time that elapses between the trauma and the manifestation of symptoms.

Which of the following statements about the presence of gallstones in diabetes patients is/are correct? A. Gallstones occur with the same frequency in diabetes patients as in the healthy population. B. The presence of gallstones, regardless of the presence of symptoms, is an indication for cholecystectomy in a diabetes patient. C. Diabetes patients with gallstones and chronic biliary pain should be managed nonoperatively with chemical dissolution and/or lithotripsy because of severe complicating medical conditions and a high operative risk. D. The presence of diabetes and gallstones places the patient at high risk for pancreatic cancer. E. Diabetes patients with symptomatic gallstones should have prompt elective cholecystectomy, to avoid the complications of acute cholecystitis and g

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Nonadherence to therapeutic regimens is a significant problem for which of the following age groups? a) Adults 65 and over Elderly people frequently have one or more chronic illnesses that are managed with numerous medications and complicated by periodic acute episodes, making adherence difficult. b) Teenagers Problems of teenagers, generally, are time limited and specific, and require promoting adherence to treatment to return to health. c) Children In general, the compliance of children depends on the compliance of their parents. d) Middle-aged adults Middle-aged adults, in general, have fewer health problems, thus promoting adherence.

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Last Answer : a) Adults 65 and over Elderly people frequently have one or more chronic illnesses that are managed with numerous medications and complicated by periodic acute episodes, making adherence difficult.

Which of the following statements reflects the nursing management of the patient with West Nile Virus infection? There is no treatment for West Nile Virus infection. Patients are supported by fluid replacement, airway management, and standard nursing care support during the time that the patient has meningitis symptoms. a) The incubation period is three to five days. The incubation period (from mosquito bite until onset of symptoms) is between 5–15 days.

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When the patient with known angina pectoris complains that he is experiencing chest pain more frequently even at rest, the period of pain is longer, and it takes less stress for the pain to occur, the nurse recognizes that the patient is describing a) unstable angina. Unstable angina is also called crescendo or pre-infarction angina and indicates the need for a change in treatment.

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The basic difference between nursing diagnoses and collaborative problems is that a) Nurses manage collaborative problems using physician-prescribed interventions. Collaborative problems are physiologic complications that nurses monitor to detect onset or changes and manage through the use of physician-prescribed and nursing-prescribed interventions to minimize the complications of events.

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Which of the following is/are acceptable reasons for the transfusion of red blood cells based on currently available data? A. Rapid, acute blood loss with unstable vital signs but no available hematocrit or hemoglobin determination. B. Symptomatic anemia: orthostatic hypotension, severe tachycardia (greater than 120 beats per minute), evidence of myocardial ischemia, including angina. C. To increase wound healing. D. A hematocrit of 26% in an otherwise stable, asymptomatic patient.

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Which of the following terms has been defined by the American Psychiatric Association as a group of behavioral or psychological symptoms or a pattern that manifests itself in significant distress, impaired functioning, or accentuated risk of enduring severe suffering or possible death? a) Mental disorder The definition was adopted by the American Psychiatric Association in 1994. b) Emotional disorder There is no universally accepted definition of what constitutes an emotional disorder. c) Anxiety Anxiety is defined as fear of the unknown. d) Schizophrenia Schizophrenia is a specific disorder characterized by psychosis.

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Which of the following mitral valve conditions generally produces no symptoms? a) Prolapse Mitral valve prolpase is a deformity that usually produces no symptoms and has been diagnosed more frequently in recent years, probably as a result of improved diagnostic methods. b) Stenosis Mitral valve stenosis usually causes progressive fatigue. c) Regurgitation Mitral valve regurgitation, in its acute stage, usually presents as severe heart failure. d) Infection Mitral valve infection, when acute, will produce symptoms typical of infective endocarditis.

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Which of the phases of a migraine headache usually lasts less than an hour? a) Aura The aura phase occurs in about 20% of patients who have migraines and may be characterized by focal neurological symptoms.

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Nursing management of the patient with acute symptoms of benign paroxysmal positional vertigo includes which of the following? a) Bed rest Bed rest is recommended for patients with acute symptoms. Canalith repositioning procedures (CRP) may be used to provide resolution of vertigo, and patients with acute vertigo may be medicated with meclizine for 1-2 weeks.

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Acute or chronic colchicine toxicity may be identified by which of the following signs/symptoms? (a) Alopecia (b) Blood dyscrasias (c) Severe gastrointestinal upset (d) All of the above (e) None of the above

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Last Answer : Ans: D

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The patient with cardiac failure is taught to report which of the following symptoms to the physician or clinic immediately? a) Persistent cough Persistent cough may indicate an onset of left-heart failure. b) Increased appetite Loss of appetite should be reported immediately. c) Weight loss Weight gain should be reported immediately. d) Ability to sleep through the night Frequent urination, causing interruption of sleep, should be reported immediately.

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True statements concerning hypoadrenal shock include which of the following? A. Adrenocortical insufficiency may manifest itself as severe shock refractory to volume and pressor therapy. B. The presence of hyperglycemia and hypotension may suggest the diagnosis of shock due to adrenocortical insufficiency. C. Hydrocortisone does not interfere with the serum cortisol assay and should be given to hemodynamically unstable patients suspected of having hypoadrenal shock. D. The rapid adrenocorticotropic hormone (ACTH) stimulation test should be performed to help establish the diagnosis of acute adrenocortical insufficiency.

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Which of the following diseases is a chronic, progressive, hereditary disease of the nervous system that results in progressive involuntary dance-like movement and dementia? a) Huntington’s disease Because it is transmitted as an autosomal dominant genetic disorder, each child of a parent with HD has a 50% risk of inheriting the illness.

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The nurse anticipates that the immunosuppressed patient is at greatest risk for which type of shock? a) Septic Septic shock is associated with immunosuppression, extremes of age, malnourishment, chronic illness, and invasive procedures. b) Neurogenic Neurogenic shock is associated with spinal cord injury and anesthesia. c) Cardiogenic Cardiogenic shock is associated with disease of the heart. d) Anaphylactic Anaphylactic shock is associated with hypersensitivity reactions.

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Which of the following statements describes accurate information related to chronic illness? a) Most people with chronic conditions do not consider themselves sick or ill. Although some people take on a sick role identity, most people with chronic conditions do not consider themselves sick or ill and try to live

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The nurse teaches the patient who demonstrates herpes zoster (shingles) that a) the infection results from reactivation of the chickenpox virus. It is assumed that herpes zoster represents a reactivation of latent varicella (chickenpox) virus and reflects lowered immunity.

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Which of the following diseases is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of small patches of demyelination in the brain and spinal cord? a) Multiple sclerosis The cause of MS is not known and the disease affects twice as many women as men.

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Emphysema is described as: a) A disease of the airways characterized by destruction of the walls of overdistended alveoli. Emphysema is a category of COPD. b) A disease that results in a common clinical outcome of reversible airflow obstruction. Asthma is the disease described. c) The presence of cough and sputum production for at least a combined total of two or three months in each of two consecutive years. Bronchitis is the disease described. d) Chronic dilatation of a bronchus or bronchi Bronchiectasis is the condition described.

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Another term for clergyman’s sore throat is a) chronic granular pharyngitis. In clergyman’s sore throat, the pharynx is characterized by numerous swollen lymph follicles. b) aphonia. Aphonia refers to the inability to use one’s voice. c) atrophic pharyngitis. Atrophic pharyngitis is characterized by a membrane that is thin, white, glistening, and at times wrinkled. d) hypertrophic pharyngitis. Hypertrophic pharyngitis is characterized by general thickening and congestion of the pharyngeal mucous membrane.

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Which of the following states is characterized by a decline in intellectual functioning? a) Dementia Dementia is an acquired syndrome in which progressive deterioration in global intellectual abilities is of such severity that it interferes with the person’s customary occupational and social performance. b) Depression Depression is a mood disorder that disrupts quality of life. c) Delirium Delirium is often called acute confusional state. d) Delusion Delusion is a symptom of psychoses.

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Which of the following is a reversible cause of urinary incontinence in the older adult? a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other reversible causes include acute urinary tract infection, infection elsewhere in the body, decreased fluid intake, a change in a chronic disease pattern, and decreased estrogen levels in the menopausal women.

Description : Which of the following is a reversible cause of urinary incontinence in the older adult? a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other ... level in the menopausal woman is a reversible cause of urinary incontinence in the older woman.

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The term used to describe total urine output of less than 400 mL in 24 hours is a) oliguria. Oliguria is associated with acute and chronic renal failure.

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Last Answer : a) oliguria. Oliguria is associated with acute and chronic renal failure.

Which of the following terms refers to enlarged, red, and tender lymph nodes? a) Lymphadenitis Acute lymphadenitis is demonstrated by enlarged, red and tender lymph nodes. b) Lymphangitis Lymphangitis is an acute inflammation of the lymphatic channels. c) Lymphedema Lymphedema is demonstrated by swelling of tissues in the extremities because of an increased quantity of lymph that results from an obstruction of lymphatic vessels. d) Elephantiasis Elephantiasis refers to a condition in which chronic swelling of the extremity recedes only slightly with elevation.

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Which of the following diseases is a rare, transmissible, progressive fatal disease of the central nervous system characterized by spongiform degeneration of the gray matter of the brain? a) Creutzfeldt-Jakob’s disease The disease causes severe dementia and myoclonus.

Description : Which of the following diseases is a rare, transmissible, progressive fatal disease of the central nervous system characterized by spongiform degeneration of the gray matter of the brain? a) ... disease of the nervous system that results in progressive involuntary dance-like movement and dementia.

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Which of the following conditions of the inner ear is associated with normal hearing? a) Vestibular neuronitis Vestibular neuronitis is a disorder of the vestibular nerve characterized by severe vertigo with normal hearing.

Description : Which of the following conditions of the inner ear is associated with normal hearing? a) Vestibular neuronitis Vestibular neuronitis is a disorder of the vestibular nerve characterized by ... Endolymphatic hydrops refers to dilation in the endolymmphatic space associated with Meniere's disease.

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Which of the following terms refers to the symptom of gastroesophageal reflux disease (GERD) which is characterized by a burning sensation in the esophagus? a) Pyrosis Pyrosis refers to a burning sensation in the esophagus and indicates GERD. b) Dyspepsia Indigestion is termed dyspepsia. c) Dysphagia Difficulty swallowing is termed dysphagia. d) Odynophagia Pain on swallowing is termed odynophagia.

Description : Which of the following terms refers to the symptom of gastroesophageal reflux disease (GERD) which is characterized by a burning sensation in the esophagus? a) Pyrosis Pyrosis refers to ... Dysphagia Difficulty swallowing is termed dysphagia. d) Odynophagia Pain on swallowing is termed odynophagia.

Last Answer : a) Pyrosis Pyrosis refers to a burning sensation in the esophagus and indicates GERD.

When the patient who has experienced trauma to an extremity complains of severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse recognizes that the patient is likely demonstrating signs of a) reflex sympathetic dystrophy syndrome. RSD is frequently chronic and occurs most often in women.

Description : When the patient who has experienced trauma to an extremity complains of severe burning pain, vasomotor changes, and muscles spasms in the injured extremity, the nurse ... heterotrophic ossification. Heterotrophic ossification causes muscular pain and limited muscular contraction and movement.

Last Answer : a) reflex sympathetic dystrophy syndrome. RSD is frequently chronic and occurs most often in women.

Which of the following terms refers to a condition characterized by destruction of the melanocytes in circumscribed areas of the skin? a) Vitiligo Vitiligo results in the development of white patches that may be localized or widespread.

Description : Which of the following terms refers to a condition characterized by destruction of the melanocytes in circumscribed areas of the skin? a) Vitiligo Vitiligo results in the development of white patches ... refers to red marks on the skin caused by stretching of the superficial blood vessels.

Last Answer : a) Vitiligo Vitiligo results in the development of white patches that may be localized or widespread.

Which of the following disorders is characterized by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex? a) Cushing’s syndrome The patient with Cushing’s syndrome demonstrates truncal obesity, moon face, acne, abdominal striae, and hypertension.

Description : Which of the following disorders is characterized by a group of symptoms produced by an excess of free circulating cortisol from the adrenal cortex? a) Cushing's syndrome The patient ... individual with Hashimoto's disease demonstrates inflammation of the thyroid gland, resulting in hypothyroidism.

Last Answer : a) Cushing’s syndrome The patient with Cushing’s syndrome demonstrates truncal obesity, moon face, acne, abdominal striae, and hypertension.

If a person has been exposed to radiation, presenting symptoms, such as nausea, vomiting, loss of appetite, diarrhea, or fatigue can be expected to occur within _______ hours after exposure? a) 48 to 72 The prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure. Signs and symptoms include nausea, vomiting, loss of appetite, diarrhea, and fatigue. With high-dose radiation exposure, the signs and symptoms may include fever, respiratory distress, and increased excitability.

Description : If a person has been exposed to radiation, presenting symptoms, such as nausea, vomiting, loss of appetite, diarrhea, or fatigue can be expected to occur within _______ hours after exposure? ... prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure.

Last Answer : a) 48 to 72 The prodromal phase (presenting symptoms) of radiation exposure occurs within 48 to 72 hours after exposure. Signs and symptoms include nausea, vomiting, loss of appetite, ... radiation exposure, the signs and symptoms may include fever, respiratory distress, and increased excitability.

The most common complication after knee arthroscopy is a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the pressure.

Description : The most common complication after knee arthroscopy is a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the ... Complaints of the knee locking are associated with functioning of the injured knee prior to arthroscopy.

Last Answer : a) joint effusion. Joint effusion produces marked pain, and the physician may need to aspirate the joint to remove fluid and relieve the pressure.

Which of the following phases of psychological reaction to rape is characterized by fear and flashbacks? a) Heightening anxiety phase During the heightened anxiety phase, the patient demonstrates anxiety, hyperalertness, and psychosomatic reactions, in addition to fear and flashbacks.

Description : Which of the following phases of psychological reaction to rape is characterized by fear and flashbacks? a) Heightening anxiety phase During the heightened anxiety phase, the patient demonstrates anxiety, ... the incident is put into perspective. Some patients never fully recover from rape trauma.

Last Answer : a) Heightening anxiety phase During the heightened anxiety phase, the patient demonstrates anxiety, hyperalertness, and psychosomatic reactions, in addition to fear and flashbacks.

Which of the following factors are associated with increased fluid requirements in the management of patients with burn injury? a) Inhalation injuries Factors associated with increased fluid requirements include inhalation injuries, delayed resuscitation, scald burn injuries, high-voltage electrical injuries, hyperglycemia, alcohol intoxification and chronic diuretic therapy.

Description : Which of the following factors are associated with increased fluid requirements in the management of patients with burn injury? a) Inhalation injuries Factors associated with increased fluid ... fluid requirements. d) Hypoglycemia Hypoglycemia is not associated with increased fluid requirements.

Last Answer : a) Inhalation injuries Factors associated with increased fluid requirements include inhalation injuries, delayed resuscitation, scald burn injuries, high-voltage electrical injuries, hyperglycemia, alcohol intoxification and chronic diuretic therapy.

The aim of genomic medicine is a) improving predictions about individuals’ susceptibility to diseases Predictions regarding the time of their onset, their extent and eventual severity as well as which treatments or medications are likely to be most effective or harmful are the focus of genomic medicine. b) reproduction The focus of genomic medicine is broader than the reproduction of cells. c) cure of disease The focus of genomic medicine is broader than the cure of disease. d) cloning Genomic medicine is gene-based health care.

Description : The aim of genomic medicine is a) improving predictions about individuals' susceptibility to diseases Predictions regarding the time of their onset, their extent and eventual severity as well as which ... broader than the cure of disease. d) cloning Genomic medicine is gene-based health care.

Last Answer : a) improving predictions about individuals’ susceptibility to diseases Predictions regarding the time of their onset, their extent and eventual severity as well as which treatments or medications are likely to be most effective or harmful are the focus of genomic medicine.

Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away? a) Presbyopia Presbyopia usually begins in the fifth decade of life, when reading glasses are required to magnify objects. b) Presbycusis Presbycusis refers to age-related hearing loss. c) Cataract Cataract is the development of opacity of the lens of the eye. d) Glaucoma Glaucoma is a disease characterized by increased intraocular pressure.

Description : Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away? a) Presbyopia Presbyopia usually begins in ... lens of the eye. d) Glaucoma Glaucoma is a disease characterized by increased intraocular pressure.

Last Answer : a) Presbyopia Presbyopia usually begins in the fifth decade of life, when reading glasses are required to magnify objects.

Which of the following types of incontinence refers to involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-abdominal pressure? a) Stress Stress incontinence may occur with sneezing and coughing.

Description : Which of the following types of incontinence refers to involuntary loss of urine through an intact urethra as a result of a sudden increase in intra-abdominal pressure? a) Stress Stress ... the involuntary loss of urine due to involuntary urethral relaxation in the absence of normal sensations.

Last Answer : a) Stress Stress incontinence may occur with sneezing and coughing.

Which of the following is the most important risk factor for development of Chronic Obstructive Pulmonary Disease? a) Cigarette smoking Pipe, cigar and other types of tobacco smoking are also risk factors. b) Occupational exposure While a risk factor, occupational exposure is not the most important risk factor for development of COPD. c) Air pollution Air pollution is a risk factor for development of COPD, but it is not the most important risk factor. d) Genetic abnormalities A deficiency of alpha-antitrypsin is a risk factor for development of COPD, but it is not the most important risk factor.

Description : Which of the following is the most important risk factor for development of Chronic Obstructive Pulmonary Disease? a) Cigarette smoking Pipe, cigar and other types of tobacco smoking are also risk factors. b) ... is a risk factor for development of COPD, but it is not the most important risk factor.

Last Answer : a) Cigarette smoking Pipe, cigar and other types of tobacco smoking are also risk factors.

The primary goals of asthma therapy include all of the following except (a) maintain normal activity levels (b) maintain control of symptoms (c) avoid adverse effects of asthma medications (d) prevent acute exacerbations and chronic symptoms (e) prevent destruction of lung tissue

Description : The primary goals of asthma therapy include all of the following except (a) maintain normal activity levels (b) maintain control of symptoms (c) avoid adverse effects of asthma medications (d) prevent acute exacerbations and chronic symptoms (e) prevent destruction of lung tissue

Last Answer : Ans: E

The patient with Herpes Simplex Virus (HSV) encephalitis is receiving acyclovir (Zovirax). The nurse monitors blood chemistry test results and urinary output for a) renal complications related to acyclovir therapy. Monitoring of blood chemistry test results and urinary output will alert the nurse to the presence of renal complications related to acyclovir therapy.

Description : The patient with Herpes Simplex Virus (HSV) encephalitis is receiving acyclovir (Zovirax). The nurse monitors blood chemistry test results and urinary output for a) renal complications related to ... output will alert the nurse to the presence of renal complications related to acyclovir therapy.

Last Answer : a) renal complications related to acyclovir therapy. Monitoring of blood chemistry test results and urinary output will alert the nurse to the presence of renal complications related to acyclovir therapy.