Chronic illness refers to a person's lived experience of a disease, including its effects on emotions, values and daily life.
Correct Answer
True
True. Chronic disease describes the disorder and its pathophysiology, while chronic illness describes how the person experiences living with it. Because that experience varies with age, support and beliefs, care must be tailored to each patient.
Category: Chronic Disease Concepts
Question 2
Patients with the same chronic disease cope with it in the same way, so a single standard support plan fits all of them.
Correct Answer
False
False. Coping varies with age, culture, social support and personal values, and it can change over time. The nurse plans patient-centered care that reflects each person's beliefs and preferences.
Category: Chronic Disease Concepts
Question 3
Children and adolescents with a chronic disease often view it differently than older adults do because their life experiences differ.
Correct Answer
True
True. Age is an important demographic influence on chronic illness because a young person's outlook and experiences differ from an older adult's. The nurse adjusts communication and support to the patient's stage of life.
Category: Chronic Disease Concepts
Question 4
As the number of a person's chronic conditions rises, emergency department visits and hospital readmissions tend to decrease.
Correct Answer
False
False. More chronic conditions bring more emergency visits, readmissions, prescriptions and outpatient visits, along with longer hospital stays. These increases raise costs for patients, insurers and health systems.
Category: Comorbidity and Costs
Question 5
People with disabilities are more likely than people without disabilities to experience frequent mental distress.
Correct Answer
True
True. Adults with disabilities report frequent mental distress far more often than adults without disabilities, linked to pain, isolation, barriers to care and bias. The nurse assesses emotional and mental health along with physical needs.
Category: Disability and Wellness
Question 6
Because they are less visible, the emotional and mental effects of a disability are less harmful than physical barriers.
Correct Answer
False
False. Emotional and mental effects are harder to see, yet they can be just as harmful as physical barriers, particularly in a biased or unaccommodating environment. Assessment should cover every dimension of wellness.
Category: Disability and Wellness
Question 7
Wellness is defined simply as the absence of illness.
Correct Answer
False
False. Wellness is multidimensional and includes emotional, mental, physical, social, spiritual, occupational, financial and environmental health. A person can have a chronic disease and still achieve a high level of wellness.
Category: Disability and Wellness
Question 8
People with disabilities have lower rates of obesity, smoking and heart disease than the general population.
Correct Answer
False
False. People with disabilities have higher rates of obesity, smoking, heart disease and diabetes, which further harm their health. Preventive care and self-care support help them move toward higher wellness.
Category: Disability and Wellness
Question 9
Because veterans have a higher suicide risk than nonveteran adults, the nurse assesses a veteran with a disability thoroughly for suicidal ideation.
Correct Answer
True
True. Veterans have higher rates of physical, emotional and mental disabilities and a higher suicide rate than adults who did not serve. A thorough mental health assessment and swift intervention are needed whenever suicidal thoughts are identified.
Category: Disability and Wellness
Question 10
The Individuals with Disabilities Education Act guarantees children with disabilities a free, appropriate public education.
Correct Answer
True
True. The law also provides early intervention services for infants and toddlers and tailors accommodations and special education to each child.
Category: Disability and Wellness
Question 11
Vocational programs for people with disabilities are run by the federal government, so services are identical in every state.
Correct Answer
False
False. Vocational programs are usually run by the states, so the services offered vary from state to state. They typically include job training and placement, career counseling and financial planning.
Category: Disability and Wellness
Question 12
Poorly lit spaces, narrow doorways and curbs without ramps are physical barriers that limit access for people with disabilities.
Correct Answer
True
True. Other physical barriers include a lack of automatic doors, inaccessible bathrooms or parking, and a lack of aids for people with hearing impairment. Nurses can advocate for accessible environments.
Category: Access and Home Care
Question 13
People with low income who live in remote areas may struggle both to afford care and to physically reach it.
Correct Answer
True
True. Socioeconomic status, transportation and geographic location interact, and chronic illness or disability makes each harder to manage. Rural areas also often lack specialists, which adds distance and delay.
Category: Access and Home Care
Question 14
Rehabilitation for a person with a chronic disabling condition aims to help the person reach the highest level of function and independence possible.
Correct Answer
True
True. Rehabilitation, including physical and occupational therapy, limits the effects of a condition and improves quality of life rather than curing the disease. Goals are set with the patient and adjusted as abilities change.
Category: Nursing Care in Chronic Illness
Question 15
A person living with a chronic illness may grieve the loss of abilities and roles, and these feelings can return as the disease progresses.
Correct Answer
True
True. Chronic illness can bring repeated losses, such as work, independence or family roles, and grief may resurface with each new decline. The nurse assesses emotional responses along with physical status and offers support or referral as needed.
Category: Chronic Disease Concepts
Question 16
Lifestyle changes offer no benefit for a chronic disease that cannot be fully prevented.
Correct Answer
False
False. Even when a disease cannot be prevented, healthy lifestyle changes can slow its progression and improve quality of life. Diet, exercise, sleep, stress management and avoiding tobacco all contribute.
Category: Prevention and Lifestyle
Question 17
The Chronic Care Model emphasizes reacting to disease after complications appear rather than preventing problems proactively.
Correct Answer
False
False. The model was designed to move health systems from reactive treatment toward proactive prevention. Prepared, proactive care teams working with informed patients are its intended result.
Category: The Chronic Care Model
Question 18
In the Chronic Care Model, decision support means building evidence-based guidelines into everyday clinical practice.
Correct Answer
True
True. Decision support gives clinicians quick access to best-practice guidelines in both clinics and hospitals. It is especially helpful when a provider is unfamiliar with a condition or unsure how to manage it.
Category: The Chronic Care Model
Question 19
In the Chronic Care Model, clinical information systems are used only for billing and play no role in tracking patients' disease status.
Correct Answer
False
False. Clinical information systems use electronic records to plan individual care, monitor team performance and outcomes, and generate lists of patients with a given chronic disease to track over time. They also support information sharing for smooth transitions.
Category: The Chronic Care Model
Question 20
When a patient with chronic disease is admitted for an acute problem, the nurse can set aside care of the patient's other chronic conditions until discharge.
Correct Answer
False
False. During an acute illness the nurse must continue to manage the patient's other chronic diseases. Neglecting them can cause further worsening and complications.
Category: Nursing Care in Chronic Illness