Chapter 18 Endocrine and Metabolic Disorders

Chapter 18 Endocrine and Metabolic Disorders 1. Jean is a breast cancer patient given 2 to 3 years of survival. Her condition is up and down. Which of the following types of care is indicated for the patient? 1. Naturopathic care 2. Complementary care 3. Maintenance care 4. Palliative care - 1. Answer: 4 Page: 485 Feedback 1. Naturopathic medicine and care is a distinct primary health-care profession emphasizing prevention, treatment, and optimal health through the use of therapeutic methods and substances that encourage individuals' inherent self-healing process. 2. Complementary medicine and care is used together with mainstream medical care. Examples include acupuncture, yoga, chiropractic and osteopathic manipulation, meditation, and massage therapy. 3. Maintenance care is care to prevent future relapses and maintain the condition after active care has been completed. 4. Palliative care is an interdisciplinary approach to care aimed at improving the quality of life of patients and their families facing a life-threatening illness. 2. Mrs. Smith is 90 years old and a frail, older woman with functional limitations, cognitive impairment, and lack of family or social support. Which type of care is best for the patient? 1. Hospice care 2. Palliative care 3. Skilled nursing care 4. Physical therapy care - 2. Answer: 2 Page: 485 Feedback 1. Hospice is a program of care designed for the last 6 months of a person's life and this scenario does not indicate that. 2. Palliative care can include individuals whose health if failing and who have no social support. 3. Skilled nursing provides the palliative and other kinds of care. 4. Physical therapy provides the palliative and other kinds of care. 3. Geriatric patients in end-of-life conditions suffer from many symptoms. The most prevalent symptoms include delirium, dyspnea, and pain. Which of the following is a common additional symptom for patients in end-of-life conditions? 1. Insomnia 2. Speech impairment 3. Hearing impairment 4. Tremors - 3. Answer: 1 Page: 486 Feedback 1. Insomnia is common with geriatric patients in end-of-life conditions. In the context of palliative care, insomnia often coexists with other symptoms, such as pain, depression, and anxiety, and the presence of one often exacerbates the other, contributing to a decrease in quality of life 2. Depending on the condition, speech impairment may be involved but is not a common symptom associated with end-of-life conditions. 3. Depending on the condition, hearing impairment may be involved but is not a common symptom associated with end-of-life conditions. Test Bank for Advanced Practice Nursing in the Care of Older Adults 3rd Edition Laurie Kennedy-Malone, Evelyn G. Duffy