1. What are the three main components of illness management according to the NCLEX-RN exam? Provide
an example of each component for a client with diabetes.
- The three main components of illness management are: identifying client data that needs to be reported
immediately, applying knowledge of client pathophysiology to illness management, and evaluating the
effectiveness of the treatment regimen for a client with an acute or chronic diagnosis.
- For a client with diabetes, some examples of each component are:
- Identifying client data that needs to be reported immediately: signs of hypoglycemia (low blood sugar) or
hyperglycemia (high blood sugar), such as confusion, sweating, palpitations, blurred vision, weakness, etc.
These can indicate a need for immediate intervention to prevent complications such as coma or ketoacidosis.
- Applying knowledge of client pathophysiology to illness management: understanding how diabetes
affects the metabolism of glucose and insulin, and how this can lead to various complications such as
cardiovascular disease, kidney disease, neuropathy, etc. This can help the nurse to educate the client about
managing their blood sugar levels, diet, exercise, medication adherence, self-monitoring, etc.
- Evaluating the effectiveness of the treatment regimen for a client with an acute or chronic diagnosis:
monitoring the client's blood sugar levels, hemoglobin A1c (a measure of long-term blood sugar control),
blood pressure, cholesterol, kidney function, etc. These can indicate whether the treatment goals are being
met and whether any adjustments are needed.
2. What are some of the benefits of patient education in chronic disease management? Provide an example
of how a nurse can educate a client with COPD about managing their condition.
- Patient education in chronic disease management can help the client to understand their condition, improve
their self-care skills, increase their adherence to treatment, prevent complications, enhance their quality of
life, and reduce health care costs.
- For a client with COPD (chronic obstructive pulmonary disease), a nurse can educate them about
managing their condition by:
- Explaining the causes and effects of COPD on the lungs and other organs
- Teaching them how to use inhalers, oxygen therapy, or other medications correctly
- Encouraging them to quit smoking and avoid exposure to environmental irritants
- Advising them on how to conserve energy and prevent dyspnea (difficulty breathing) during daily
activities
- Recommending them to participate in pulmonary rehabilitation programs that include exercise, nutrition,
and psychosocial support
3. What are some of the common chronic diseases among older adults in the U.S.? What are some of the risk
factors and preventive measures for these diseases?
- Some of the common chronic diseases among older adults in the U.S. are hypertension (high blood
pressure), high cholesterol, arthritis, ischemic heart disease (coronary artery disease), diabetes, chronic
kidney disease, heart failure, depression, Alzheimer's disease and dementia, and COPD.
- Some of the risk factors for these diseases are age, genetics, lifestyle behaviors (such as smoking, physical
inactivity, poor diet), comorbidities (having more than one chronic condition), social determinants (such as
income, education, access to health care), and environmental factors (such as pollution, climate change).
- Some of the preventive measures for these diseases are regular screening and check-ups, immunizations
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