Chapter 18: Chronic Illness and the Advanced Practice Registered Nurse (APRN)
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. All of the following statements are true about chronic disease/illness except:
A. Chronic disease is defined as a condition that requires both modification by the
patient along with interaction with the provider
B. The meaning of chronic illness includes the experience of the patient and family
and provider
C. Chronic illness is reversible if diagnosed and treated early
D. Chronic conditions are those that last a year or longer
____ 2. The highest number of people with multiple chronic conditions are those that are:
A. Over age 85
B. Diagnosed with type 2 diabetes
C. African American women over age 65
D. Diagnosed with COPD
____ 3. Long durations of a chronic illness that are most commonly associated in both women and men are:
A. Heart disease and obesity
B. Diabetes and COPD
C. Arthritis and dementia
D. Dyslipidemia and eye disease
____ 4. The percentage of non-institutionalized elderly over age 75 with limitations in activity due to a
chronic condition is:
A. 25%
B. Nearly 50%
C. Over 75%
D. Less than 15%
____ 5. Which of the following statements are true?
A. Most Medicare participants have a single care provider
B. Chronic kidney disease patients have better outcomes due to the dialysis benefit
C. Nearly half of Medicare participants have five or more chronic diseases
D. Nearly half of Medicare participants have three or more chronic diseases
____ 6. Which statement about chronic mental disorders is false?
A. The numbers are projected to increase in the next decade
B. Individuals with mental health problems actually have a decreased risk of medical
problems
C. The number of older adults with addiction problems is projected to increase in the
next decade
D. Nearly half of individuals with dementia are not diagnosed prior to hospitalization
____ 7. All of the following criteria define frailty except:
A. Unintentional weight loss >10 pounds in the past year
B. Slow walking speed
C. Stooped posture
D. Self-reported exhaustion
____ 8. All of the following are health consequences of obesity except:
A. Mortality of aging
B. Hypertension
C. Coronary artery disease
D. Sleep apnea
____ 9. Evidence-based clinical practice guidelines may have limited applicability in the older population
because:
A. They often are disease specific
B. They often have complex comorbid conditions
C. Both A and B
D. None of the above evidence-based clinical practice guidelines are always the
standard
____ 10. Inter-professional care is distinguished from other models of team-based care in that:
A. Independent providers share information
B. Expert advice is shared from one provider to another
C. Different disciplines work under one leader
D. Shared leadership and accountability is a primary focus
____ 11. All of the following statements about the Chronic Care Model are true except:
A. It was developed with Robert Wood Johnson Foundation funding
B. It focuses exclusively on a self-management model
C. It is an evidence-based policy response designed to meet the needs of the
chronically ill
D. It directs quality improvement and system change for patients with chronic disease
____ 12. The legislation signed in March 2010 with provisions for addressing chronic disease was:
A. Accountable Care Organization Act
B. Independence at Home Act
C. Patient Protection and Affordable Care Act
D. Patient Centered Medical Home Act
____ 13. Reported outcome measures for the Patient Centered Medical Home include all of the following
except:
A. Emergency room use
B. Hospitalizations
C. Patient/family satisfaction
D. Number of primary care visits
____ 14. Transitional care is best described as:
A. A set of actions to ensure the coordination and continuity of care across
sites/settings
B. The care received in transit from one site of care to another
C. A discharge-planning model
D. Long-term acute care that provides the transition from hospital to long-term care or
home
Chapter 18: Chronic Illness and the Advanced Practice Registered Nurse (APRN)
Answer Section
MULTIPLE CHOICE
1. ANS: C PTS: 1
2. ANS: A PTS: 1
3. ANS: B PTS: 1
4. ANS: B PTS: 1
5. ANS: D PTS: 1
6. ANS: B PTS: 1
7. ANS: C PTS: 1
8. ANS: A PTS: 1
9. ANS: C PTS: 1
10. ANS: D PTS: 1
11. ANS: B PTS: 1
12. ANS: C PTS: 1
13. ANS: D PTS: 1
14. ANS: A PTS: 1
