Chronic past exam Flashcards
Which one of the following is NOT a Core skill required for self-management?
a) Having problem solving skills
b) Ability to make and manage decisions
c) Ability ro usilise resources
d) Having a good health care partnership
e) Taking action after entensive planning
D) Having good health care partnerships
Identify the statement that is MOST CORRECT for surgical intervention of obesity?
a) Adjustible gastric banding is a malabsoptive procedure
b) The bilipancreatic diversion is the preferred procedure in WA
c) Adjustable gastric banding is a restrictive type of procedure
d) The restrictive surgical intervention is not preferred in WA
d) The restrictive surgical intervention is not preferred in WA
Circle the statement that BEST DESCRIBES self-management and support for chronic conditions?
a) To empower oneself to support that is provided
b) For a patient to effectively manage their own self care with the assistance of family members and community
c) This is what health care providers, caers, organisations and systems do to support and empower the person with a chronic condition “to actively participate in their own health care”
d) Self-management support empowers people with chronic coniditons to seek support
c) This is what health care providers, caers, organisations and systems do to support and empower the person with a chronic condition “to actively participate in their own health care”
Which of the following factors influence psychosocial attitudes and behaviours in chronic illness? May be more than one
a) Culture and language
b) Religious beliefs
c) Peer or family factors
d) Psychological factors
a) Culture and language
b) Religious beliefs
c) Peer or family factors
The following and principles for psychosocial care. Identify those that are NOT principles
a) Partnership
b) Compliance
c) Team centerness
d) Collaborative decision making
e) Holistic care
f) Empowerment
b) Compliance
c) Team centerness
All of the following are important for a culturally competent approach to care except:
a) Understand your own beliefs and values
b) Recognise and respect others beliefs
c) Explore the differences to enhance healthcare and to minimise barriers
d) Have standard actions that clients must adhere to
d) Have standard actions that clients must adhere to
Identify the correct statement that relates to the model of care matrix?
a) Apix 1 represents the activites and services that should be provided
b) Apix 2 respresents that stages of a condition, injury or event
c) Axis 3 represents the levels of the health care system
d) Axis 4 represents the staff involved
c) Axis 3 represents the levels of the health care system
The trend for chronic illness is highest within the population of aboriginal or torres strait islanders. Circle one that is INACCURATE?
a) Lung cancer is 10 times higher
b) Diabetes is 14 times higher
c) CKD is 8 times hight
d) Heart disease is 5 times higher
e) Diability is twice as high
a) Lung cancer is 10 times higher
Which statements are TRUE for MI?
a) The clinicians role is to identify goals and to use reflection and summarising with an individual
b) The clinicians role is to question in depth the foals of the individual
c) The clinicians role is to engage the patient and develop rapport
d) The clinicians role is to scope out all the needs of tthe patient prior to planning
a) The clinicians role is to identify goals and to use reflection and summarising with an individual
Which statements represent CORRECTLY how one may acquire self-efficacy?
a) You are an idiot to think you can do it
b) I did that well
c) I was unable to do it
d) I have learnt to manage stress
d) I have learnt to manage stress
Perceptions and beliefs of pain vary. Which statements are CORRECT?
a) Adaptive coping with pain increases ones mood
b) Adaptive coping ability does not put effort into function in spite of the pain
c) Adaptive coping ability distracts self from the pain
d) Adaptive coping with pain causes greater incidence of depression
d) Adaptive coping with pain causes greater incidence of depression
Which statement BEST explains the pattersons shifting perspectives model?
a) Patients see their illness behind them and take risks
b) Patients see their illness infront of them and this lowers their self-esteem
c) Increased activity and interaction occur if illness is infront of them
d) Patients see their illness behind or infront of them
d) Patients see their illness behind or infront of them
Which of the following statements is INCORRECT about advance health directives?
a) An Advance health directive provides consent for, or refusal to future treatment
b) An advance health directive does not include medical, surgical, and dental treatment and other health care
c) You must have one witness to sign the consent form
d) Advance health directives must be registered
b) An advance health directive does not include medical, surgical, and dental treatment and other health care
Which one of the below statements CORRECTLY identifies why the carers recognition act 2004 was developed?
a) To support the patient/client in the WA health and hospital system
b) To identify a patient who may need a paid support working once they leave the hospital
c) To promote greater inclusion of the family/friend/carer when accessing health and disability services
d) To support the patient/client within the WA community
c) To promote greater inclusion of the family/friend/carer when accessing health and disability services
Which one of the below statements is NOT a cultural determinant for coping with pain?
a) Individuals usually have a higher threshold for pain
b) Individuals are less likely to report their pain
c) Indivisuals understand that pain is related to disease only
d) Individuals fear that medicines will speed up death
e) Individuals mistrust main stream medicine
a) Individuals usually have a higher threshold for pain
Perceptions and beliefs of pain vary. Which statements are CORRECT?
a) Adaptive coping with pain increases ones mood
b) Adaptive coping ability does not put effort into function in spite of pain
c) Adaptive coping ability distracts self from pain
d) Adaptive coping with pain causes greater incidence of depression
d) Adaptive coping with pain causes greater incidence of depression
Which statement about the principles for psycholsocial care is NOT correct?
a) Partnership in psychosocial care is where health professionals use a blend of nursing skills and knowledge to assist patients
b) Collaborative decision making is where the health professionals recognise that at times patients are not complaint with treatment
c) Selfmanagment is where individuals seek new information and learn new skills
d) Holisitc care requires the nurse to communicate with the patient in ever day language
b) Collaborative decision making is where the health professionals recognise that at times patients are not complaint with treatment
or
d) Holisitc care requires the nurse to communicate with the patient in ever day language
Identify which statement is the key point of the Carers Charter?
a) Respect the patient and maintain dignity
b) Include the carer in decision making that may impact on their caring role
c) Tell the carer everything that is happening to their family member/friends
d) To enable the carer to report on the patients health status
b) Include the carer in decision making that may impact on their caring role
Which statements are CORRECT about the additional signs and symptoms for diabetes?
a) Type 1 diabetes have weight loss
b) Type 2 diabetes have weight loss
c) Itching skin and tingling lips is a symptom diabetics may experience with high or low BGLS
d) Leg cramps are one of the additional symptoms a patient with diabetes may experience
c) Itching skin and tingling lips is a symptom diabetics may experience with high or low BGLS
Screening patients who have diabetes is done regularly. Which of the below statements are NOT correct.
a) HbA1c (average BGL for last 2-3months) is screening every 6 months
b) Review of SBGM is done every month
c) Weight/Height BMI is screened every 3 months
d) Blood lipid profile is screening every 3 months
a) HbA1c (average BGL for last 2-3months) is screening every 6 months
Which statement is INCORRECT about metformin?
a) Metformin is a nonsulfonylurea and increases sensitivty of tissues to insulin
b) Metformin reduces intestinal uptake and hepatic production of glucose
c) Metformin can cause GIT symptoms
d) Metformin increases insulin release from the beta cells in the pancreas
b) Metformin reduces intestinal uptake and hepatic production of glucose
Identify the statement that is CORRECT for the medication of insulin
a) Humalog is rapid acting insulin. It has a duration of 1-2 hours only
b) Humalog is rapid acting insulin. It will peak at 1-2 hours
c) Novomix 30 is a combination of insulin and protamine. It lasts for 36 hours
d) Novomix 30 is a combination of insulin and protamin. It will peak at 8 hours
b) Humalog is rapid acting insulin. It will peak at 1-2 hours
Circle the LEAST likeley symptom that a COPD pt witll have ?
a) Breathlessness
b) Hallucinations
c) Large amounts of sputum
d) Weight loss
b) Hallucinations
Which of the following statements are TRUE of ventilation support for COPD?
a) May need BIPAP for COPD exacerbation with C02 retention
b) May need CPAP for COPE exacerbation with C02 retention
c) Bloating stomach is a side effect of using non-invasive ventilator suppot
d) There are no side effects to using non-invasive ventilator support
b) May need CPAP for COPE exacerbation with C02 retention
