Chronic past exam

Question 1

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

Answer 1

D) Having good health care partnerships

Question 2

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

Answer 2

d) The restrictive surgical intervention is not preferred in WA

Question 3

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

Answer 3

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”

Question 4

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

Answer 4

a) Culture and language
b) Religious beliefs
c) Peer or family factors

Question 5

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

Answer 5

b) Compliance

c) Team centerness

Question 6

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

Answer 6

d) Have standard actions that clients must adhere to

Question 7

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

Answer 7

c) Axis 3 represents the levels of the health care system

Question 8

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

Answer 8

a) Lung cancer is 10 times higher

Question 9

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

Answer 9

a) The clinicians role is to identify goals and to use reflection and summarising with an individual

Question 10

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

Answer 10

d) I have learnt to manage stress

Question 11

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

Answer 11

d) Adaptive coping with pain causes greater incidence of depression

Question 12

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

Answer 12

d) Patients see their illness behind or infront of them

Question 13

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

Answer 13

b) An advance health directive does not include medical, surgical, and dental treatment and other health care

Question 14

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

Answer 14

c) To promote greater inclusion of the family/friend/carer when accessing health and disability services

Question 15

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

Answer 15

a) Individuals usually have a higher threshold for pain

Question 16

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

Answer 16

d) Adaptive coping with pain causes greater incidence of depression

Question 17

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

Answer 17

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

Question 18

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

Answer 18

b) Include the carer in decision making that may impact on their caring role

Question 19

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

Answer 19

c) Itching skin and tingling lips is a symptom diabetics may experience with high or low BGLS

Question 20

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

Answer 20

a) HbA1c (average BGL for last 2-3months) is screening every 6 months

Question 21

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

Answer 21

b) Metformin reduces intestinal uptake and hepatic production of glucose

Question 22

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

Answer 22

b) Humalog is rapid acting insulin. It will peak at 1-2 hours

Question 23

Circle the LEAST likeley symptom that a COPD pt witll have ?

a) Breathlessness
b) Hallucinations
c) Large amounts of sputum
d) Weight loss

Answer 23

b) Hallucinations

Question 24

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

Answer 24

b) May need CPAP for COPE exacerbation with C02 retention

Question 25

Which of the following statements is TRUE for the management of COPD?

a) Dyspnoea is managed by loweing the head of the bed
b) Acetlcysteiene may be used as a mucolytic
c) Corticosteroirds such as nefidipine are given
d) Oxygen therapy is given to keep the concentration above 95%

Answer 25

c) Corticosteroirds such as nefidipine are given

Question 26

Which of the below statements are ACCURATE for systolic and disatolic heart failure?

a) In diastole heatt failure the ventricle walls are thicker
b) In diastole heart failure the ventricle is dilated
c) In systole heart failure the ejection fraction is preserved
d) In systold heart failure the ejection fraction is reduced

Answer 26

a) In diastole heart failure the ventricle walls are thicker

Question 27

Circle the INCORRECT assessment for HF?

a) Chest xray and echocardiogram
b) GFR and homocysteine levels
c) Creatinine levels
d) Heart sounds or heart murmur

Answer 27

c) Creatinine levels

Question 28

Identify which statement shows the CORRECT signs and symptoms within prodromal phases of schizophrenia?

a) symptoms not responsive to medication, general loss of interest, failure to initiate and egagement, lack of motivation, have little confidence of mind
b) General loss of interest inactivity, withdraws from social interaction, work or school difficulties, start talking to themselves, develop odd ritualistic behaviour
c) Hallucinations, Delusions, Highly anxious, Depressed, cant think through activites, dont trust others
d) Appear depressed, hallucinations, symptoms not responsive to medication

Answer 28

b) General loss of interest inactivity, withdraws from social interaction, work or school difficulties, start talking to themselves, develop odd ritualistic behaviour

Question 29

Which of the statements below is NOT associated with a major depressive episode?

a) Is known as double depression
b) Can have symptoms of feeling worthless or guilty on a daily basis
c) Is defined as having a depressed mood or loss of interest plus 4 other symptoms for a 2 week period
d) Average onset is 20 years of age

Answer 29

a) Is known as double depression

Question 30

Circle the INCORRECT statement about the beyond blue guidelines for suicide intervention?

a) Let the individual who is at risk know you are concerned
b) Take action within 48 hours is not improved
c) Take care of yourself when with individuals who are at risk
d) Ask them if they are thinking about suicide

Answer 30

b) Take action within 48 hours is not improved

Question 31

Circle the INCORRECT statement about the psychological symptoms experienced by patients with CKD?

a) The biggest psychological impact upon the patient is depression
b) The biggest psychological stress is not associated with the disease but the medcations and their side effects
c) Patients with CKD are impacted psychogically because of the increased need to see health professionals

Answer 31

c) Patients with CKD are impacted psychogically because of the increased need to see health professionals

Question 32

When screening patients who have renal failure the GFR is assessed. Which of the below GFR show that a patient is in stage 3 kidney diease

a) GFR >60
b) GFR >15-29
c) GFR >25-50
d) GFR >30-59

Answer 32

d) GFR >30-59

Question 33

Circle one or more of the following statements about squamous cell carcinoma that are CORRECT?

a) Squamous cell carcinoma is the most common form of skin cancer
b) It accounts for 2/3rds of all skin cancers
c) Found most commonly in females
d) It presents as a non-healing lesion, scaly spot of pinkish-red growth

Answer 33

a) Squamous cell carcinoma is the most common form of skin cancer

Question 34

Diagnosis of Melanoma is done using a staging classification. Circle the MOST CORRECT answer that states what is being assessed?

a) primary tumour depth
b) lymph node involvement
c) the location of metastases
d) all of the above

Answer 34

D) all of the above

Question 35

Which statement is TRUE for marjolins ulcer?

a) It is a rare skin cancer, however is it not aggressive
b) It is a common skin cancer, is aggressive and occurs in woulds that are 5 years old
c) It is a non-aggresive transformation of a chronic wound, it is rate an is not malignant
d) It is an aggresive transformation of a chronic wound, it is rare and is malignant

Answer 35

d) It is an aggresive transformation of a chronic wound, it is rare and is malignant

Question 36

One of the following statements about squanmous cell carcinoma is not correct. Circle the INCORRECT statement.

a) Squamous cell carcinoma occurs on the keratinizing cells of the epidermis
b) It is of greater concern that BCC as it is an invasive cancer
c) It presents as thick roughened skin
d) It does not appear on the mucous membranes

Answer 36

c) It presents as thick roughened skin

Question 37

The age of a patient will affect the action of drug metabolism. Circle one of more of the CORRECT statements

a) Gastric emptying time is decreased
b) Oesophageal motility time is decreased
c) Metabolism is decreased
d) Drug receptors have increased receptor sensitivty
e) Excretion of drugs is increased

Answer 37

b) Oesophageal motility time is decreased

c) Metabolism is decreased

Question 38

All of the following may be used in the treatment of dysthmic disorder EXCEPT:

a) Lithium
b) Antipsychotics
c) Oestrogen
d) Phenergan

Answer 38

d) Phenergan

Question 39

Most of the following drugs are routinely monitored for drug interactions. Identify which combination of drugs is NOT routinely monitored for their drug interactions

a) Metformin/Naproxen/Prednisolon- Increased risk of GI upsets
b) Heparin/Meformin/Frusemide
c) Warfarin/Naproxen/Prednisolone- increased risk of GI bleeding
d) Metformin/Gliclazide/Prednisolone- BGL lowering effects of anti-diabetic medications may be diminished by prednisolone

Answer 39

b) Heparin/Meformin/Frusemide

Question 40

ALL of the following statements relate to osteoporosis. Which statements are NOT CORRECT.

a) Heparin will cause loss of bone density
b) Glucocoricoids will not cause loss of bone density
c) High alcohol consumption will cause loss of bone density
d) Antacids that contain aluminium will not cause loss of bone density

Answer 40

d) Antacids that contain aluminium will not cause loss of bone density