Nurs 3001 Final exam Questions AND Correct Answers
4 body image issues that are influenced by chronic disease - ✔✔ 1. external changes - visible
changes, funcitonal changes, how fast have the changes happened
2. appearance may draw attention to stigmatizing cause
3. Visibility and invisibility of body image alternations
4. functional limitations
Benefits of spirituality in nursing - ✔✔ holistic approach to patient care (mind, body, spirit)
Holding of hope (hope is connected to feelings of empowerment in the face of suffering)
Continuum of LTC - ✔✔ LTC can be provided in institutional settings, community, and home
LTC can include anything from home health nursing, adult day care, to homemakers, food delivery
programs, hospice, adaptive devices for home
Desired outcomes of sexuality interventions - ✔✔ engage in open communication with partner
about sexual functioning/desire within a cultural framework
Describe appropriate interventions for actual or potential changes
identify personal and community resources to assist with changes
Does chronic illness affect sexuality? - ✔✔ absolutely
Factors influencing adjustment to body image - ✔✔ Influence on time
meaning and significance
social + cultural influences
healthcare team members
age
gender
coping mechanisms
How can we assess caregivers role strain? - ✔✔ Caregiver strain index
Caregiver assessment tools
,How can we manage powerlessness? - ✔✔ Facilitate coping by shifting power from depleted
source to others that are intact to regain sense of control
sources of power can include:
physical strength
psychological stamina
social support
energy
hope
motivation
knowledge
positive self-concept
How can we measure social isolation? - ✔✔ Lubben Social Network Scale (LSNS)
Berkman-Syme Social Network Index (SNI)
How does dementia impact caregiver burden? - ✔✔ families often act as primary caregivers which
increases caregiver burden with respect to factors such as emotional, psychological, social, and
financial impacts of care
How is dementia characterized? - ✔✔ progressive impairment of cognitive functions, personality
and behaviours
may see memory loss, disorientation, impaired language, impaired judgement
in advanced stages may see aggressiveness, mood swings, wandering, confusion
How is neuropathic pain described? - ✔✔ Burning, shooting, stabbing, parathesia or electrical
How many people over 65 years experience pain? - ✔✔ 1 in 3
Implications fo MS on sexuality - ✔✔ motor, sensory, and cognitive changes may occur
sexual difficulties may fall into 3 classifications
, primary - caused by CNS damage or hormones
secondary - arise from symptoms (fatigue, pain, bladder dysfunction)
tertiary - concerning attitudes and feelings
Implications of CAD on sexuality - ✔✔ Post-MI risk of sexual activity is assessed
Education about sexual activities is also part of cardiac rehab
Implications of cancer on sexuality - ✔✔ surgical treatments may impact body image and function
radiation and chemo can cause temporary or permanent infertility
Implications of diabetes of sexuality - ✔✔ Erectile dysfunction is common but manageable with
glycemic control
diabetic women may experience decreased satisfaction
nurses are obligated to address sexual difficulties
Intervention that promote empowerment - ✔✔ discharge planning
collaboration
self-management
control
advocacy
decision making support
client and family education
Interventions for social isolation - ✔✔ respite
support groups
rebuild family networks
accessing technology to communicate
Is being alone bad? - ✔✔ No (when there is a choice)
Moments of solitude can be very beneficial and offers a chance to reflect and reconnect
4 body image issues that are influenced by chronic disease - ✔✔ 1. external changes - visible
changes, funcitonal changes, how fast have the changes happened
2. appearance may draw attention to stigmatizing cause
3. Visibility and invisibility of body image alternations
4. functional limitations
Benefits of spirituality in nursing - ✔✔ holistic approach to patient care (mind, body, spirit)
Holding of hope (hope is connected to feelings of empowerment in the face of suffering)
Continuum of LTC - ✔✔ LTC can be provided in institutional settings, community, and home
LTC can include anything from home health nursing, adult day care, to homemakers, food delivery
programs, hospice, adaptive devices for home
Desired outcomes of sexuality interventions - ✔✔ engage in open communication with partner
about sexual functioning/desire within a cultural framework
Describe appropriate interventions for actual or potential changes
identify personal and community resources to assist with changes
Does chronic illness affect sexuality? - ✔✔ absolutely
Factors influencing adjustment to body image - ✔✔ Influence on time
meaning and significance
social + cultural influences
healthcare team members
age
gender
coping mechanisms
How can we assess caregivers role strain? - ✔✔ Caregiver strain index
Caregiver assessment tools
,How can we manage powerlessness? - ✔✔ Facilitate coping by shifting power from depleted
source to others that are intact to regain sense of control
sources of power can include:
physical strength
psychological stamina
social support
energy
hope
motivation
knowledge
positive self-concept
How can we measure social isolation? - ✔✔ Lubben Social Network Scale (LSNS)
Berkman-Syme Social Network Index (SNI)
How does dementia impact caregiver burden? - ✔✔ families often act as primary caregivers which
increases caregiver burden with respect to factors such as emotional, psychological, social, and
financial impacts of care
How is dementia characterized? - ✔✔ progressive impairment of cognitive functions, personality
and behaviours
may see memory loss, disorientation, impaired language, impaired judgement
in advanced stages may see aggressiveness, mood swings, wandering, confusion
How is neuropathic pain described? - ✔✔ Burning, shooting, stabbing, parathesia or electrical
How many people over 65 years experience pain? - ✔✔ 1 in 3
Implications fo MS on sexuality - ✔✔ motor, sensory, and cognitive changes may occur
sexual difficulties may fall into 3 classifications
, primary - caused by CNS damage or hormones
secondary - arise from symptoms (fatigue, pain, bladder dysfunction)
tertiary - concerning attitudes and feelings
Implications of CAD on sexuality - ✔✔ Post-MI risk of sexual activity is assessed
Education about sexual activities is also part of cardiac rehab
Implications of cancer on sexuality - ✔✔ surgical treatments may impact body image and function
radiation and chemo can cause temporary or permanent infertility
Implications of diabetes of sexuality - ✔✔ Erectile dysfunction is common but manageable with
glycemic control
diabetic women may experience decreased satisfaction
nurses are obligated to address sexual difficulties
Intervention that promote empowerment - ✔✔ discharge planning
collaboration
self-management
control
advocacy
decision making support
client and family education
Interventions for social isolation - ✔✔ respite
support groups
rebuild family networks
accessing technology to communicate
Is being alone bad? - ✔✔ No (when there is a choice)
Moments of solitude can be very beneficial and offers a chance to reflect and reconnect
