NURS 3510 Midterm Exam Questions and Answers| New Update with 100% Correct Answers
What's Happening in Canada? Ageing population
Increased life expectancy
1 in 3 Canadian adults living with at least one major chronic disease
Chronic diseases account for 70% of all deaths
What Do Patients Say? On medical and surgical wards, patients have expressed unmet
nursing care needs related to:
Communication
Self-management, autonomy, education, Fundamental physical care, Emotional and
psychological care, Personal sphere
Why Should We Address the Whole Person? To maintain our patients' dignity - dignity is
associated with quality of life
What is Dignity? Inherent to all of us
Highly individualized
Common elements:
Feeling valued and important - self-worth; State of physical, emotional, social, and spiritual
comfort
What Impacts Dignity? Nature and quality of interaction with others
,Illness-related concerns
Personal perspectives and practices to conserve dignity
Getting to Know the Whole Person Formal assessment tools
Observation - person, interactions, environment
Conversation - with patient, family, healthcare team
Ask open-ended questions, Talk about things other than illness, Biographical approaches,
Storytelling and story sharing
Unhelpful Assessment Techniques Focusing on only one domain
Using inappropriate or technical language
Changing the subject or interrupting
Jumping to conclusions
Asking leading questions that suggest right answers
Assessing Physical Domain Understand diagnosis and treatments
Head-to-toe assessment
, Symptom assessment
Assessing Emotional Drain Anxiety/fear, Sadness, Anger/irritability, Positive motivation,
Burden, Disengagement/withdrawal, Coping
Assessing Social Domain Relationships, Ability to engage in leisure activities, Ability to
perform household chores, Ability to perform ADLs, Living accommodations, Ability to work
Caregiving role
Assessing Spiritual Domain Sources of help or support, Beliefs and spirituality, Source of
hope, Meaning in life
Personhood Respect that each patient is an individual person - personhood!
When we ignore expressions of personhood, dignity can be compromised
When we promote expressions of personhood, dignity can be upheld
Factors that Influence Illness Experience Disease-focused vs. whole-person approach to
care, Available health services, Education and literacy, Physical environment, Social support
networks, Personal health practices and coping skills, Social environments, Culture,
Employment/working conditions, Financial and social status, Age
Caring Is... "A relational process that involves the nurse's intentional extension of the self to
another to provide physical, emotional, and spiritual comfort and support in response to the
human aspect of the health and illness experience."
Taking Care Of vs. Caring For Taking Care Of = "emphasizes objective, professional care, such
as the medical and psychological aspects of nursing."
What's Happening in Canada? Ageing population
Increased life expectancy
1 in 3 Canadian adults living with at least one major chronic disease
Chronic diseases account for 70% of all deaths
What Do Patients Say? On medical and surgical wards, patients have expressed unmet
nursing care needs related to:
Communication
Self-management, autonomy, education, Fundamental physical care, Emotional and
psychological care, Personal sphere
Why Should We Address the Whole Person? To maintain our patients' dignity - dignity is
associated with quality of life
What is Dignity? Inherent to all of us
Highly individualized
Common elements:
Feeling valued and important - self-worth; State of physical, emotional, social, and spiritual
comfort
What Impacts Dignity? Nature and quality of interaction with others
,Illness-related concerns
Personal perspectives and practices to conserve dignity
Getting to Know the Whole Person Formal assessment tools
Observation - person, interactions, environment
Conversation - with patient, family, healthcare team
Ask open-ended questions, Talk about things other than illness, Biographical approaches,
Storytelling and story sharing
Unhelpful Assessment Techniques Focusing on only one domain
Using inappropriate or technical language
Changing the subject or interrupting
Jumping to conclusions
Asking leading questions that suggest right answers
Assessing Physical Domain Understand diagnosis and treatments
Head-to-toe assessment
, Symptom assessment
Assessing Emotional Drain Anxiety/fear, Sadness, Anger/irritability, Positive motivation,
Burden, Disengagement/withdrawal, Coping
Assessing Social Domain Relationships, Ability to engage in leisure activities, Ability to
perform household chores, Ability to perform ADLs, Living accommodations, Ability to work
Caregiving role
Assessing Spiritual Domain Sources of help or support, Beliefs and spirituality, Source of
hope, Meaning in life
Personhood Respect that each patient is an individual person - personhood!
When we ignore expressions of personhood, dignity can be compromised
When we promote expressions of personhood, dignity can be upheld
Factors that Influence Illness Experience Disease-focused vs. whole-person approach to
care, Available health services, Education and literacy, Physical environment, Social support
networks, Personal health practices and coping skills, Social environments, Culture,
Employment/working conditions, Financial and social status, Age
Caring Is... "A relational process that involves the nurse's intentional extension of the self to
another to provide physical, emotional, and spiritual comfort and support in response to the
human aspect of the health and illness experience."
Taking Care Of vs. Caring For Taking Care Of = "emphasizes objective, professional care, such
as the medical and psychological aspects of nursing."
