- When informing patients and families about terminal illness, which statement is
MOST CORRECT?
a) Family members want the patient informed about the diagnosis of
terminal illness.
b) The majority of patients want to be informed of the diagnosis of terminal
illness
c) The majority of patients do not want to be informed they have a terminal
illness
(
b) The majority of patients want to be informed of the diagnosis of terminal
illness
- All of the following may be used in the treatment of dysthymic disorder except:
a) Lithium
b) Antipsychotics
c) Oestrogen
d) Phenergan
d) Phenergan
- Circle the INCORRECT statement.
a) There are three stages to assessing suicide risk
b) Patients who are at high risk should be re- assessed within 7 days
c) Patients at risk may have passing thoughts of suicide or self-harm
d) Patients at risk must have an action plan developed for them
b) Patients who are at high risk should be re- assessed within 7 days
- Circle the incorrect answer from the below statements about the psychological
symptoms experienced by patients with chronic kidney disease.
a) The biggest psychological impacts upon the patient is depression
b) The biggest psychological stress is not associated with the disease but with
the medications and their side effects
c) Patients with CKD are impacted psychological because of the increased need
to see health professionals
b) The biggest psychological stress is not associated with the disease but with
the medications and their side effects
- One or more of the following statements about Basal cell carcinoma is correct.
Circle one or more of the correct statements.
a) Basal cell carcinoma is the commonest 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 superficial lesion, and has translucent pearly borders
a) Basal cell carcinoma is the commonest form of skin cancer
b) It accounts for 2/3rds of all skin cancers
d) It presents as a superficial lesion, and has translucent pearly borders
- One or more of the following statements about Squamous cell carcinoma is
correct. Circle one or more of the correct statements.
a) Squamous cell carcinoma is a common skin cancer
b) It is of greater concern than BCC as it is an invasive cancer
c) It presents as thick roughened skin
d) It does not appear on the mucous membranes
a) Squamous cell carcinoma is a common skin cancer
b) It is of greater concern than BCC as it is an invasive cancer
c) It presents as thick roughened skin
- Identify each of the stages within the Stages of Change Model.
Pre-contemplative Contemplative Preparation Action Maintenance Relapse
- Explain the Patterson’s shifting Perspectives model and provide an example of this.
Patients see their illness behind them or otherwise in front of them. Increased activity,
interaction, self-esteem and risk taking occur if they see their illness is behind them.
Identify 4 known risk factors for schizophrenia.
Genetic disposition, Exposure to intrauterine infection, Birth trauma, Head injury in
childhood, Communication patterns in the family, Environmental stress, Drug use
identify the differences between the acute and chronic models of care.
Acute Model= Disease centre Doctor centred, Focus on individuals
Chronic Care model=Person centred, Team centred, Population health approach
identify the differences between the acute and chronic models of care.
Acute Model= Disease centre Doctor centred, Focus on individuals,Secondary care emphasis, Reactive symptom driven, Cure focus.
Chronic Care model=Person centred, Team centred, Population health approach, Proactive, planned intervention, Ongoing care, Prevention/management focus
List the three major predisposing factors the nurse needs to be aware of when
providing patient care to prevent complications in chronic kidney disease patients
Dehydration – Kidneys less able to regulate urinary concentration and are more
sensitive to dehydration, hence patients will need IV fluids if fasting
Nephro toxic substances - radio-opaque dyes in radiography
Medications – gentamycin, vancomycin - monitoring of levels needed. Metformin
must be ceased if creatinine clearance is less than 30ml/day
- Discuss the consequences and impact of obesity on the individual, the community and
on health services.
Individual – Apnoea, unrefreshed on waking, low self-esteem, damaged joints,
back pain, pre-eclampsia, high blood pressure and cholesterol, stroke, diabetes,
anxiety and depression, gestational diabetes, bariatric equipment
Family & Community - prejudice, teasing, stigmas, reduced family support, low
expectation from peers, impact upon families’ health, urban planners and
designer need to consider urban design.
Community – increased GP visits, screening, community support, hospital admission, treatments and meds, increased costs.
Describe the three axis on the Model of Care Matrix for WA Health
Axis 1: Stages of a condition injury or event
Axis 2: Details of activities and services that should be provided- what, who and
where
Axis 3: Component levels of the Health system – policy, organizational and
individual levels
- Identify the three phases of Schizophrenia and describe their characteristics
Prodomal phase: General loss of interest in activity, Withdraws from social
interaction, Work or school difficulties, Develop odd beliefs, Start talking to
themselves, Develop odd ritualistic behaviours
Active Phase: Hallucinations Delusions, Highly anxious, Depressed, Can’t think
through activities, don’t trust
Residual phase- Residual symptoms may remain, Symptoms not responsive to
medication, Lack of interest, Failure to initiate interest and engagement, Lack of
motivation, Have little confidence of their mind
- What are the goals of the National Chronic Disease Strategy in Australia?
Prevention across the continuum
Early detection and early treatment
Integration and continuity of prevention and care
Self management
- Describe the recommended diet for a patient with chronic renal failure.
Low sodium/salt diet
Avoid saturated fats,
Protein restriction is not recommended unless prescribed by the nephrologist
and supervised by a dietician.
Fluid intake should be adjusted to the clinical state of the patient, taking
into account the degree of reduced glomerular filtration rate (GFR), oedema, and
hypertension management.
- Describe the key elements of patient-centred care.
Patient-centered care places the patient as the focus of any health care
provision.
The focus is on the needs, concerns, beliefs and goals of the patient rather than
the needs of the systems or professionals.
The patient feels understood, valued and involved in the management of their
chronic condition.
Patients are empowered by learning skills and abilities to gain effective control
over their lives versus responsibility resting with others
