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Nurs 3001 Midterm
3 components fo Patient definitions of QOL - correct answer-ability to perform physical and
social activities
maintaining happiness
engaging in fulfilling relationships
5A model of behaviour change - correct answer-Assess - beliefs, behaviour, and knowledge
Advise - provide info about health risks and benefits of change
Agree - collaboratively set goals based on patient's interest and confidence
Assist - identify personal barriers, strategies, problem-solving techniques, and
social/environmental support
Arrange - specify plan for follow-up
6 themes of patient-centred care in chronic illness (hudon et al) - correct answer-starting
from the patient's situation
legitimizing their illness experience
acknowledging the patient's expertise
developing a partnership
realistic hope
providing patient advocacy
Acute care model vs chronic care model - correct answer-Acute care:
* more disease centred
* focus on individuals not population
* cure focused
* episodic care
Chronic care:
* patient centred
* population health approach
* ongoing care
* prevention and management focus
Cultural diversity - correct answer-Necessary to understand cultural diversity to provide
culturally competent and safe care
Cultural background may influence how people view health care professionals
Define health related QOL - correct answer-Focus on the ways in which health influences
QOL
* perceptions of physical and mental health status
Define quality of life - correct answer-Value judgment of the lived experience as a whole
Define self-care - correct answer-tasks performed at home by people to prevent illness
rather than managing an existing illness
Includes lifestyle changes, and increased wellness
, Define self-management - correct answer-Day-to-day management of chronic conditions by
individuals over the course of the illness
Define shared decision making - correct answer-partnership between provider and patient
where there is a mutual exchange of information and discussion involving negotiation
Definition of Chronic disease - correct answer-Focused on the pathophysiology of a
condition
Definition of Chronic illness - correct answer-focuses on the human experience of a disease
The lived experiences of the individual and family
Illness experience and behaviours - correct answer-loss of self - self-image disappears over
time
moral work - patients feeling obligated to manage symptoms alongside daily life
devalued self - people may reevaluate themselves in their environment
Chronic sorrow
Motivational interviewing assumptions - correct answer-Clients have a drive towards health
and wholeness
Client is the expert in how to change their circumstances
Clients experience of choosing and investing in their intended change is critical
Nursing practice related to self-management - correct answer-coaching as a technique to
enhance self-management and family management
medication and treatment self-management
nursing care coordination, technology, and medication self-management
resources and supports
interprofessional collab
Self-concept - correct answer-Includes identity, body image, and role performance
* identity can be very vulnerable in chronic illness
* body image can change significantly with chronic illness
Sustainable development goals - correct answer-17 goals established by the UN to reduce
disparities
Transtheoretical Model - correct answer-precontemplation - no intention of making changes
in the next 6mths
contemplation - thinking about making change in the next 6 mths. may focus on the barriers
to change rather than benefits
preparation - getting ready to implement change in the next month
action - modifications and action are observable and measurable. ongoing support is needed
as relapse is. high risk
maintenance - changes have been made and risk for relapse are decreasing. increasing
confidence
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