Nurs 3001 Final exam
4 body image issues that are influenced by chronic disease - correct answer-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 - correct answer-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 - correct answer-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 - correct answer-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? - correct answer-absolutely
Factors influencing adjustment to body image - correct answer-Influence on time
meaning and significance
social + cultural influences
healthcare team members
age
gender
coping mechanisms
How can we assess caregivers role strain? - correct answer-Caregiver strain index
Caregiver assessment tools
How can we manage powerlessness? - correct answer-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? - correct answer-Lubben Social Network Scale
(LSNS)
Berkman-Syme Social Network Index (SNI)
How does dementia impact caregiver burden? - correct answer-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? - correct answer-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? - correct answer-Burning, shooting, stabbing, parathesia
or electrical
How many people over 65 years experience pain? - correct answer-1 in 3
Implications fo MS on sexuality - correct answer-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 - correct answer-Post-MI risk of sexual activity is assessed
Education about sexual activities is also part of cardiac rehab
Implications of cancer on sexuality - correct answer-surgical treatments may impact body
image and function
radiation and chemo can cause temporary or permanent infertility
Implications of diabetes of sexuality - correct answer-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 - correct answer-discharge planning
collaboration
self-management
control
advocacy
decision making support
client and family education
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