NURS 270 Midterm UPDATED ACTUAL Questions and
CORRECT Answers
acute vs chronic? acute is short term and chronic is long term
ex of acute illness within chronic illness infection in a diabetes pt
comorbidity presence of 2 or more chronic illnesses in a person
multimorbidity a complex pt. polypharmacy, multiple treatments, psychological strain/stress,
functional decline, more hopsitalizations
what contributes to chronic illness? core determinants of health
the medical model? the concept that diseases have physical causes that can be diagnosed, treated,
and, in most cases, cured.
the social model? The social model seeks to change society in order to accommodate people
living with impairment
the biopsychosocial model? The biopsychosocial model of wellness and medicine examines how the three
aspects – biological, psychological and social – occupy roles in relative
health or disease.
psychosocial dimensions of illness quality of life, stigma, fatigue, discomfort, mood disorder, hardiness, self-
efficacy, illness behavior
illness behavior the sick role activity undertaken by those who consider themselves ill
self-efficacy? self-confidence. requires a pt centered approach, influenced by
physical/mental health and stress
hardiness? buffers stress. control, commitment, challenge. innate
hardiness vs resilience? hardiness is a positive mindset while resilience is an active process of positive
adaptation
depression and disability depression can amplify disability and vice versa
stigma? character blemishes. victim blaming. healthcare providers not immune
living with chronic illness - disrupted quality of life loss of sense of self, social isolation, living restricted life
living with chronic illness - normalization can be a significant source of stress
, living with chronic illness - covering can be maladaptive, can cause inadequate treatment
informal caregiver issues? caregiver burden, challenges in self care, very demanding, increased risk of
HTN and CV disease
illness trajectory? pre-trajectory - trajectory - stable - unstable - acute - crisis - comeback -
downward decline - dying
what is the shifting perspectives model of chronic shifting between illness/wellness in foreground
illness?
illness in the foreground? sick, suffering, illness is real, person feeling absorbed by illness
shifting from illness to wellness in foreground bounce back, optimistic, symptoms subside, increased energy
wellness in foreground? health, quality of life, illness will not define them
shifting from wellness to illness? disease progresses, diminished skill to manage disease, control over illness is
threatened
ex of barriers to self-management? limited health literacy, low socioeconomic status
hypoxia? low level of o2 in body
abrasion? scrape
laceration? cut
contusion? bruise
puncture? poke
avulsion? tear
incision? surgical cut
serous? clear drainage
purulent? pus filled drainage
serosanguinous? bloody/clear. kinda pink
4 stages of wound healing? hemostasis, inflammatory, proliferative, remodeling
primary intention? incision with blood clot, edges approximated with suture, fine scar
secondary intention? irregular large wound, granulation tissue fills in wound, large scar
tertiary intention? contaminated wound, granulation tissue, delayed closure with suture
wound classification categories? underlying cause, duration of inflammation, depth of tissue involvement,
pressure ulcers, colour
CORRECT Answers
acute vs chronic? acute is short term and chronic is long term
ex of acute illness within chronic illness infection in a diabetes pt
comorbidity presence of 2 or more chronic illnesses in a person
multimorbidity a complex pt. polypharmacy, multiple treatments, psychological strain/stress,
functional decline, more hopsitalizations
what contributes to chronic illness? core determinants of health
the medical model? the concept that diseases have physical causes that can be diagnosed, treated,
and, in most cases, cured.
the social model? The social model seeks to change society in order to accommodate people
living with impairment
the biopsychosocial model? The biopsychosocial model of wellness and medicine examines how the three
aspects – biological, psychological and social – occupy roles in relative
health or disease.
psychosocial dimensions of illness quality of life, stigma, fatigue, discomfort, mood disorder, hardiness, self-
efficacy, illness behavior
illness behavior the sick role activity undertaken by those who consider themselves ill
self-efficacy? self-confidence. requires a pt centered approach, influenced by
physical/mental health and stress
hardiness? buffers stress. control, commitment, challenge. innate
hardiness vs resilience? hardiness is a positive mindset while resilience is an active process of positive
adaptation
depression and disability depression can amplify disability and vice versa
stigma? character blemishes. victim blaming. healthcare providers not immune
living with chronic illness - disrupted quality of life loss of sense of self, social isolation, living restricted life
living with chronic illness - normalization can be a significant source of stress
, living with chronic illness - covering can be maladaptive, can cause inadequate treatment
informal caregiver issues? caregiver burden, challenges in self care, very demanding, increased risk of
HTN and CV disease
illness trajectory? pre-trajectory - trajectory - stable - unstable - acute - crisis - comeback -
downward decline - dying
what is the shifting perspectives model of chronic shifting between illness/wellness in foreground
illness?
illness in the foreground? sick, suffering, illness is real, person feeling absorbed by illness
shifting from illness to wellness in foreground bounce back, optimistic, symptoms subside, increased energy
wellness in foreground? health, quality of life, illness will not define them
shifting from wellness to illness? disease progresses, diminished skill to manage disease, control over illness is
threatened
ex of barriers to self-management? limited health literacy, low socioeconomic status
hypoxia? low level of o2 in body
abrasion? scrape
laceration? cut
contusion? bruise
puncture? poke
avulsion? tear
incision? surgical cut
serous? clear drainage
purulent? pus filled drainage
serosanguinous? bloody/clear. kinda pink
4 stages of wound healing? hemostasis, inflammatory, proliferative, remodeling
primary intention? incision with blood clot, edges approximated with suture, fine scar
secondary intention? irregular large wound, granulation tissue fills in wound, large scar
tertiary intention? contaminated wound, granulation tissue, delayed closure with suture
wound classification categories? underlying cause, duration of inflammation, depth of tissue involvement,
pressure ulcers, colour
