NURS 270 midterm UPDATED ACTUAL
Questions and CORRECT Answers
Values - CORRECT ANSWER things that really matter to a person and influence how we think, behave and our
choices
Beliefs - CORRECT ANSWER things that a person thinks are true; explanations
Attitudes - CORRECT ANSWER judgments made up of:
1) Affective Domain: feelings and emotions
2) Behavioral Domain: doing
3) Cognitive Domian: thinking
McGill Model: what is it? - CORRECT ANSWER Central goal of nursing is to maintain, strengthen and develop
person and family health care. It shifts healthcare from the medical model and focuses on health maintenance on
client/family and motivates toward lifelong goal
McGill Model: key assumptions - CORRECT ANSWER - health of a nation = most valuable resources
- people aspire to and are motivated toward better health
- health is best learned through active involvement and personal discovery
- nursing is a primary health care resource
McGill Model: Elements - CORRECT ANSWER - Health: central focus. It co-exists with illness but they are both
separate entities. Health focus on coping and development
- Environment: influence pt. and vise versa. If it is static, nurse will change environment to promote learning and coping
- Person: unit of concern = family. Solutions reside within the individual and family, not the nurse
- Nurse: the science of health promotion. Focus is strength and potential vs. weakness and deficit
Stages of Wound Healing - CORRECT ANSWER hemostasis, inflammation, proliferation and remodeling
Hemostasis - CORRECT ANSWER blood vessels constrict and clot
Inflammatory phase - CORRECT ANSWER vasodialation, edema, erythema and exudate
Proliferative Stage - CORRECT ANSWER construction of new epidermis and new granulation tissue. Collagen
begins to provide strength to wound and contraction makes it smaller
Remodelling phase - CORRECT ANSWER collagen is remolded to become stronger and provide tensile strength
to wound. Out appearance = well healed scar
Adverse event stats in hospital - CORRECT ANSWER 1/13 hospitals had an adverse event, 39% of them being
preventable
Unintended Injury - adverse event - CORRECT ANSWER results in disability at time of charge
Prolonged Hospital Stay - adverse event - CORRECT ANSWER caused by HCM rather than pts. disease
Canadian Patient Safety Institute (CPSI) - what is it? - CORRECT ANSWER Was developed in 2008 and goal was
to take multidisciplinary approach to safe patient care. It was noted that integrating safety concepts in undergraduate
programs is essential. Recently they've been encouraging pts. and families to advocate for themselves, have publications
designed for public and expect to check patient ID bands
Canadian Patient Safety Institute (CPSI): 6 Domains - CORRECT ANSWER 1. Contribute to a culture of pt.
safety.
2. work in teams for pt. safety
3. communicate effectively for pt. safety
4. manage safety risks
5. optimize human and environmental factors
, 6. recognize, respond to and disclose adverse events and close calls
Contribute to a culture of pt. safety - CORRECT ANSWER 1. applying core pt. safety knowledge, skills, and
attributes to everyday work
work in teams for pt. safety - CORRECT ANSWER 2. knowledge of scope of practice of team members and
effective communication. Respect and professionalism
Communicate effectively for pt. safety - CORRECT ANSWER 3. interdisciplinary communication. Includes
written, verbal, and non-verbal forms. Accurate documentations, thorough pt. hand offs, use of bed signs and written
additional info
Manage safety risks - CORRECT ANSWER 4. anticipating, recognizing, and managing situations that put pt. at
risk. Example) hand hygiene, infection control, safe pt. transport, pt. ID bands
Optimize human and environmental factors - CORRECT ANSWER 5. ex: work life balance, fatigue, personal
health, lighting, sound, interruptions, technology
Recognize, respond to and disclose adverse events and close calls - CORRECT ANSWER 6. respond effectively to
adverse events to mitigate harm to pt. Ensure disclosure of event, prevent re-occurrence and use prompt communication.
Catheter Sizing - CORRECT ANSWER Comes in french sizes:
6-8 = infants and young children
10-14 = older children and woman
14 -16 = adult male
Pressure Ulcer Stages - CORRECT ANSWER • Stage 1 (changes in intact skin)
• Stage 2 (partial thickness skin loss, shallow ulcer, open blister, skin tear)
• Stage 3 (full thickness skin loss, deep crater, underlying fascia unaffected)
• Stage 4 (full thickness skin loss, extensive destruction, tissue necrosis, damage to muscle or bone or supporting
structures
- Stage 5 (closed ulcer that extends down to the structures, open sinus tract, boggy to touch)
•Stage N (unstageable, covered with necrotic tissue)
Inflammation vs. Infection - CORRECT ANSWER - Inflammation is normal (redness, swelling, drainage, warmth)
- Infection is not normal (IFEE - induration, fever, edema, erythema with pain & odor)
- All pressure ulcers are considered contaminated or colonized with bacteria (though not all are actually infected - look
for cellulitis, purulent drainage, wet gangrene, bad odor)
Principles of wound healing: D I P A M O P I - CORRECT ANSWER Debride necrotic tissue
Infection: identify and treat it
Pack dead space lightly
Absorb excess exudates
Moisture: maintain a moist wound bed
Open wound edges
Protect the healing wound
Insulate a healing wound
10 Rights - CORRECT ANSWER o Right medication
o Right dose
o Right patient - 2 patient identifiers
o Right route
o Right time
o Right documentation
o Right education
o Right evaluation
o Patient's right to refuse
Sources of Evidence - CORRECT ANSWER - Scientific evidence in journals
- Non-research evidence, quality improvement, and risk management data
Questions and CORRECT Answers
Values - CORRECT ANSWER things that really matter to a person and influence how we think, behave and our
choices
Beliefs - CORRECT ANSWER things that a person thinks are true; explanations
Attitudes - CORRECT ANSWER judgments made up of:
1) Affective Domain: feelings and emotions
2) Behavioral Domain: doing
3) Cognitive Domian: thinking
McGill Model: what is it? - CORRECT ANSWER Central goal of nursing is to maintain, strengthen and develop
person and family health care. It shifts healthcare from the medical model and focuses on health maintenance on
client/family and motivates toward lifelong goal
McGill Model: key assumptions - CORRECT ANSWER - health of a nation = most valuable resources
- people aspire to and are motivated toward better health
- health is best learned through active involvement and personal discovery
- nursing is a primary health care resource
McGill Model: Elements - CORRECT ANSWER - Health: central focus. It co-exists with illness but they are both
separate entities. Health focus on coping and development
- Environment: influence pt. and vise versa. If it is static, nurse will change environment to promote learning and coping
- Person: unit of concern = family. Solutions reside within the individual and family, not the nurse
- Nurse: the science of health promotion. Focus is strength and potential vs. weakness and deficit
Stages of Wound Healing - CORRECT ANSWER hemostasis, inflammation, proliferation and remodeling
Hemostasis - CORRECT ANSWER blood vessels constrict and clot
Inflammatory phase - CORRECT ANSWER vasodialation, edema, erythema and exudate
Proliferative Stage - CORRECT ANSWER construction of new epidermis and new granulation tissue. Collagen
begins to provide strength to wound and contraction makes it smaller
Remodelling phase - CORRECT ANSWER collagen is remolded to become stronger and provide tensile strength
to wound. Out appearance = well healed scar
Adverse event stats in hospital - CORRECT ANSWER 1/13 hospitals had an adverse event, 39% of them being
preventable
Unintended Injury - adverse event - CORRECT ANSWER results in disability at time of charge
Prolonged Hospital Stay - adverse event - CORRECT ANSWER caused by HCM rather than pts. disease
Canadian Patient Safety Institute (CPSI) - what is it? - CORRECT ANSWER Was developed in 2008 and goal was
to take multidisciplinary approach to safe patient care. It was noted that integrating safety concepts in undergraduate
programs is essential. Recently they've been encouraging pts. and families to advocate for themselves, have publications
designed for public and expect to check patient ID bands
Canadian Patient Safety Institute (CPSI): 6 Domains - CORRECT ANSWER 1. Contribute to a culture of pt.
safety.
2. work in teams for pt. safety
3. communicate effectively for pt. safety
4. manage safety risks
5. optimize human and environmental factors
, 6. recognize, respond to and disclose adverse events and close calls
Contribute to a culture of pt. safety - CORRECT ANSWER 1. applying core pt. safety knowledge, skills, and
attributes to everyday work
work in teams for pt. safety - CORRECT ANSWER 2. knowledge of scope of practice of team members and
effective communication. Respect and professionalism
Communicate effectively for pt. safety - CORRECT ANSWER 3. interdisciplinary communication. Includes
written, verbal, and non-verbal forms. Accurate documentations, thorough pt. hand offs, use of bed signs and written
additional info
Manage safety risks - CORRECT ANSWER 4. anticipating, recognizing, and managing situations that put pt. at
risk. Example) hand hygiene, infection control, safe pt. transport, pt. ID bands
Optimize human and environmental factors - CORRECT ANSWER 5. ex: work life balance, fatigue, personal
health, lighting, sound, interruptions, technology
Recognize, respond to and disclose adverse events and close calls - CORRECT ANSWER 6. respond effectively to
adverse events to mitigate harm to pt. Ensure disclosure of event, prevent re-occurrence and use prompt communication.
Catheter Sizing - CORRECT ANSWER Comes in french sizes:
6-8 = infants and young children
10-14 = older children and woman
14 -16 = adult male
Pressure Ulcer Stages - CORRECT ANSWER • Stage 1 (changes in intact skin)
• Stage 2 (partial thickness skin loss, shallow ulcer, open blister, skin tear)
• Stage 3 (full thickness skin loss, deep crater, underlying fascia unaffected)
• Stage 4 (full thickness skin loss, extensive destruction, tissue necrosis, damage to muscle or bone or supporting
structures
- Stage 5 (closed ulcer that extends down to the structures, open sinus tract, boggy to touch)
•Stage N (unstageable, covered with necrotic tissue)
Inflammation vs. Infection - CORRECT ANSWER - Inflammation is normal (redness, swelling, drainage, warmth)
- Infection is not normal (IFEE - induration, fever, edema, erythema with pain & odor)
- All pressure ulcers are considered contaminated or colonized with bacteria (though not all are actually infected - look
for cellulitis, purulent drainage, wet gangrene, bad odor)
Principles of wound healing: D I P A M O P I - CORRECT ANSWER Debride necrotic tissue
Infection: identify and treat it
Pack dead space lightly
Absorb excess exudates
Moisture: maintain a moist wound bed
Open wound edges
Protect the healing wound
Insulate a healing wound
10 Rights - CORRECT ANSWER o Right medication
o Right dose
o Right patient - 2 patient identifiers
o Right route
o Right time
o Right documentation
o Right education
o Right evaluation
o Patient's right to refuse
Sources of Evidence - CORRECT ANSWER - Scientific evidence in journals
- Non-research evidence, quality improvement, and risk management data
