This Class is Rough
What is an example of a non-negotiable ground rule in PBL?
-Attendance and punctuality are mandatory.
-All mobile phones must be turned off during the tutorial.
-Groups must use white-board as they discuss the case.
-The case should be discussed in the outlined sequence.
-The group should not take short cuts or skip a step.
-Everyone should contribute to discussions.
Tom is looking forward to pursue a career in nursing and specialize in a specific area of nursing. He hopes to work in a fast-paced environment where clients may come in to seek care for all kinds of ailments. He likes to use his problem solving skills and prioritize care needs. What type of nursing setting would you recommend?
Emergency nursing
Which of the following are not one of the nine roles of CNO's entry to practice competencies?
-Leader
-Clinician
-Academic
-Collaborator
-Planner
-Advocate
-Teacher
Academic
Planner
Teacher
What is self-efficacy?
Self-efficacy refers to the confidence in one’s ability to successfully perform and maintain change behaviours
What is one recommendation for preconception health and health care as per the Public Health Agency of Canada?
• Women trying to conceive should take 400 mcg (0.4 mg) of folic acid per day.
• They should engage in 150 minutes of moderate to vigorous physical activity per day.
• They should limit alcoholic beverages to two glasses per day, 10 per week, to maintain optimal health.
• All women trying to conceive should have their immunizations up to date.
When working in a group, the storming phase consists of some members competing to identify individual status, establish roles, and come to a consensus regarding a common goal. In this phase, secondary tension may occur. What is the definition of secondary tension?
Secondary tension is characterized by the frustrations and personality conflicts experienced by group members as they compete with one another for achievement and acceptance.
Nurses support the principles and values that are termed, “patient/client centred care.” A client may be a patient in a hospital, a resident in a long-term care facility, a person or family in the community or an entire community. What does “Patient/Client Centred Care” mean?
• Having equal access to care.
• Respecting and addressing your wishes, concerns, values, priorities, point of view and strengths.
• Caring for you as a human being, not as a problem.
• Following your lead with respect to information giving, decision making and care in general. You know yourself the best; and you have the right to play an active role in working with the healthcare team to define your goals and how to achieve them.
• Having the right to receive care from the same team of nurses on a regular basis as much as possible.
• Addressing your needs in a timely manner.
The Nursing Act 1991 states that "The applicant’s past and present conduct, in the opinion of the Executive Director or a panel of the Registration Committee, must afford reasonable grounds for the belief that the applicant,
-does not suffer from any physical or mental condition or disorder that could affect his or her ability to practise nursing in a safe manner,
-will practise nursing with decency, honesty and integrity and in accordance with the law,
-will display an appropriately professional attitude."
One statement is missing, what is it?
has sufficient knowledge, skill and judgment to competently engage in the practice of nursing authorized by the certificate of registration
What is one of the 3 major challenges to quitting smoking as defined by the World Health Organization?
-physical addiction
-behavioral and social connections
-psychological or emotional connections
What is one example of a positive sign of pregnancy?
Positive
• Detection of fetal heart tones by auscultation, ultrasonography, or a Doppler scan (8–17 weeks)
• Palpation of fetal body parts with Leopold manoeuvres (19–22 weeks)
• Fetal movements visible and detected by examiner (late pregnancy)
• Radiological or ultrasonographic demonstration of fetal parts (6–16 weeks)
Sam is beginning to realize that playing video games late at night is affecting their ability to concentrate and stay awake during class. Sam knows this must be addressed and has been meeting with their tutor. What stage of the Lewin’s change theory is Sam in?
Unfreezing - The first stage involves finding a method of making it possible for people to let go of an old pattern that was counterproductive in some way. This is the stage where the desire to change occurs, or at least the recognition that change is needed. Unfreezing the present Forces that maintain current behavior are reduced through analysis of the current situation. Imperatives for change are realized through dialogue and reeducational activities such as team building, personal development, and brain-storming. The more transparent and inclusive the process is, the more readily people move through the unfreezing stage.
In 1608, Samuel de Champlain selected Quebec (“New France”) as the site for a colony of settlers to support the growing fur trade. Who was the first laywoman to provide nursing care in New France?
Marie Rollet Hébert
Amy is really excited to be a nurse and wants people to know where she works. She has multiple social media accounts and likes to share detailed accounts of how her day went. One day, she had such a busy day at work and began to rant online. With regards to the nine roles outlined in the CNO's entry to practice competencies, which one is not being upheld?
Professional: “Registered nurses are professionals who are committed to the health and well-being of clients. Registered nurses uphold the profession’ practice standards and ethics and are accountable to the public and the profession” (CNO, p. 5).
2.8 Demonstrates professional judgment to ensure social media and information and communication technologies (ICTs) are used in a way that maintains public trust in the profession.
There are four process to motivational interviewing. Which of the following are not one of the processes?
Engage: Establish a connection and working relationship.
Open dialogue: Allow the client to openly share their concerns and need for a change.
Focus: Focus on the client’s needs in the conversation about change.
Evoke: Prompt the client to discuss his or her own motivations to change.
Reframe: Support the client to come to an understanding of why a change is needed.
Plan: Develop a commitment to change and create an action plan.
Open dialogue and reframe
Among Indigenous women who are pregnant, what is one example of a negative implication of medical evacuation?
-Pregnant and postpartum women who left their communities to give birth experienced emotional, physical and financial stress, and women did not feel in control of their birthing experiences
-Mothers felt disconnected and isolated from their family, community, and culture; they were required to give birth in an unfamiliar environment without the support of their families and often expressed concern about children left at home
-Some medical costs of birthing outside the community are covered by the government or band councils, but additional financial burdens included the cost of childcare, loss of income if their partner had to miss work to take care of children, and the cost of travelling for their partner to be present at the birth
Sam has put in place strategies to cope with stressors related to transitioning to the accelerated nursing program. In dealing with this new change, they challenged themselves to meet the new demands by being more organized and prioritizing activities. Overall, their academic performance has improved. What type of stress was Sam experiencing?
Eustress - Selye reported that, to a certain extent, stress can be challenging and useful, which he identified as eustress. Stress can be both useful and harmful (distress). As stress increases, efficiency and performance also increase, but not endlessly.
A uniquely Canadian order of nuns, the Sisters of Charity of Montreal (“Grey Nuns”) was formed in 1738. This was the start of home visiting. Who was the founder?
Marguerite d'Youville
The McMaster University, Faculty of Health Sciences created a Professional Behaviour Code of Conduct for Learners. There are domains of professional behaviours expected of learners. Patty knows that she needs to work on her interviewing techniques with clients because she often misses important information. She has connected with a peer mentor to practice her interviewing techniques so she can improve. What domain of professional behaviour best fits Patty's situation?
Domain 2: Self-improvement and Pursuit of Excellence
-Self-improvement and the pursuit of excellence will be demonstrated by the learner who recognizes and acknowledges one’s own limitations or difficulties; who responds reasonably and responsibly to feedback, is motivated to self-improvement; seeks the means to correct deficiencies or weaknesses; and whom adapts to changing circumstances with the goal of achieving excellence.
John stopped smoking for about 6 months now. He added healthy coping strategies (e.g., exercise, relaxation techniques) to deal with stressors in his life. His ultimate goal is to stop smoking for good. Which stage of the transtheoretical model (TTM), or “stages of change model is John in?
Action. The person has made a behaviour change, and it has persisted for 6 months (actively engaged in behaviour change).
Indigenous health is understood in traditional Indigenous knowledge to be a balance among four components within a human. Name two of these components.
Indigenous health is understood in traditional Indigenous knowledge to be a balance among four components within a human: emotional, physical, spiritual, and mental. Poor health results from disharmony or imbalance between the four components (Marshall, Marshall, & Bartlett, 2015). If any of these dimensions is seen to be out of balance, the treatment prescribed attends to the imbalance of that dimension (Nabigon & Wenger-Nabigon, 2012). The traditional Indigenous health systems encompass a variety of modes of treatment including ceremonial, herbal and medicinal, and storytelling.
Brigitte is having a stressful day at work. She is noticing stress warning signs including jaw and shoulder tension. She decides to stop what she is doing and take a few conscious, deep diaphragmatic breaths. She is hoping these actions will work fast to help her relieve stress. What kind of stress management intervention is Brigitte practicing?
Mini relaxation - Mini relaxations can be taught quickly and used throughout the day to help develop awareness and to counter the negative effects of stress on the mind, body, and spirit.
A nurse begins her morning shift and notices that Mrs. Jones is having difficulty breathing. Mrs. Jones is alert and only able to nod or shake her head in response to questions. The nurse provides oxygen therapy via nasal prongs, quickly obtains a set of vitals, and notices that her 02 sats are at 82%. The nurse slowly titrates the 02 level until her 02 sats reaches 90%. The nurse reviews prn medications on file (e.g., ventolin) and calls the physician. What type of dimension of caring is the nurse demonstrating?
Crisis intervention
All students in the BScN program are expected to be aware of the College of Nurses Entry-to-Practice Competencies (2019). Ryan is a new graduate nurse who feels that he should be taking on different roles in nursing. He is taking some courses at the local university to improve his ability to apply best evidence to make informed decisions. He is also part of a local research study at his workplace. Which role is he focusing on?
Scholar: “Registered nurses are scholars who demonstrate lifelong commitment to excellence in practice through critical inquiry, continuous learning, application of evidence to practice, and support of research activities” (CNO, p. 8).
9.1 Uses best evidence to make informed decisions.
9.2 Translates knowledge from relevant sources into professional practice.
9.3 Engages in self-reflection to interact from a place of cultural humility and create culturally safe environments where clients perceive respect for their unique health care practices, preferences, and decisions.
9.6 Uses knowledge about current and emerging community and global health care issues and trends to optimize client health outcomes.
9.7 Supports research activities and develops own research skills.
In Erikson’s eight stages of the life cycle (Erikson & Erikson, 1998), which stage is most frequently associated with the middle years?
Stage 7, generativity versus stagnation or self-absorption, is most frequently associated with the middle years. Erikson identifies generativity as the primary task to achieve during adulthood. Generativity includes a sense of productivity and creativity as evidenced by reaching previously established goals versus stagnation, the failure to achieve lifelong goals (Hornstein, 1986; Reifman, Biernat, & Lang, 1991; Thomas, 1995). Generativity also encompasses a desire to care for others versus self-absorption, the tendency to direct most of one’s interest and attention to oneself, thereby excluding others.
In the first trimester of pregnancy, estrogen, and possibly progesterone, causes hypertrophy of the uterine muscle cells, and uterine blood vessels and lymphatic vessels enlarge. The uterus becomes globular in shape, softens, and flexes easily over the cervix. What is this sign called?
Hegar's sign