Deck 9: Chronic Illness and Rehabilitation

Question 1

When the nurse assesses reddened heels on the bed-bound stroke patient,the nurse modifies the care plan to include which intervention?

A)Massage heels briskly.
B)Apply socks to feet.
C)Swab heels with alcohol.
D)Elevate feet on pillows.

Answer 1

Elevate feet on pillows.

Question 2

The LPN/LVN making care assignments to nursing assistants would not assign a patient who has:

A)manipulative behavior.
B)an unstable condition.
C)a draining wound.
D)a communicable disease.

Answer 2

an unstable condition.

Question 3

When the confused resident pours his cereal in a cup and "drinks" it,the nurse should:

A)put his cereal back in the bowl and hand the resident a spoon.
B)discard the cup with his cereal and bring fresh cereal in a bowl.
C)calmly instruct the resident that cereal is to be eaten from a bowl.
D)not interrupt the behavior.

Answer 3

not interrupt the behavior.

Question 4

The 76-year-old stroke patient in a long-term care facility has sent his food tray back to the kitchen untouched for the second time today.The most effective intervention to increase nutrition would be to:

A)take the tray back and offer to feed the patient.
B)request the dietitian to talk with the patient about food preferences.
C)take a high-protein drink to the patient.
D)sit with the patient during meals.

Question 5

The nurse reminds the nursing assistant that the purpose of locking the wheels of a wheelchair is to:

A)supply a stable support for a patient to lift self.
B)keep patient in a position at a table or bedside.
C)prevent falls.
D)keep the patient from moving self.

Question 6

The nurse assessing an 85-year-old patient who has been on bed rest for a fractured hip finds the patient flushed with a temperature of 100° F,pulse of 100,and respiration rate of 24.The next intervention should be to assess:

A)BP.
B)breath sounds.
C)abdominal distention.
D)amount of urinary output.

Question 7

When the nurse is assessing a bed-bound resident,a reddened area over the coccyx that does not blanch is discovered.The best intervention to prevent further skin damage is to:

A)cover with a transparent film dressing.
B)apply warm compress.
C)turn the patient every 2 hours.
D)continue to monitor the area.

Question 8

The rehabilitation nurse describes a patient who is blind,works full time as a Spanish interpreter,and lives with his wife in a downtown apartment.The nurse classifies this person as:

A)impaired.
B)disabled.
C)handicapped.
D)dependent.

Question 9

The obese resident who lies on her back because it is difficult to turn due to her weight has a pressure ulcer on her coccyx that is covered with a dressing.The most effective intervention to encourage independence is:

A)have staff turn the resident every 2 hours.
B)turn the patient on her side and use pillows to stabilize her.
C)arrange for short side rails to be used for positioning.
D)arrange for a trapeze so the patient can assist with positioning.

Question 10

The nurse is caring for a resident who has a security device for safety purposes.What intervention must the nurse include in the plan of care?

A)Visually check the resident every hour.
B)Turn and reposition the resident every hour.
C)Assess condition of the skin every 4 hours.
D)Reassess the need for the security device every 4 to 8 hours.

Question 11

The nurse planning a group TV activity in a long-term care facility would choose a channel that offers a(n):

A)cartoon.
B)travel documentary.
C)dramatic two-part mini-series.
D)opera performance.

Question 12

Treatment resources that focus on restorative care for people with chronic illness and disabilities are: (Select all that apply.)

A)outpatient clinics.
B)long-term health care facilities.
C)home care.
D)rehabilitation agencies.
E)hospice agencies.

Question 13

To motivate a frustrated stroke patient who is learning to walk again,the most effective motivational intervention the rehabilitation nurse could make is to:

A)show short movies on ambulation techniques.
B)observe the patient while in physical therapy.
C)arrange a visit with another stroke victim who has learned to ambulate.
D)encourage a 1-week break from therapy, which will help the resident come back refreshed.

Question 14

The nurse caring for the resident who is disoriented can provide the best care with which intervention?

A)Ensuring activities are scheduled for the same time each day
B)Changing care assignments for assistive personnel frequently to prevent burnout
C)Encouraging autonomy by allowing the resident to choose clothes from the closet
D)Administering sedatives to calm the patient

Question 15

The nurse cautions the 70-year-old patient who just had the cast removed from a broken arm that the immobility during the time he was in a cast can cause:

A)arthritis.
B)phlebitis.
C)frozen shoulder.
D)painful swelling.

Question 16

The nurse instructing a family in the selection of a chair for an older adult with Parkinson's disease would stress selecting a chair that:

A)is very wide to allow for position changes.
B)has sturdy arms to aid in rising.
C)is low to prevent falls.
D)is soft and deep for added comfort.

Question 17

A resident with advanced Parkinson's disease stays in his wheelchair all day because it is too tiring to walk and he is fearful of falling.In order to increase mobility,the best intervention would be to:

A)instruct the resident in crutch walking.
B)assist the resident to walk in the hallway with a gait belt.
C)encourage the resident to rock back and forth in his wheelchair to off load weight.
D)arrange for a walking cane.

Question 18

The chief goal of a long-term care facility is to:

A)offer restorative services.
B)promote individual independence.
C)facilitate achievement of complete autonomy.
D)manage medication protocols.

Question 19

The charge nurse instructs the nursing assistants to answer the call lights promptly,especially for patients who are receiving:

A)diuretics for fluid reduction.
B)antibiotics for infection.
C)proton pump medications for gastric reflux.
D)NSAIDs for arthritis.

Question 20

To decrease the incidence of falls,the nurse will arrange for the replacement of:

A)canes with 4 feet with a single-footed cane.
B)hard-soled shoes with soft-soled bedroom slippers.
C)area rugs with a nonslip pad.
D)plain carpet with a highly patterned carpet.

Question 21

When delegating care to a nursing assistant,the LPN/LVN should: (Select all that apply.)

A)give specific instruction as to what is to be done.
B)instruct how the task is to be done.
C)list information that needs to be reported.
D)be aware that the nurse is responsible for outcome of delegated care.
E)insist that the nursing assistant accept the responsibility.

Question 22

The LPN/LVN in a long-term health care facility may perform in the roles of: (Select all that apply.)

A)charge nurse.
B)designer of nursing care plans.
C)administrator of medications.
D)administrator of wound care.
E)assignment delegator.

Question 23

The LPN/LVN can apply a physical restraint to a resident in a long-term care facility when: (Select all that apply.)

A)an order for the restraint is obtained within 12 hours of application.
B)all other measures have been attempted and failed.
C)documentation is made on all failed attempts.
D)the family is unable to stay with the resident.
E)the least restrictive device is chosen.

Question 24

The patient who has been in traction for bilateral femur fractures complains of constipation.To stimulate bowel action,the nurse will: (Select all that apply.)

A)provide prune juice from the snack cart.
B)increase fluid intake.
C)arrange for high-fiber foods such as cauliflower and broccoli.
D)give prescribed stool softeners.
E)encourage milk products.

Question 25

The nurse working in a long-term care facility is aware that in order to comply with Medicare guidelines,documentation of assessment findings which measure physical,psychological,and psychosocial functioning are necessary using the _____________________.

Question 26

The rehabilitation nurse outlines the impact of disability,which includes: (Select all that apply.)

A)unchanged family roles.
B)life patterns centered around treatment or rehabilitation.
C)grief over what has been lost.
D)spiritual distress.
E)sense of powerlessness.

Question 27

The rehabilitation nurse makes the point that a dysfunction of a specific body part is termed __________.

Question 28

Long-term health care facilities are the center of treatment for people who are: (Select all that apply.)

A)recovering after the most acute phase of their illness is over.
B)receiving rehabilitation after a joint replacement.
C)too weak from primary illness to care for themselves presently.
D)in need of a permanent home because of effects of a chronic condition.
E)under treatment for substance abuse.

Question 29

The nurse reinforces that the multifocused goal of rehabilitation is to: (Select all that apply.)

A)promote new coping skills.
B)teach adaptive living skills.
C)focus on self-care for increased independence.
D)improve quality of life.
E)restore former level of function.

Question 30

The student nurse is becoming familiar with Healthy People 2020 goals related to rehabilitation.The student nurse demonstrates an understanding of the goals when identifying which of the following as goals? (Select all that apply.)

A)Increase the proportion of adults with disabilities who participate in social activities.
B)Increase the proportion of adults with disabilities who report satisfaction with life.
C)Increase the proportion of people with disabilities who report not having the assistive devices and technology needed.
D)Reduce the proportion of adults with disabilities who report feelings such as sadness, unhappiness, or depression that prevent them from being active.
E)Reduce the proportion of people with disabilities who report environmental barriers to participation in home, school, work, or community activities.