Question 1

When was the idea conceived that functional rehabilitation was more than just treating injuries?

Accepted Answer

Dr.Howard Rusk,director of the Army Air Corps Convalescent and Rehabilitation Services during World War II,developed the philosophy and concept of rehabilitation medicine.The war thus produced an interest in functional rehabilitation in addition to care of the actual injuries.

Question 2

A 69-year-old woman entered a nursing home because she was no longer able to care for herself and her home.At this time,she was not eligible for Medicaid.What is the probable reason why she does not qualify for Medicaid?

Accepted Answer

Medicaid will pay only when an individual's financial assets have been almost depleted.

Question 3

A nurse is assessing the community reintegration needs of a client who has had a spinal cord injury.Which of the following questions is most appropriate for the nurse to answer?

Accepted Answer

Support of friends and family is important for the client to have successful reintegration into the community.Home delivery of medications,current health status,and need for ongoing therapies must all be assessed,but without a support network,these things are not significant.

Question 4

A young woman,as a result of her mother's medication use during pregnancy,was born without arms.She used her feet to eat,engage in grooming,and correspond via computer.How might a nurse summarize this example?

Accepted Answer

Although such a skill certainly demonstrates persistence and evidence of the human spirit to overcome obstacles,the professional term is habilitation.Habilitation is the development of new abilities,not recovery of former abilities.

Question 5

Which type of legislation provided assistance to workers who were unemployed because of work-related injuries?

Accepted Answer

The first major legislative initiative that helped people with disabilities was the workers' compensation laws;they provided financial support for workers unemployed because of work-related injuries.Disabilities laws provide protection from discrimination for people who are disabled.Community living legislation attempts to help disabled persons stay in the community and access support services as needed.Vocational rehabilitation acts authorized vocational rehabilitation services for those who are disabled.

Question 6

Whether a physical problem interferes with successful functioning in life primarily depends on the

Accepted Answer

Although all these factors certainly play a part,the critical factor in determining the extent of an individual's handicap is the environment.Disabilities can be handicapping in one situation but not in another.A hunter with poor eyesight could starve to death,whereas an urban dweller with access to glasses or contact lenses would notice little difference in life.

Question 7

A client who has a physical disability has moved into a new community.Which of the following factors will determine how well the client will function in this community?

Accepted Answer

Although all these factors certainly play a part,the psychosocial component is very powerful,and so the attitudes of the able-bodied community members largely determine how successfully a person with a disability can become integrated into the community.

Question 8

What is the reason why more and more people will require care because of disabilities?

Accepted Answer

The increased life expectancy and increased number of elderly people in society are primarily responsible for the increased number of people requiring care.Although chronic diseases are also being treated better,thereby extending life expectancy,there are still many flaws in the health care system that limit the services that people can receive.Improved lifesaving technology with traumatic injuries and increased premature births has also increased the number of people requiring care,but this is not the primary reason.

Question 9

A 73-year-old man admitted that he was permanently disabled.What is the most probable cause of his disability?

Accepted Answer

Two of the leading causes of disabilities are arthritis and orthopedic impairments,which inhibit a person's ability to work and function independently.Arthritis is the leading cause of disability.

Question 10

What is the primary difficulty for which people older than age 18 require rehabilitation services?

Accepted Answer

More than 17% of the population reports difficulty with specific functional activities such as walking three or more blocks or climbing stairs.Six percent or fewer complain of difficulty with activities of daily living,instrumental activities,or use of assistive aids.

Question 11

What does workers' compensation legislation in all states require from the employer?

Accepted Answer

Workers' compensation laws require employers to assume the cost of occupational disabilities without regard to any fault involved,thereby sparing employers civil lawsuits involving negligence.

Question 12

A 32-year-old man applied for admission to a nursing home because he was no longer able to care for himself at his home.Without knowing any more about his problems,why is he probably seeking admission?

Accepted Answer

Young people in their 20s and 30s who have spinal cord injuries,severe multiple sclerosis,acquired immune deficiency syndrome,or amyotrophic lateral sclerosis often seek admission to a nursing home because there are no other alternatives available to them in the community.

Question 13

Which of the following interventions best describes the primary responsibility of a rehabilitation nurse?

Accepted Answer

The rehabilitation nurse is primarily an educator,so that the client and family can make appropriate decisions and make appropriate interventions as to needs,planning,giving care,and obtaining resources.

Question 14

What is the primary goal of rehabilitation?

Accepted Answer

Rehabilitation is a process aimed at enabling people to reach and maintain their optimal physical,sensory,intellectual,psychological,and social functional level.Thus,the central focus is the quality of life.

Question 15

An employer has recently hired a person with a disability who will require special accommodations.What will a typical "reasonable accommodation" cost an employer?

Accepted Answer

Accommodation is usually not expensive;it is often as simple as a rearrangement of equipment.Thus the smallest figure is the most probable.The examples in the main textbook were all much lower in cost.

Question 16

Which piece of legislation increased problems for some disabled persons?

Accepted Answer

The Balanced Budget Act narrowed the definition of "home-bound" so that people were no longer eligible for home care under Medicare if they were able to leave home for any reason other than medical services.The restriction was unfortunate because people should be encouraged to remain as active as possible within their physical limitations.

Question 17

A client has started a rehabilitation program after a stroke.What is the primary purpose of this program?

Accepted Answer

The goal of the rehabilitation process is to support a holistic approach that,with the collaboration of the team,will maximize client independence.

Question 18

Which of the following statements regarding disabled employees and employers is accurate?

Accepted Answer

Some people with disabilities may be more susceptible to disability-related illnesses,but this possibility does not justify discrimination in hiring.The belief that people with disabilities are not good employees because they are unreliable,dependent,frequently absent from the job because of illness,and too expensive to employ because of their health care costs is inaccurate.

Question 19

Which of the following is emphasized as part of the holistic approach to rehabilitation by the Association of Rehabilitation Nurses?

Accepted Answer

All nurses must focus on the primary goal of maximizing client independence.Developing new abilities is habilitation,not rehabilitation.

Question 20

A middle-aged adult had a stroke,which resulted in left-sided paralysis.His wife was doing her best as she learned to care for him but found it difficult.He had always been the "strong one." Besides his physical problems,what is probably causing the most suffering for him?

Accepted Answer

Because the injury has just occurred,the husband is probably grieving,which includes confronting all the other problems listed.

Quiz 26: Rehabilitation Clients in the Community