Deck 39: Rehabilitation Nursing

Question 1

When planning care for children,the nurse uses a new concept that incorporates the family as equal partners in the rehabilitation process,which is called:

A) child-centered care.
B) systems-centered care.
C) family-centered care.
D) individual-centered care.

Answer 1

family-centered care.

Question 2

The rehabilitation nurse outlines the need for comprehensive rehabilitation for better functional outcomes for the patient.A comprehensive rehabilitation plan of care must be implemented following admission within:

A) 12 hours.
B) 24 hours.
C) 3 days.
D) 1 week.

Answer 2

24 hours.

Question 3

The nurse recognizes that the acquisition of adaptive skills and behaviors by an individual who has been disabled since birth is referred to as:

A) training.
B) education.
C) development.
D) habilitation.

Answer 3

habilitation.

Question 4

Approximately 50% of the rehabilitation nurse's contribution to the rehabilitation effort is having a broad knowledge base of the pathophysiology modalities of rehabilitation.The other major contribution is:

A) implementation.
B) encouragement.
C) evaluation.
D) cooperation.

Question 5

The nurse takes special care to be gentle in caring for patients with spinal cord injuries to avoid stimulating the autonomic nervous system and triggering an episode of:

A) paresis.
B) heterotopic ossification.
C) postural hypotension.
D) autonomic dysreflexia.

Question 6

The nurse instructs the mother of a 5-year-old who sustained a mild brain injury that although all neurological evaluations are normal,her child may exhibit postconcussive syndrome,which is characterized by:

A) convulsions and high fever.
B) irritability and memory deficits.
C) muscular twitching and muscle pain.
D) paresis of limbs.

Question 7

The nurse recognizes that the rehabilitation process involves the efforts of various disciplines whose focus is to build on a person's:

A) losses.
B) long-term plans.
C) drives.
D) abilities.

Question 8

A patient with quadriplegia resulting from a spinal cord injury says to the rehabilitation nurse,"I'm sick of this interdisciplinary stuff! What is an occupational therapist going to do for me? Can she give me an "occupation?" The most helpful response the nurse could make is:

A) "No,but the occupational therapist can show you how to enjoy some recreational activities."
B) "Yes,in a way.The occupational therapist provides training that strengthens muscles you can still control."
C) "Maybe.The occupational therapist recommends adaptive equipment that will make you more independent."
D) "No,the voc-rehab counselor helps with employment.The occupational therapist helps train you for improved communication skills."

Question 9

The nurse who is part of a team focused on restoring an individual to the fullest physical,mental,social,vocational,and economic capacity is practicing:

A) holistic nursing.
B) conscientious nursing.
C) rehabilitation nursing.
D) comprehensive nursing.

Question 10

The nurse explains that the main goal of gerontological rehabilitation nurses (GRNs)is to provide rehabilitative care,and also to teach:

A) restoration.
B) prevention.
C) adaptive skills.
D) positive reinforcement.

Question 11

The rehabilitation nurse instructs a paraplegic athlete that the rehabilitation experience will consist of:

A) relearning former skills.
B) learning to walk.
C) learning new skills to adapt to a different lifestyle.
D) developing muscle strength.

Question 12

The rehabilitation nurse explains that the difference between multidisciplinary and interdisciplinary is that in an interdisciplinary approach:

A) each discipline makes its own goals for the patient.
B) the entire team collaborates on the goals for the patient.
C) the team is led by several members from different disciplines.
D) cross-trained people are utilized who have functional ability in two or more disciplines.

Question 13

When caring for a 32-year-old Hispanic male who has become disabled,the rehabilitation team will set the priority of treatment goals based on the:

A) difficulty of the language barrier.
B) cultural significance of the disability.
C) depth of the patient's support system.
D) attitude toward rehabilitation.

Question 14

When changing the position of a patient with a spinal cord injury at T4,the nurse observes the first indication of an episode of autonomic dysreflexia,which is:

A) nausea.
B) pallor.
C) goose bumps.
D) dizziness.

Question 15

The rehabilitation nurse stresses that the primary difference between rehabilitation of children and rehabilitation of adults is the child's:

A) level of disability.
B) body part involved.
C) degree of disability.
D) developmental potential.

Question 16

The nurse who is engaged in gerontological rehabilitation nursing has a dual challenge.The gerontological rehabilitation nurse must assess not only the debilitating factors of disease but also the debilitating factor of:

A) advancing age.
B) reduced ability to learn.
C) limited energy.
D) eroded interest level.

Question 17

To reduce the incidence of postural hypotension in a patient with a spinal cord injury,the nurse should:

A) monitor diastolic blood pressure closely.
B) encourage the patient to sit in wheelchair in upright position.
C) raise the head of the bed 45 degrees before transfer to a wheelchair.
D) encourage adequate intake of fluids to expand fluid volume.

Question 18

When assessing a brain-injured patient's inconsistent performance,the nurse recognizes that egocentricity increases the potential for:

A) learning.
B) depression.
C) anger and frustration.
D) intense concentration.

Question 19

The nurse who helps a family and a patient with a disability rejoice in the acquisition of the smallest new skill is following the rehabilitation philosophy of:

A) resolving impairments.
B) removing disabilities.
C) increasing quality of life.
D) returning to the community.

Question 20

When caring for a patient with a disability,the rehabilitation nurse provides individual treatment to help the patient stay focused on the goal of:

A) returning to normal.
B) independence.
C) employment.
D) promotion of health.

Question 21

When pointing out the economic significance of rehabilitation,the rehabilitation nurse uses a chart to show that for every dollar spent on rehabilitation,the amount saved is:

A) $2.
B) $3.
C) $4.
D) $5.

Question 22

The nurse explains that the Americans with Disabilities Act of 1990 defines a person as disabled if which criteria are met? (Select all that apply.)

A) The person has a physical or mental disability.
B) The person is limited in a major life activity.
C) The person has a medical record of the impairment.
D) The person is unemployed.
E) The person needs assistance in completion of ADLs.

Question 23

The rehabilitation nurse can use basic rehabilitation skills regardless of the origin of the disability.An example of an intervention that would be effective for a person with arthritis,a person with a brain injury,or a person with a spinal cord injury is:

A) encouraging large fluid intake.
B) seeking spiritual support from a higher being.
C) using the spouse as a support system.
D) positioning to maintain alignment.

Question 24

The nurse teaches a patient that autonomic dysreflexia can be triggered by a:

A) loud sound.
B) distended bladder.
C) leg cramp.
D) sudden chilling.

Question 25

The rehabilitation nurse recognizes that the majority of head injuries show no abnormal neurological findings and experience no loss of consciousness,which categorizes them as:

A) mild.
B) moderate.
C) severe.
D) catastrophic.

Question 26

The nurse who assesses for cultural influences,values cultural diversity,and incorporates cultural knowledge in his practice is said to be ____________ _____________.

Question 27

The nurse recognizes that a handicap differs from impairment in that a handicap is:

A) a loss of function.
B) a disadvantage that limits a particular individual in his or her usual role performance.
C) a specific restriction to perform an activity or role.
D) usually of a physical nature.

Question 28

The rehabilitation nurse assesses localized edema around the knee of a patient with paraplegia.The nurse suspects that this is the first sign of __________ _____________.

Question 29

The rehabilitation nurse tells the patient that a truly successful quality rehabilitation program will result in a patient who:

A) continually strives to gain greater independence.
B) becomes employed.
C) views himself realistically.
D) reenters the community.

Question 30

A child who was struck by a car and suffered a closed head injury was unconscious for 24 hours before waking.The nurse recognizes this as a _______ brain injury.

Question 31

To decrease the potential for a deep vein thrombosis (DVT)in a patient who is a paraplegic from a spinal cord injury,the nurse will:

A) massage the patient's legs daily.
B) perform passive range-of-motion exercises.
C) encourage frequent warm baths.
D) allow the patient's legs to dangle for a period of 10 minutes several times a day.

Question 32

When a 33-year-old patient with a spinal cord injury says to the nurse,"I've let my family down.I don't know what to do," the nurse's best response is:

A) "After your rehabilitation starts,you'll feel better."
B) "You should be grateful you are alive."
C) "What does this injury mean to you?"
D) "Technological advances are changing the future for spinal cord injury victims."

Question 33

The rehabilitation nurse prepares the family for when the patient with a brain injury begins to regain memory.The nurse explains that the patient will most likely become more:

A) combative.
B) angry.
C) depressed.
D) retiring.

Question 34

The rehabilitation nurse stresses to the family of a patient with a brain injury that difficult and painful rehabilitation will be required for at least:

A) 1 to 2 years.
B) 2 to 4 years.
C) 5 to 10 years.
D) 6 to 12 years.

Question 35

What are the characteristics of chronic illness as compiled by the Commission on Chronic Illness? (Select all that apply.)

A) The illness requires specialized training for rehabilitation.
B) The illness cannot be overcome.
C) The illness is permanent.
D) The illness has an unpredictable outcome.
E) The illness leaves a residual disability.

Question 36

When the nurse observes a patient experiencing a severe episode of autonomic dysreflexia,the initial intervention is to:

A) locate the cause of irritation.
B) assess the blood pressure.
C) cover the patient with several blankets.
D) raise the head of the bed to a high Fowler's position.

Question 37

When assessing a patient with a cervical spinal injury (CSI),the rehabilitation nurse notes paralysis of the lower extremities as well as bladder and bowel incontinence.The nurse recognizes the injury as most likely occurring at the vertebral level of:

A) C1 to C2.
B) C3 to C4.
C) C2 to C7.
D) C4 to C7.

Question 38

When speaking to a group of high school students,the rehabilitation nurse instructs that spinal cord injuries resulting in paralysis occur mainly as the result of traumatic accidents in:

A) middle-aged men.
B) older adult females.
C) young males.
D) young females.

Question 39

The rehabilitation nurse references the nursing diagnosis of impaired cognition for a 40-year-old patient who is brain injured and who:

A) frequently becomes violent.
B) becomes easily fatigued.
C) is depressed.
D) cannot add three numbers in his head.