Deck 9: Rehabilitation and Restorative Care

Question 1

The nursing assistant is caring for five clients receiving rehabilitative therapy. Which observation(s) should the nursing assistant report to the nurse immediately? Select all that apply.

A) Client 1 has a pulse of 120 beats per minute at rest.
B) Client 2 walked using parallel bars.
C) Client 3's skin under the brace is reddened.
D) Client 4's fastening strap on the brace is broken.
E) Client 5 feels thirsty and wants water.

Answer 1

Client 1 has a pulse of 120 beats per minute at rest.
Client 3's skin under the brace is reddened.
Client 4's fastening strap on the brace is broken.

Question 2

A client undergoing physical rehabilitation is becoming more frustrated with what they perceive as a lack of progress. The nursing assistant's best response is:

A) "We should just accept the way of God and let things be the way they are."
B) "I am so impressed you're doing so much better than you did last week!"
C) "What part of the rehab is frustrating you the most?"
D) "I'll bet you'll be back to normal in no time."

Answer 2

"What part of the rehab is frustrating you the most?"

Question 3

When assisting a client with a disability, a nursing assistant will:

A) provide total care so the client does not become frustrated.
B) express pity for the loss so the client knows someone cares.
C) discourage the client from attempting things they may fail at.
D) provide the client with the extra time needed to do things independently.

Answer 3

provide the client with the extra time needed to do things independently.

Question 4

The major focus of physical rehabilitation is to help a person:

A) accept physical limitations.
B) return to gainful employment.
C) cope with emotional distress.
D) manage disabilities.

Question 5

Which statement about the Omnibus Budget Reconciliation Act (OBRA) mandate regarding rehabilitation services is true?

A) Long-term care facilities must provide rehabilitative services that meet the specific needs of the residents in the facility.
B) Rehabilitative services must be provided only to residents who stand a reasonable chance of regaining full function.
C) Rehabilitative services must be provided free of charge to all hospital clients who need them.
D) Rehabilitative services must be offered only to residents with specific types of disabilities.

Question 6

Rehabilitation is begun:

A) as soon as the client is medically stable.
B) when the client expresses an interest in rehab services.
C) as soon as the insurance company approves the rehab services.
D) when the client can demonstrate physical and emotional recovery.

Question 7

The main reason physical rehabilitation uses exercise is to:

A) help with socialization.
B) increase the client's appetite.
C) prevent joint contractures.
D) minimize the client's risk for depression.

Question 8

Which statement concerning rehabilitation is true?

A) Rehabilitation's focus is on the whole person.
B) The person's disability is the main concern.
C) Rehabilitation is generally completed in 6 months.
D) Most physical problems can be repaired by rehabilitation.

Question 9

The nursing assistant caring for a resident who is learning how to use an assistive device helps the resident the most by:

A) encouraging the resident to participate in rehab activities.
B) being sure that the resident is dressed and ready to go to rehab on time.
C) becoming familiar with how the resident should be using the assistive device.
D) notifying the nurse when the resident is experiencing frustration using the device.

Question 10

The main reason a nursing assistant encourages a resident to be as independent as possible is to:

A) be able to provide care for as many residents as possible.
B) follow the instructions provided by the nurse.
C) increase the residents' physical strength.
D) help build the residents' self-esteem.

Question 11

Which action would be appropriate for the nursing assistant to perform during the acute phase of rehabilitation process?

A) Taking serial vital signs and report findings to nurse.
B) Encouraging the resident to change positions frequently to prevent skin breakdown.
C) Observing how the resident is utilizing an assistive device to eat.
D) Helping the resident use a walker correctly.

Question 12

Which is a description of a resident who should be referred for emotional rehabilitation?

A) Has trouble holding eating utensils in their hands while eating.
B) Acts frustrated when trying to express desires. Seems to understand directions but can't respond appropriately.
C) Struggles with the knowledge that they must learn to walk and speak all over again after a stroke.
D) Reports to the nursing assistant that people are trying to poison the resident and refuses to eat any unwrapped items.

Question 13

Which resident should be referred to a speech-language pathologist?

A) A resident having difficulty learning to put on and tie shoes.
B) A resident who chokes and starts coughing every time when trying to drink water.
C) A resident who does not understand why the resident needs to take so many medications.
D) The resident who is experiencing a fever with chills and a moist, productive cough.

Question 14

A client, who has just been transferred to the rehabilitation unit, is having trouble holding silverware and feeding themselves. The nursing assistant who is also trained to assist with feeding has visited with the nurse and is recommending the best option:

A) All food trays be brought to the nursing station for the RN to evaluate whether it is safe for the client to have these food items unattended.
B) Ordering a wrist brace to support the weakened hand/wrist.
C) A cup holder for all their food items they can eat without assistance.
D) Built-up handles on their silverware for better control.

Question 15

A client with paraplegia has been struggling to get out of bed into a wheelchair without assistance. Today working on this task for an hour, the client accomplished sitting on the side of bed and placing a support board under the thigh. The client expressed disappointment. The best response by the nursing assistant is:

A) "Don't worry, tomorrow is a brand-new day."
B) "Let me go get your nurse, I'm sure the nurse can help me get you into the wheelchair."
C) "Today you made some progress. Each day you will be able to achieve more with practice."
D) "Let me help you back into bed and I'll tell your nurse you need some pain medication."

Question 16

Which action would be appropriate for the nursing assistant to perform during the subacute phase of rehabilitation process?

A) Take surgical vital signs and report findings to the nurse.
B) Encourage the resident to change positions frequently to prevent skin breakdown.
C) Observe how the resident is utilizing an assistive device to dress themselves.
D) Help the resident use their walker correctly and safely.

Question 17

Which action would be appropriate for the nursing assistant to perform during the chronic phase of rehabilitation process?

A) Empty the urine from an indwelling catheter and record output.
B) Weigh the surgical client and report any change in weight.
C) Use an assistive device to feed the client their meal.
D) Help the resident use their crutches correctly.

Question 18

The nursing assistant is caring for a client who is in the subacute phase of rehabilitation. The nursing assistant follows the nursing care plan and removes the splint (supportive device) and provides range of joint motion (ROJM) exercises as taught by the physical therapist. The joint has stiffness and swelling and a reddened area where the splint was. What is the best action for the nursing assistant to take?

A) Replace the supportive device loosely.
B) Provide more force with the ROJM exercises.
C) Report the observations to the nurse immediately.
D) Use an ice pack to decrease the swelling and redness.

Question 19

As part of the planning process, which newly admitted client should be referred for vocational rehabilitation?

A) A retired elementary school teacher who has expressive and receptive aphasia.
B) A construction worker who fell from a scaffolding and is diagnosed as paraplegic.
C) A homemaker and mother of three who had a stroke with left-sided weakness.
D) A bank president in a coma and vegetative state after a motor vehicle incident.

Question 20

The nursing assistant is caring for a client after surgery in an acute rehabilitation unit who suddenly develops pallor and drowsiness, and vital signs are as follows: BP 88/50, HR 110, RR 6. What action should the nursing assistant take first?

A) Observe for blood on the surgical dressing.
B) Activate the emergency response system.
C) Ask the client to take some deep breaths.
D) Prepare to provide cardiopulmonary resuscitation.