Deck 9: Chronic Illness and Rehabilitation

Question 1

The long-term care facility nurse is discussing fall prevention measures with the charge nurse.Which replacement should the nurse suggest?

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

Answer 1

Replacing area rugs with a nonslip pad.

Question 2

The nurse is caring for a disoriented resident.Which intervention is most appropriate for the nurse to include when planning care for this patient?

A) Ensure that activities are scheduled for the same time each day.
B) Change care assignments for assistive personnel frequently to prevent burnout.
C) Encourage autonomy by allowing the resident to choose clothes from the closet.
D) Administer sedatives to calm the patient.

Answer 2

Ensure that activities are scheduled for the same time each day.

Question 3

The nurse is instructing a family about chair selection for an older adult with Parkinson disease.Which information is most important for the nurse to include?

A) Choose a chair that is very wide to allow for position changes.
B) Choose a chair with sturdy arms to aid in rising.
C) Choose a chair that is low to the ground to prevent falls.
D) Choose a chair that is soft and deep for added comfort.

Answer 3

Choose a chair with sturdy arms to aid in rising.

Question 4

Which treatment resource focuses on restorative care for people with chronic illness and disabilities?

A) Outpatient clinics
B) Long-term health care facilities
C) Home care
D) Rehabilitation agencies
E) Hospice agencies

Question 5

The nurse is educating a 70-year-old patient who just had a cast removed from a broken arm.The nurse should teach the patient about which potential effect of immobility related to casting?

A) Arthritis
B) Phlebitis
C) Frozen shoulder
D) Painful swelling

Question 6

The nurse is planning a group TV activity in a long-term care facility.The nurse should select a channel that offers which type of program?

A) Cartoons
B) Travel documentaries
C) Dramatic two-part mini-series
D) Opera performances

Question 7

When the confused resident pours his cereal in a cup and "drinks" it,how should the nurse best respond?

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) Do nothing to interrupt the behavior.

Question 8

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

A) Manipulative behavior
B) An unstable condition
C) A draining wound
D) A communicable disease

Question 9

Which statement describes the chief goal of a long-term care facility?

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

Question 10

The nurse is seeking to motivate a frustrated patient who is learning to walk again after a stroke.Which intervention would be most effective?

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 11

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

A) Cover the site with a transparent film dressing.
B) Apply warm compresses each shift.
C) Turn the patient every 2 hours.
D) Continue to monitor the area.

Question 12

The nurse is caring for an obese resident with a pressure ulcer on her coccyx.The patient frequently lies on her back because it is difficult to turn due to her weight.Which intervention most effectively encourages independence?

A) Instruct the 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 13

The nurse is caring for a resident who has a security device for safety purposes.What intervention should 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 14

The nurse is caring for an 85-year-old patient who has been on bed rest for a fractured hip.The nurse finds that the patient is flushed,has a temperature of 100° F,a pulse of 100,and respiratory rate of 24.What assessment should the nurse perform next?

A) Obtain blood pressure (BP)
B) Auscultate breath sounds
C) Assess for abdominal distention
D) Measure amount of urinary output in the last hour

Question 15

A resident with advanced Parkinson disease stays in his wheelchair all day.He reports that he is too tired to walk and is fearful of falling.Which intervention to increase the patient's mobility should the nurse add to the patient's care plan?

A) Instruct the resident in crutch walking.
B) Assist the resident with ambulating 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 16

The nurse is caring for a 76-year-old patient in a long-term care facility who sent his food tray back to the kitchen untouched for the second time today.Which intervention is most effective to increase nutrition?

A) Offer to feed the patient.
B) Ask the dietitian to talk with the patient about food preferences.
C) Offer the patient a high-protein drink.
D) Sit with the patient during meals.

Question 17

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.How should the nurse classify this person?

A) Impaired
B) Disabled
C) Handicapped
D) Dependent

Question 18

The nurse educates the nursing assistant about the importance of locking the wheels of a wheelchair.Which statement indicates that the nursing assistant understands the nurse's teaching?

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

Question 19

After assessing reddened heels on a bed-bound patient with a history of a stroke,which intervention should the nurse add to the care plan?

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

Question 20

The charge nurse instructs the nursing assistants about the policy concerning call lights.The nurse teaches that patients taking which type of medication require especially prompt call light attention?

A) Diuretics
B) Antibiotics
C) Proton pump inhibitors
D) Nonsteroidal anti-inflammatory drugs (NSAIDs )

Question 21

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

Question 22

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

Question 23

Which statement expresses a multi-focused goal of rehabilitation?

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

Question 24

When can the LPN/LVN apply a physical restraint to a resident in a long-term care facility?

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

Question 25

Which statement describes an impact of disability?

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 26

The patient who has been in traction for bilateral femur fractures complains of constipation.Which action(s)should the nurse take?

A) Provide prune juice from the snack cart.
B) Encourage increased fluid intake.
C) Arrange for high-fiber foods such as cauliflower and broccoli.
D) Administer prescribed stool softeners.
E) Encourage intake of milk products.

Question 27

What action should the LPN/LVN take when delegating care to a nursing assistant?

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 28

Which role may the LPN/LVN perform in a long-term health care facility?

A) Charge nurse
B) Designer of nursing care plans
C) Administrator of medications
D) Administrator of wound care
E) Assignment delegator

Question 29

Long-term health care facilities are the center of treatment for which type of patients?

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

Question 30

The student nurse is becoming familiar with Healthy People 2020 goals related to rehabilitation.The student nurse demonstrates understanding when identifying which goals?

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.