Question 1

A resident has a fractured right hip. You must use devices to prevent

Accepted Answer

Devices are used to prevent external rotation of the hip in patients with a fractured hip to maintain proper alignment and promote healing.

Question 2

The total or partial loss of the ability to use or understand language is

Accepted Answer

Aphasia is the correct answer as it refers to the loss of ability to use or understand language. Dysphagia refers to difficulty in swallowing, paralysis refers to loss of muscle function, and dementia refers to a decline in cognitive function.

Question 3

Which is a common effect of stroke?

Accepted Answer

Hemiplegia, or partial paralysis on one side of the body, is a common effect of stroke. Quadriplegia, or paralysis of all four limbs, is less common and typically associated with spinal cord injuries. Mask-like expression, or lack of facial expression due to muscle weakness, can also occur after a stroke. Sclerosis, which refers to a hardening or thickening of tissues, is not typically associated with stroke.

Question 4

A resident's left leg was amputated. The person complains of pain in the left leg. This is

Accepted Answer

Phantom limb pain is a type of pain that occurs after amputation, where the person feels pain, cramping or other sensations in the missing limb. This is due to the brain continuing to receive pain signals from the nerves that originally supplied the missing limb.

Question 5

Stroke occurs when which one of the following happens?

Accepted Answer

Stroke occurs when there is bleeding in the brain or a blood clot, which blocks blood flow to the brain. Hypertension, diabetes, infection, accidental injury, aging, and poor nutrition can be risk factors for stroke, but they do not cause a stroke directly.

Question 6

Expressive aphasia relates to problems with

Accepted Answer

Expressive aphasia, also known as Broca's aphasia, involves difficulty in producing language or sending out thoughts, while comprehension is typically less affected.

Question 7

Quadriplegia is paralysis

Accepted Answer

Quadriplegia is paralysis in all four limbs, which includes the arms, legs, and trunk. This can be caused by spinal cord injuries, neurological disorders, or other medical conditions that affect the nerves and muscles throughout the body. Therefore, option D is the best choice.

Question 8

Effects from stroke often include the following except

Accepted Answer

Tremors and stiff muscles are not typically associated with stroke. The other options are common effects of stroke.

Question 9

Warning signs of stroke last a few minutes. This is called

Accepted Answer

The warning signs of stroke lasting a few minutes is called a transient ischemic attack (TIA). A TIA is a temporary interruption of blood flow to the brain and is a warning sign that a more severe stroke may occur in the future. A cerebrovascular accident (CVA) and a brain attack are two other terms used for a stroke but do not specifically refer to a transient, temporary event. An early warning is a general term that can apply to any type of warning, including those related to stroke but does not specifically refer to a TIA.

Question 10

A resident fell in the shower and fractured his right hip. The person returned to the nursing center after surgery to repair the hip. He is at risk for which of the following post-operative complications?

Accepted Answer

After surgery to repair a hip fracture, older adults are at higher risk for post-operative complications, including pressure ulcers due to immobility, constipation due to pain medications and immobility, and confusion due to anesthesia and changes in routine. Depression, skin tears, burns, incontinence, hair loss, stomatitis, diarrhea, bleeding, and infection are not as common in older adults after hip surgery.

Question 11

Another term for quadriplegia is

Accepted Answer

Quadriplegia is also known as tetraplegia. "Quadri" means four and "plegia" refers to paralysis, so quadriplegia or tetraplegia refers to paralysis of all four limbs. Paraplegia refers to paralysis of the lower half of the body, while biplegia and uniplegia are not commonly used terms in medical terminology.

Question 12

Tissues die and become black, cold, and shriveled. This is

Accepted Answer

The symptoms described are typical of gangrene, which occurs when tissues lose blood supply and begin to die. Cancer, arthritis, and metastasis do not have these specific symptoms.

Question 13

A patient had a stroke. When does rehabilitation begin?

Accepted Answer

Rehabilitation should begin as soon as possible after a stroke, ideally within the first 24-48 hours. This can involve working with a multidisciplinary team of healthcare professionals in the hospital, such as physical therapists, occupational therapists, and speech therapists, to initiate early mobilization, functional activity training, and communication exercises. The goal is to promote recovery and prevent complications, such as muscle weakness, contractures, and pneumonia. Therefore, option D is the best choice.

Question 14

Warning signs of stroke include the following except

Accepted Answer

Sudden, severe chest pain and shortness of breath are not usually associated with stroke. The other options are warning signs of stroke.

Question 15

A patient is in traction. Which is incorrect?

Accepted Answer

Removing weights can disrupt the traction setup and potentially harm the patient. Complaints of pain or numbness should be addressed by a healthcare professional without altering the traction.

Question 16

Another term for expressive aphasia is

Accepted Answer

Expressive aphasia is also known as Broca's aphasia which is characterized by difficulty in speaking fluently and forming sentences due to damage in Broca's area of the brain.

Question 17

Care of a person after a stroke often includes the following except

Accepted Answer

Ostomy care is not typically associated with the care of a person after a stroke. The other options listed are commonly included in the care plan for stroke patients to prevent complications and promote healing.

Question 18

Stroke is

Accepted Answer

Stroke is a disease that occurs when the blood supply to part of the brain is interrupted or reduced, usually due to a blockage in the arteries that supply blood to the brain.

Question 19

Paralysis on one side of the body is

Accepted Answer

Hemiplegia is defined as paralysis on one side of the body, often caused by damage to the brain due to stroke or traumatic injury. Uniplegia refers to paralysis in one limb, biplegia refers to paralysis in both legs, and paraplegia refers to paralysis from the waist down.

Question 20

Paraplegia is paralysis

Accepted Answer

Paraplegia is a type of paralysis that affects the lower half of the body, including both legs and the trunk. This means that the person is unable to move or feel their legs and may also have difficulty controlling their bowel and bladder functions.

Quiz 28: Caring for Persons With Common Health Problems