Question 1

A nurse is preparing a rehabilitation care plan for a client who was admitted to the healthcare facility with lower back pain. Which is the goal of rehabilitation?

Accepted Answer

Rehabilitation focuses on restoring a person's physical abilities and functions to the highest possible level after an injury or illness, which aligns with option D.

Question 2

A nurse is preparing a client with a new prosthetic leg for a visit from the physical therapist. Which are high priority goals of long-term rehabilitation therapy? Select all that apply.

Accepted Answer

B, D, E

Question 3

The nurse is preparing a rehabilitation plan for a client who has had a major stroke. Which member of the team would specifically help to improve the client's aphasia?

Accepted Answer

A speech therapist specializes in helping individuals improve their ability to communicate effectively, which includes addressing issues related to aphasia, a condition often resulting from a stroke that affects a person's ability to understand or produce speech.

Question 4

A client who has paralysis following a car accident is experiencing dyspraxia. Which problem is associated with this condition?

Accepted Answer

Dyspraxia, also known as developmental coordination disorder (DCD), primarily affects an individual's ability to perform coordinated movements. This includes challenges with tasks that require coordination and sequence, such as tying shoelaces, writing, or using tools. It does not directly affect speech, swallowing, or emotional regulation, although individuals with dyspraxia may experience a wide range of challenges.

Question 5

A 58-year-old male client needs long-term rehabilitation following a fall from a ladder that left him with a spinal cord injury. Where will most of his rehabilitation occur?

Accepted Answer

The answer of A 58-year-old male client needs long-term rehabilitation...

Question 6

According to Maslow, which needs should be the priority for the client in the acute stage of illness?

Accepted Answer

In the acute stage of illness, according to Maslow's hierarchy of needs, survival needs (such as physiological and safety needs) should be the priority. This includes ensuring that basic life-sustaining needs like breathing, food, water, and safety are met before addressing higher-level needs.

Question 7

A 40-year-old male client with multiple injuries involving his hands and legs is brought to the primary healthcare facility. The nurse should first assist the client in fulfilling which basic need?

Accepted Answer

Assisting the client to take food and water is the most basic need that should be fulfilled first.

Question 8

A client diagnosed with a hemiplegia prays for God to help him recover and states that he will go to church every day if he just recovers. What state of the grief reaction is this client experiencing?

Accepted Answer

The client is in the bargaining stage of grief, where individuals often try to make deals or promises in the hope of changing their situation.

Question 9

A nurse is preparing a list of members of the rehabilitation team required to care for a 20-year-old client with spinal cord injuries. Who should be included?

Accepted Answer

The answer of A nurse is preparing a list of...

Question 10

The nurse is performing a home assessment to determine if a client's home environment is appropriate for long-term rehabilitation from burns. Which considerations are priority when choosing a home environment? Select all that apply.

Accepted Answer

The answer of The nurse is performing a home assessment...

Question 11

The nurse is evaluating a 23-year-old female client who is confined to a wheelchair, to determine her ability to perform ADLs. Which evaluations should the nurse perform?

Accepted Answer

Functional evaluation is the correct choice because it directly assesses the client's ability to perform activities of daily living (ADLs), which is the focus of the question.

Question 12

A nurse is considering a career in rehabilitation. Which skill is the most important for this career choice?

Accepted Answer

Interpersonal skills are crucial in rehabilitation nursing as they involve working closely with patients to support their physical and emotional needs during recovery.

Question 13

A nurse preparing a rehabilitation plan for a client with hemiplegia includes a record for the activities of daily living (ADLs). Which client activity should be classified as an instrumental activity of daily living?

Accepted Answer

Instrumental activities of daily living (IADLs) are tasks that are more complex than basic self-care activities and include managing medications, which is why the ability to administer medications is classified as an IADL.

Question 14

The rehabilitation nurse is reviewing the functional ADLs of a client who has cerebral palsy. Which are examples of this type of ADL? Select all that apply.

Accepted Answer

These are all examples of functional ADLs, which are activities of daily living that are necessary for independent living.

Question 15

A 50-year-old client diagnosed with paraplegia uses a wheelchair. Which instructions should the nurse give to the caregiver regarding adaptations to be made for the convenience of the client at home?

Accepted Answer

Providing small lights in darker areas can help improve visibility and safety for the client, reducing the risk of accidents.

Question 16

The nurse meets with the representative of a company selling specialized clothing for persons with disabilities. Which is the priority goal of using this type of clothing?

Accepted Answer

The priority goal of specialized clothing for persons with disabilities is to promote independence by making it easier for them to dress and manage their clothing on their own.

Question 17

A nurse is caring for a 15-year-old client with impaired right hand mobility. Which prosthesis provide movement and control similar to normal thumb-finger opposition?

Accepted Answer

The answer of A nurse is caring for a 15-year-old...

Question 18

The nurse is performing a home assessment for a client with paraplegia who is being discharged from a rehabilitation facility in a wheelchair. Which home adaptation would the nurse recommend?

Accepted Answer

Raising the toilet seat and using L-shaped toilet paper holders are adaptations that can help a person with paraplegia manage bathroom activities more independently by making it easier to transfer from a wheelchair to the toilet and to reach toilet paper. Lever-style doorknobs are actually more accessible for individuals with limited hand function, high pile carpeting can impede wheelchair movement, and scatter rugs can be a tripping hazard or can bunch up under wheels, making them unsafe.

Question 19

Besides promoting self-esteem, what physical complications do effective, safe mobility help to prevent? Select all that apply.

Accepted Answer

Effective, safe mobility helps to prevent complications such as hypostatic pneumonia (due to prolonged immobility, leading to pooling of secretions in the lungs), pressure wounds (caused by prolonged pressure on the skin, reducing blood flow), thrombophlebitis (formation of a blood clot inside a vein due to immobility), and constipation (due to reduced bowel movements from lack of physical activity).

Question 20

The nurse is caring for clients with mobility alterations. Which nursing consideration would be appropriate when caring for these clients?

Accepted Answer

Sitting or kneeling to talk to clients in wheelchairs or scooters is appropriate as it promotes eye-level communication, enhancing dignity and respect.

Quiz 97: Ambulatory Nursing