Question 1

What should the nurse do to decrease the potential for a deep vein thrombosis (DVT)in a patient who is a paraplegic from a spinal cord injury?

Accepted Answer

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. 
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 2

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 which other factor?

Accepted Answer

A) Advancing age 
B) Reduced ability to learn 
C) Limited energy 
D) Eroded interest level 
A) Advancing age 
B) Reduced ability to learn 
C) Limited energy 
D) Eroded interest level

Question 3

Which is a characteristic of the interdisciplinary approach to the rehabilitation team?

Accepted Answer

A) Each discipline makes its own goals for the patient. 
B) There are clear boundaries between the disciplines. 
C) There is a combination of expanded problem solving beyond the boundaries of the individual disciplines. 
D) Cross-trained people are used who have functional ability in two or more disciplines. 
A) Each discipline makes its own goals for the patient. 
B) There are clear boundaries between the disciplines. 
C) There is a combination of expanded problem solving beyond the boundaries of the individual disciplines. 
D) Cross-trained people are used who have functional ability in two or more disciplines.

Question 4

What should a nurse explain to a patient as a cause of triggering autonomic dysreflexia?

Accepted Answer

A) Loud sound 
B) Distended bladder 
C) Leg cramp 
D) Sudden chilling 
A) Loud sound 
B) Distended bladder 
C) Leg cramp 
D) Sudden chilling

Question 5

When the nurse observes a patient experiencing a severe episode of autonomic dysreflexia,what should be the initial intervention?

Accepted Answer

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. 
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 6

When planning care for children,the nurse uses a concept that recognizes the pivotal role of the family in the lives of children with disabilities or other chronic conditions.What is this philosophy called?

Accepted Answer

A) Child-centered care 
B) Systems-centered care 
C) Family-centered care 
D) Individual-centered care 
A) Child-centered care 
B) Systems-centered care 
C) Family-centered care 
D) Individual-centered care

Question 7

The rehabilitation nurse can use basic rehabilitation skills regardless of the origin of the disability.What intervention would be effective for a person with arthritis,a person with a brain injury,or a person with a spinal cord injury?

Accepted Answer

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 
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 8

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

Accepted Answer

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." 
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 patient with a brain injury is beginning to regain memory.The nurse explains to the family that what will most likely occur?

Accepted Answer

A) The patient will become less combative. 
B) The patient will become angrier. 
C) The patient will become more depressed. 
D) The patient will wish to retire. 
A) The patient will become less combative. 
B) The patient will become angrier. 
C) The patient will become more depressed. 
D) The patient will wish to retire.

Question 10

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

Accepted Answer

A) Middle-aged men 
B) Older adult females 
C) Young males 
D) Young females 
A) Middle-aged men 
B) Older adult females 
C) Young males 
D) Young females

Question 11

The nurse used a diagnosis of impaired cognition for a 40-year-old patient with a brain injury.Which assessment data would support the diagnosis?

Accepted Answer

A) Frequently becomes violent. 
B) Becomes easily fatigued. 
C) Is depressed. 
D) Cannot add three numbers in his head. 
A) Frequently becomes violent. 
B) Becomes easily fatigued. 
C) Is depressed. 
D) Cannot add three numbers in his head.

Question 12

When caring for a patient with a disability,the rehabilitation nurse provides individual treatment to help the patient stay focused on which goals?

Accepted Answer

A) Returning to normal 
B) Independence 
C) Employment 
D) Promotion of health 
A) Returning to normal 
B) Independence 
C) Employment 
D) Promotion of health

Question 13

What should the nurse do to reduce the incidence of postural hypotension in a patient with a spinal cord injury?

Accepted Answer

A) Monitor diastolic blood pressure closely. 
B) Encourage the patient to remain in the bed. 
C) Raise the head of the bed for 15 to 20 minutes before transfer to a wheelchair. 
D) Encourage adequate intake of fluids to expand fluid volume. 
A) Monitor diastolic blood pressure closely. 
B) Encourage the patient to remain in the bed. 
C) Raise the head of the bed for 15 to 20 minutes before transfer to a wheelchair. 
D) Encourage adequate intake of fluids to expand fluid volume.

Question 14

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

Accepted Answer

competent
A culturally compete

Question 15

What is the best way to define a handicap?

Accepted Answer

A) Any loss of function 
B) A disability that interferes with one's normal functioning 
C) Any loss of ability to perform activities of daily living 
D) An irreversible lifelong impairment 
A) Any loss of function 
B) A disability that interferes with one's normal functioning 
C) Any loss of ability to perform activities of daily living 
D) An irreversible lifelong impairment

Question 16

When caring for a 32-year-old Hispanic male who has become disabled,on what should the rehabilitation team base the priority of treatment goals?

Accepted Answer

A) Difficulty of the language barrier 
B) Cultural significance of the disability 
C) Depth of the patient's support system 
D) Attitude toward rehabilitation 
A) Difficulty of the language barrier 
B) Cultural significance of the disability 
C) Depth of the patient's support system 
D) Attitude toward rehabilitation

Exam 39: Rehabilitation Nursing

What should the nurse do to decrease the potential for a deep vein thrombosis (DVT)in a patient who is a paraplegic from a spinal cord injury?

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 which other factor?

Which is a characteristic of the interdisciplinary approach to the rehabilitation team?

What should a nurse explain to a patient as a cause of triggering autonomic dysreflexia?

When the nurse observes a patient experiencing a severe episode of autonomic dysreflexia,what should be the initial intervention?

When planning care for children,the nurse uses a concept that recognizes the pivotal role of the family in the lives of children with disabilities or other chronic conditions.What is this philosophy called?

The rehabilitation nurse can use basic rehabilitation skills regardless of the origin of the disability.What intervention would be effective for a person with arthritis,a person with a brain injury,or a person with a spinal cord injury?

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

The patient with a brain injury is beginning to regain memory.The nurse explains to the family that what will most likely occur?

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

The nurse used a diagnosis of impaired cognition for a 40-year-old patient with a brain injury.Which assessment data would support the diagnosis?

When caring for a patient with a disability,the rehabilitation nurse provides individual treatment to help the patient stay focused on which goals?

What should the nurse do to reduce the incidence of postural hypotension in a patient with a spinal cord injury?

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

What is the best way to define a handicap?

When caring for a 32-year-old Hispanic male who has become disabled,on what should the rehabilitation team base the priority of treatment goals?

The Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patients Environment

Safety

Admission,transfer,and Discharge

Vital Signs

Physical Assessment

Oxygenation

Elimination and Gastric Intubation

Care of Patients Experiencing Urgent Alterations in Health

Dosage Calculation and Medication Administration

Fluids and Electrolytes

Nutritional Concepts and Related Therapies

Complementary and Alternative Therapies

Pain Management,comfort,rest,and Sleep

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Lifespan Development

Loss,grief,dying,and Death

Health Promotion and Pregnancy

Labor and Delivery

Care of the Mother and Newborn

Care of the High-Risk Mother, newborn, and Family With Special Needs

Health Promotion for the Infant, child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child With a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient With a Psychiatric Disorder

Care of the Patient With an Addictive Personality

Home Health Nursing

Long-Term Care

Hospice Care

Professional Roles and Leadership

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