Question 1

A nurse came limping into work with a huge cast on her right leg and asked to have an assignment for a week or two that did not require driving. The nurse said, "I never realized how difficult it is to get some places without two good legs. Now I know how persons with disabilities must feel!" Which of the following would be the most appropriate response from the nursing supervisor?

Accepted Answer

A)   "I'm sure you'll be even more understanding and supportive now."
B)   "Not really; you'll be out of that cast in a few weeks."
C)   "What a great opportunity to attend some support groups for people with disabilities and share with us which ones are most helpful."
D)   "Why don't you just take some sick leave rather than try to work with that leg cast?" B

Question 2

Which of the following is an accurate definition of impairment?

Accepted Answer

A)   A disadvantage resulting from a disability that prevents fulfillment of an expected role
B)   A restriction or inability to perform an activity in a normal manner
C)   An anatomical, mental, or psychological loss or abnormality
D)   A defect that affects society on a macro level C

Question 3

A man came for follow-up care to the free clinic, explaining that he had applied for a job based on his education and years of previous work experience, but, being in a wheelchair, he was turned down. Which of the following responses would be most appropriate for the nurse?

Accepted Answer

A)   "If you know you can do the job, go to the free legal aid clinic for assistance. The employer may not know the law."
B)   "No one would want to hire a handicapped person, so you can continue to come here for free care."
C)   "Because it can be expensive to obtain the necessary equipment to help you do that job, the employer has every right to refuse to hire you."
D)   "The law says, if a handicapped person applies, he or she has to get hired even if an able-bodied person also applies." A

Question 4

The mother confided in the nurse, "I don't think my child is improving." Which of the following statements would be the best response by the nurse?

Accepted Answer

A)   "My assessment shows your child is improving."
B)   "The children seem to be playing with and accepting your child."
C)   "The teacher reported to me that your child is doing much better."
D)   "What is causing your concern?"

Question 5

A young man rolled his wheelchair up the ramp into the clinic to the desk where the intake nurse greeted him. After welcoming him to the clinic, which of the following should be the initial question asked by the nurse?

Accepted Answer

A)   "Are you a vet home from the war?"
B)   "Can I help you into the treatment room to see the nurse practitioner?"
C)   "Do you have any family with you to help today?"
D)   "What brings you to the clinic today?"

Question 6

A nurse eagerly explained to a long-term disabled male client the most recent relevant research related to his care. The client, rather than express appreciation, said, "I prefer to have my care given this way." The nurse explained that research suggested an alternative approach was more clinically effective, but the client said, "I am more comfortable during the day if my care is given this way." Which of the following actions should be taken by the nurse?

Accepted Answer

A)   Accept that the client knows what works best
B)   Ask the nursing supervisor to review the research with the client
C)   Give evidence-based care according to current research findings
D)   Negotiate a compromise between patient preferences and research-based approach to care

Question 7

A family has recently learned that their child will be permanently disabled. The parents do not deny the disability, but do not fully realize its impact. Which of the following levels of adjustment are the parents experiencing?

Accepted Answer

A)   Self-actualization
B)   Normalization
C)   Ostrich phase
D)   Special designation

Question 8

Which of the following best describes why some advocacy groups have taken a strong stand against physician-assisted suicide?

Accepted Answer

A)   Ethical belief that life is always preferable to death
B)   Emphasis that there is always hope for a research breakthrough or discovery of a new treatment intervention
C)   Fear that some persons may be "encouraged" to accept an early death merely because they are not valued by society for their contributions
D)   Helping someone die is murder, plain and simple

Question 9

Which of the following insights is being stressed by advocacy groups regarding persons with disabilities today?

Accepted Answer

A)   Disability results when physical and social barriers in the environment prevent a person from taking equal part in community life.
B)   Handicapped persons have as much right to social support as nonhandicapped persons.
C)   It is recognized that an individual may be limited by an environmental barrier in society.
D)   Impairment is a result of society's reaction more than mental or physical condition.

Question 10

Which of the following was the result of the passage of the American Recovery and Reinvestment Act of 2009?

Accepted Answer

A)   A few employers accepted the extra funds and employed more people with disabilities (PWDs) .
B)   Large numbers of employers accepted the extra funds and employed more PWDs.
C)   Employers still refused to employ PWDs.
D)   Little change has occurred.

Question 11

A professional strongly encouraged institutionalization so the parents could focus on care of their other family members. Which of the following suggestions would be appropriate for the nurse to make to the parents?

Accepted Answer

A)   As the expert pointed out, institutionalization will reduce family stress.
B)   The child has a right to an education in the least-restrictive setting.
C)   The child will eventually adapt to whatever choice the parents make.
D)   The choice of what to do is entirely the parents'.

Question 12

Which of the following problems was the Ticket to Work and Work Incentives Improvement Act (TWWIIA) designed to address?

Accepted Answer

A)   Employers trying to avoid hiring persons with disabilities
B)   Employers resenting being forced to hire persons with disabilities
C)   Persons with disabilities not being able to receive on-the-job training
D)   Persons with disabilities not seeking employment for fear of losing their health care and other governmental supports

Question 13

A young woman rolled her wheelchair up the ramp into the clinic to the desk where the intake nurse greeted her. Which of the following should be the nurse's first response?

Accepted Answer

A)   "How can I help you?"
B)   "Who came with you today?"
C)   Compliment her on her skill with the wheelchair
D)   Sit so the nurse is on eye level with the young woman

Question 14

Which of the following best describes how many households with at least one child with a disabling condition would a school nurse working in an elementary school expect to see?

Accepted Answer

A)   About 5%
B)   About 10%
C)   About 15%
D)   About 20%

Question 15

Which of the following best describes the current perspective on how communities should treat persons with disabilities (PWDs)?

Accepted Answer

A)   Be supportive of PWDs and try to reduce environmental barriers
B)   Maximize opportunities for PWDs to work and otherwise contribute to community life
C)   PWDs have civil rights just as other citizens do.
D)   Recognize that PWDs deserve our support both financially and otherwise

Question 16

Which of the following best describes the proportion of the U.S. population that is made up of persons with a long-lasting condition or disability?

Accepted Answer

A)   The number is about 5% and increasing.
B)   The number is about 10% and stable.
C)   The proportion is about 15% and stable.
D)   The proportion is almost 20% and increasing.

Question 17

Which of the following problems depends on the responses of other people and therefore cannot be measured?

Accepted Answer

A)   Disability
B)   Handicap
C)   Impairment
D)   Injury

Question 18

Which of the following describes the most important need of every school-aged child with a disability?

Accepted Answer

A)   A teacher who understands the child's needs
B)   An advocate within the school system
C)   An assessment with comparison with developmental milestones
D)   An individualized education plan (IEP)

Question 19

Which of the following was suggested by the National Healthcare Disparities Report of 2008 (NHDR) as one reason that there are such disparities in health care outcomes inside the health care system?

Accepted Answer

A)   Care provider bias and poor communication exist.
B)   Funding is inadequate to give appropriate care to persons with disabilities.
C)   Many people do not seek care until it is almost too late.
D)   There is a national shortage of care providers.

Question 20

Which of the following would be good rules to use when interacting with a person with disabilities? (Select all that apply.)

Accepted Answer

A)   Apologize for slips of the tongue such as saying "Do you see?" to a blind person
B)   Be friendly to guide dogs, including petting them and offering to get them fresh water
C)   Notice similarities between yourself and the person with a disability
D)   Take hold of a blind person's arm to assist them in dangerous situations, such as crossing a busy street
E)   Volunteer the most recent research findings related to the person's disabilityF)  With someone who is blind, announce who you are and why you are there when you enter the room

Exam 21: Populations Affected by Disabilities