Question 1

The nurse should tell a paraplegic that the rehabilitation experience will consist of:

Accepted Answer

A)   relearning former skills.
B)   learning to walk.
C)   learning new skills to adapt to a different lifestyle.
D)   developing muscle strength. C

Question 2

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 B

Question 3

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 C

Question 4

The nurse explains that the main roles of the gerontological rehabilitation nurse are to provide rehabilitative care and what other role?

Accepted Answer

A)   Provide restoration
B)   Teach prevention
C)   Teach adaptive skills
D)   Provide positive reinforcement

Question 5

The nurse takes special care to be gentle in caring for patients with spinal cord injuries to avoid stimulating the autonomic nervous system and triggering which condition?

Accepted Answer

A)   Paresis
B)   Heterotopic ossification
C)   Postural hypotension
D)   Autonomic dysreflexia

Question 6

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.

Question 7

When assessing a patient with a traumatic brain injury, the nurse notes that his memory is improving. The nurse should explain to the family that what other symptom may occur with memory improvement?

Accepted Answer

A)   Decrease in learning ability
B)   Depression
C)   Anger
D)   Increased concentration

Question 8

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

Accepted Answer

The answer of The nurse who assesses for cultural influences,...

Question 9

The nurse is caring for a victim of post-traumatic stress syndrome. The nurse identifies which techniques as examples of therapeutic communication? (Select all that apply.)

Accepted Answer

A)   Listening
B)   Reframing
C)   Characterizing
D)   Normalizing responses
E)   Working to develop trust

Question 10

The rehabilitation nurse stresses to the family of a patient with a brain injury that difficult and painful rehabilitation will probably be required for what length of time?

Accepted Answer

A)   1 to 2 years
B)   2 to 4 years
C)   5 to 10 years
D)   6 to 12 years

Question 11

The acquisition of adaptive skills and behaviors by an individual who has been disabled since birth refers to:

Accepted Answer

A)   training.
B)   education.
C)   development.
D)   habilitation.

Question 12

The nurse recognizes that the rehabilitation process involves the efforts of various disciplines. The focus of rehabilitation is to build on which area?

Accepted Answer

A)   A person's losses
B)   A person's long-term plans
C)   A person's drives
D)   A person's abilities

Question 13

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

Question 14

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

Question 15

What is the primary difference between the rehabilitation of children and the rehabilitation of adults?

Accepted Answer

A)   Level of disability
B)   Body part involved
C)   Degree of disability
D)   Developmental potential

Question 16

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

Question 17

The rehabilitation nurse recognizes that the majority of patients with head injuries show no abnormal neurologic findings and experience no loss of consciousness. How should the nurse categorize this type of brain injury?

Accepted Answer

A)   Mild
B)   Moderate
C)   Severe
D)   Catastrophic

Question 18

The nurse instructs the mother of a 5-year-old who sustained a mild brain injury that although all neurologic evaluations are normal, her child may exhibit postconcussive syndrome. What are common characteristics of this syndrome?

Accepted Answer

A)   Convulsions and high fever
B)   Irritability and memory deficits
C)   Muscular twitching and muscle pain
D)   Paresis of limbs and fatigue

Question 19

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

Question 20

When changing the position of a patient with a spinal cord injury at T4, the nurse should recognize that what symptom is an indication of an episode of autonomic dysreflexia?

Accepted Answer

A)   Nausea
B)   Pallor
C)   Goose bumps
D)   Dizziness

Exam 38: Rehabilitation Nursing