Question 1

The rehabilitation nurse assesses localized edema around the knee of a patient with paraplegia.The nurse suspects that this is the first sign of __________ ossification.

Accepted Answer

heterotopic
Heterotopic ossification is a bony growth in joints of spinal cord injury patients below the injury that ultimately limits range of motion.

Question 2

The nurse is caring for a victim of posttraumatic 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 A,B,D,E

Question 3

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 D

Question 4

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 5

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.

Question 6

The nurse who helps a patient with a disability rejoice in the acquisition of the smallest new skill is embracing which rehabilitation philosophy?

Accepted Answer

A)  Resolving impairments
B)  Removing disabilities
C)  Increasing quality of life
D)  Eliminating complications

Question 7

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 8

The spinal cord injury patient has paralysis of all extremities and bowel and bladder disturbance.The nurse recognizes the injury as most likely occurring at what vertebral level?

Accepted Answer

A)  C1 to C2
B)  C3 to C4
C)  C2 to C7
D)  C4 to C7

Question 9

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 10

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 11

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

Question 12

A 33-year-old patient with a spinal cord injury says to the nurse,"I've let my family down.I don't know what to do." What would be the best response by the nurse?

Accepted Answer

A)  "After your rehabilitation starts,you'll feel better."
B)  "You should be grateful you are alive."
C)  "What does this injury mean to you?"
D)  "Technological advances are changing the future for spinal cord injury victims."

Question 13

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 14

The nurse explains that the Americans with Disabilities Act of 1990 defines a person as disabled if which criteria are met? (Select all that apply.)

Accepted Answer

A)  The person has a physical or mental impairment.
B)  The person is limited in at least one major life activity.
C)  The person has a medical record of the impairment.
D)  The person is unemployed.
E)  The person needs assistance in completion of ADLs.

Question 15

Following admission,how soon must a comprehension rehabilitation plan of care be implemented on a rehabilitation patient?

Accepted Answer

A)  12 hours
B)  24 hours
C)  3 days
D)  1 week

Question 16

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 17

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 18

The nurse who is part of a team focused on restoring an individual to the fullest physical,mental,social,vocational,and economic capacity is practicing what type of nursing?

Accepted Answer

A)  Holistic nursing
B)  Conscientious nursing
C)  Rehabilitation nursing
D)  Comprehensive nursing

Question 19

A child who was struck by a car and suffered a closed head injury was unconscious for 24 hours before waking.The nurse recognizes this as a _______ brain injury.

Accepted Answer

The answer of A child who was struck by a...

Question 20

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.

Exam 39: Rehabilitation Nursing