Geriatrics 39

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:
rehabilitation nursing.

The underlying philosophy of rehabilitation is to focus on
abilities.

The rehabilitation nurse instructs a paraplegic athlete that the rehabilitation experience will consist of:
learning new skills to adapt to a different lifestyle.

Rehabilitation is based on the acquisition of new skills to better adapt and increase the
quality of life.

The occupational therapist recommends adaptive equipment or helps in modifying skills to enhance
independence.

Approximately 50% of the rehabilitation nurse’s contribution to the rehabilitation effort is having a broad knowledge base of the pathophysiology modalities of rehabilitation. The other major contribution is:
encouragement

A rehabilitation nurse must help the patient focus on increasing
independence.

A comprehensive rehabilitation plan is initiated within ______ hours of admission to the rehabilitation service.
24 hours

The rehabilitation nurse explains that the difference between multidisciplinary and interdisciplinary is that in an interdisciplinary approach:
the team is led by several members from different disciplines.

When planning care for children, the nurse uses a new concept that incorporates the family as equal partners in the rehabilitation process, which is called:
family-centered care.

The primary difference between rehabilitation of children and rehabilitation of adults is the
developmental potential of the child.

The nurse recognizes that the acquisition of adaptive skills and behaviors by an individual who has been disabled since birth is referred to as:
habilitation

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 the debilitating factor of:
advancing age.

The nurse explains that the main goal of gerontological rehabilitation nurses (GRNs) is to provide rehabilitative care, and also to teach:
prevention

To reduce the incidence of postural hypotension in a patient with a spinal cord injury, the nurse should:
raise the head of the bed 45 degrees before transfer to a wheelchair.

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 an episode of:
autonomic dysreflexia.

caused by a reflex action of the autonomic nervous system.
Autonomic dysreflexia

The nurse instructs the mother of a 5-year-old who sustained a mild brain injury that although all neurological evaluations are normal, her child may exhibit postconcussive syndrome, which is characterized by:
irritability and memory deficits.

When changing the position of a patient with a spinal cord injury at T4, the nurse observes the first indication of an episode of autonomic dysreflexia, which is:
goose bumps.

When assessing a brain-injured patient’s inconsistent performance, the nurse recognizes that egocentricity increases the potential for:
anger and frustration.

When caring for a 32-year-old Hispanic male who has become disabled, the rehabilitation team will set the priority of treatment goals based on the:
cultural significance of the disability.

For every $1 spent on rehabilitation, _____ is saved in public funds that would have been used for residential care of the disabled.
$3

The nurse recognizes that a handicap differs from impairment in that a handicap is:
a disadvantage that limits a particular individual in his or her usual role performance.

To decrease the potential for a deep vein thrombosis (DVT) in a patient who is a paraplegic from a spinal cord injury, the nurse will:
perform passive range-of-motion exercises.

When the nurse observes a patient experiencing a severe episode of autonomic dysreflexia, the initial intervention is to:
raise the head of the bed to a high Fowler’s position.

When speaking to a group of high school students, the rehabilitation nurse instructs that spinal cord injuries resulting in paralysis occur mainly as the result of traumatic accidents in:
young males.

The vertebral level of injury for a cervical cord is C2 to C7 if the patient is paraplegic and has lost
control of bowel and bladder.

An example of an intervention that would be effective for a person with arthritis, a person with a brain injury, or a person with a spinal cord injury is:
positioning to maintain alignment.

The nurse teaches a patient that autonomic dysreflexia can be triggered by a:
distended bladder.

The rehabilitation nurse stresses to the family of a patient with a brain injury that difficult and painful rehabilitation will be required for at least:
5 to 10 years.

The rehabilitation nurse tells the patient that a truly successful quality rehabilitation program will result in a patient who:
continually strives to gain greater independence.

The rehabilitation nurse recognizes that the majority of head injuries show no abnormal neurological findings and experience no loss of consciousness, which categorizes them as:
mild

The patient should be ______________ to express his or her feelings about the disability.
encouraged

The rehabilitation nurse references the nursing diagnosis of impaired cognition for a 40-year-old patient who is brain injured and who:
cannot add three numbers in his head.

The rehabilitation nurse prepares the family for when the patient with a brain injury begins to regain memory. The nurse explains that the patient will most likely become more:
depressed.

characteristics of chronic illness
that chronic illness requires specific training for rehabilitation
the effects of the illness are permanent
the illness leaves a residual disability.

The definition is that a disabled person may have a physical or mental disability that limits him or her in a major life activity and has a
medical record of that disability.

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

A period of unconsciousness of 1 to 24 hours is characteristic of a
moderate brain injury.

A patient with acute shortness of breath is admitted to the hospital. Which action should the nurse take during the initial assessment of the patient? a. Ask the patient to lie down to complete a full physical assessment. b. Briefly …

Which is considered a normal physiologic change during pregnancy? a. ECG T-wave changes b. Increased cardiac output c. Increased bleeding time d. Decreased renal perfusion increased cardiac output Which of the following exercises should be taught to a pregnant woman …

A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was positive. What is the nurse’s most plausible conclusion based on this assessment finding? The patient’s insulin levels are inadequate. Ketones in …

A client is diagnosed with Cushing syndrome. Which clinical manifestation does the nurse expect to increase in a client with Cushing syndrome? Glucose level After surgical clipping of a ruptured cerebral aneurysm, a client develops the syndrome of inappropriate secretion …

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