Nokea
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?
- 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.
Correct Answer: C
Rationale: The patient should be encouraged to express his or her feelings about the disability.
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The patient with a brain injury is beginning to regain memory. The nurse explains to the family that what will most likely occur?
- 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.
Correct Answer: C
Rationale: Generally, the more the memory improves, the more the patient becomes depressed.
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. 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
Correct Answer: D
Rationale: Alignment preservation is an implementation that is appropriate for a variety of rehabilitation patients, regardless of the origin of their disability.
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?
- A. Paresis
- B. Heterotopic ossification
- C. Postural hypotension
- D. Autonomic dysreflexia
Correct Answer: D
Rationale: Autonomic dysreflexia is a sudden and extreme elevation in blood pressure caused by a reflex action of the autonomic nervous system. It is the result of stimulation of the body below the level of the spinal cord injury.
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?
- A. Difficulty of the language barrier
- B. Cultural significance of the disability
- C. Depth of the patient's support system
- D. Attitude toward rehabilitation
Correct Answer: B
Rationale: Culture defines the significance of disease and disability. Although all of the options must be addressed, the significance of the disability has highest priority.
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.
Correct Answer: heterotopic
Rationale: Heterotopic ossification is a bony growth in joints of spinal cord injury patients below the injury that ultimately limits range of motion.