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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.
Correct Answer: moderate
Rationale: A period of unconsciousness of 1 to 24 hours is characteristic of a moderate brain injury.
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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?
- A. Decrease in learning ability
- B. Depression
- C. Anger
- D. Increased concentration
Correct Answer: B
Rationale: Generally, the more memory improves in a patient with a brain injury, the more the patient becomes depressed.
When planning care for children, the nurse uses a concept that recognizes the pivotal role of the family in the lives of children with disabilities or other chronic conditions. What is this philosophy called?
- A. Child-centered care
- B. Systems-centered care
- C. Family-centered care
- D. Individual-centered care
Correct Answer: C
Rationale: Family-centered care is an evolving concept that uses the family as equal partners in the rehabilitation process.
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 nurse recognizes that the rehabilitation process involves the efforts of various disciplines. The focus of rehabilitation is to build on which area?
- A. A person's losses
- B. A person's long-term plans
- C. A person's drives
- D. A person's abilities
Correct Answer: D
Rationale: The underlying philosophy of rehabilitation is to focus on the abilities of the patient.
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.