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The nurse explains that the Americans with Disabilities Act of 1990 defines a person as disabled if which criteria are met?
- 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.
Correct Answer: A,B,C
Rationale: The definition is that a disabled person may have a physical or mental impairment that limits the person in one or more major life activities and has a medical record of that disability.
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The nurse explains that the main roles of the gerontological rehabilitation nurse are to provide rehabilitative care and what other role?
- A. Provide restoration.
- B. Teach prevention.
- C. Teach adaptive skills.
- D. Provide positive reinforcement.
Correct Answer: B
Rationale: Teaching prevention is the dual role of the geriatric rehabilitation nurse. Restoration, adaptive skills, and positive reinforcements are all part of providing rehabilitative care.
A patient with quadriplegia resulting from a spinal cord injury says to the rehabilitation nurse, 'I'm sick of this therapy! What is an occupational therapist going to do for me? Can she give me an 'occupation'?' What response by the nurse would be the most helpful?
- A. No, but the occupational therapist can show you how to enjoy some recreational activities.
- B. Yes, in a way. The occupational therapist provides training that strengthens muscles you can still control.
- C. Maybe. The occupational therapist recommends adaptive equipment that will make you more independent.
- D. No, the voc-rehab counselor helps with employment. The occupational therapist helps train you for improved communication skills.
Correct Answer: C
Rationale: The occupational therapist recommends adaptive equipment or helps in modifying skills to enhance independence.
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?
- A. C1 to C2
- B. C3 to C4
- C. C2 to C7
- D. C4 to C7
Correct Answer: C
Rationale: The vertebral level of injury for a cervical cord is C2 to C7 if the patient has paralysis of all extremities and trunk, and has lost control of bowel and bladder function.
The acquisition of adaptive skills and behaviors by an individual who has been disabled since birth refers to:
- A. training.
- B. education.
- C. development.
- D. habilitation.
Correct Answer: D
Rationale: Habilitation refers to developing skills and behaviors in people who did not have the skills originally. Children who are disabled from birth have no skills to relearn and are habilitated rather than rehabilitated.
When the nurse observes a patient experiencing a severe episode of autonomic dysreflexia, what should be the initial intervention?
- A. Locate the cause of irritation.
- B. Assess the blood pressure.
- C. Cover the patient with several blankets.
- D. Raise the head of the bed to a high Fowler's position.
Correct Answer: D
Rationale: The head of the bed should be raised immediately. Raising the head of the bed will reduce the blood pressure. Finding the cause of the episode is secondary to preventing the possibility of a stroke from the hypertension.