Nokea
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.
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What is the best way to define a handicap?
- A. Any loss of function
- B. A disability that interferes with one's normal functioning
- C. Any loss of ability to perform activities of daily living
- D. An irreversible lifelong impairment
Correct Answer: B
Rationale: A handicap is a disadvantage for a given individual from an impairment that limits his or her role performance. A particular handicap for one person might not pose any handicap for another with the same disability. An impairment is a loss of function. A functional limitation is a disability that interferes with one's normal functioning. A chronic illness is an irreversible lifelong impairment.
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.
What should the nurse do to reduce the incidence of postural hypotension in a patient with a spinal cord injury?
- A. Monitor diastolic blood pressure closely.
- B. Encourage the patient to remain in the bed.
- C. Raise the head of the bed for 15 to 20 minutes before transfer to a wheelchair.
- D. Encourage adequate intake of fluids to expand fluid volume.
Correct Answer: C
Rationale: Raising the head of the bed before transfer allows for gradual vessel accommodation from the supine position to the upright position. It is important to check the patient's blood pressure, but it will not reduce the incidence of postural hypotension. It is important to encourage the patient to get out of bed. Postural hypotension is related to a pooling of blood in the lower extremities and is not related to a fluid volume deficit.
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.
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.