Nokea
The nurse is caring for a victim of posttraumatic stress syndrome. The nurse identifies which techniques as examples of therapeutic communication?
- A. Listening
- B. Reframing
- C. Characterizing
- D. Normalizing responses
- E. Working to develop trust
Correct Answer: A,B,D,E
Rationale: The techniques of therapeutic communication that are important to use with the PTSD patient are listening, reframing, normalizing responses, and working to develop trust.
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What is the primary difference between the rehabilitation of children and the rehabilitation of adults?
- A. Level of disability
- B. Body part involved
- C. Degree of disability
- D. Developmental potential
Correct Answer: D
Rationale: The primary difference between rehabilitation of children and rehabilitation of adults is the developmental potential of the child.
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.
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.
The rehabilitation nurse recognizes that the majority of patients with head injuries show no abnormal neurologic findings and experience no loss of consciousness. How should the nurse categorize this type of brain injury?
- A. Mild
- B. Moderate
- C. Severe
- D. Catastrophic
Correct Answer: A
Rationale: Mild brain injury is characterized by no loss of consciousness and no abnormal neurologic findings.
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 which other factor?
- A. Advancing age
- B. Reduced ability to learn
- C. Limited energy
- D. Eroded interest level
Correct Answer: A
Rationale: Gerontological rehabilitation nursing focuses on the unique requirements of older adult rehabilitation. The elderly, with their potential physical limitations, require specialized care.