Nokea
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.
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The nurse used a diagnosis of impaired cognition for a 40-year-old patient with a brain injury. Which assessment data would support the diagnosis?
- A. Frequently becomes violent.
- B. Becomes easily fatigued.
- C. Is depressed.
- D. Cannot add three numbers in his head.
Correct Answer: D
Rationale: Impaired cognition includes problems in thinking, impaired concentration, and impaired information processing.
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 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 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 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.