Nokea
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.
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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 nurse should tell a paraplegic that the rehabilitation experience will consist of:
- A. relearning former skills.
- B. learning to walk.
- C. learning new skills to adapt to a different lifestyle.
- D. developing muscle strength.
Correct Answer: C
Rationale: The type and the focus of rehabilitation are individualized to the patient, the injury, and abilities. Skills will be taught to enhance the patient's adaptation to a new lifestyle.
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.
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.