Nokea
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.
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The nurse who helps a patient with a disability rejoice in the acquisition of the smallest new skill is embracing which rehabilitation philosophy?
- A. Resolving impairments
- B. Removing disabilities
- C. Increasing quality of life
- D. Eliminating complications
Correct Answer: C
Rationale: A philosophy of rehabilitation is to increase the quality of life. Impairments may not be able to be resolved, disabilities may not be able to be completely removed, and complications may not be totally eliminated. However, with rehabilitation, the individual can learn to adjust to the new lifestyle.
When caring for a patient with a disability, the rehabilitation nurse provides individual treatment to help the patient stay focused on which goals?
- A. Returning to normal
- B. Independence
- C. Employment
- D. Promotion of health
Correct Answer: B
Rationale: The focus on rehabilitation is on enabling the individual to move from a totally dependent state to a level of independence.
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.
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.