The nurse who is part of a team focused on restoring an individual to the fullest physical, mental, social, vocational, and economic capacity is practicing what type of nursing?
- A. Holistic nursing
- B. Conscientious nursing
- C. Rehabilitation nursing
- D. Comprehensive nursing
Correct Answer: C
Rationale: Rehabilitation is the process of restoring an individual to the fullest physical, mental, social, vocational, and economic capacity of which he or she is capable.
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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.
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.
The nurse who assesses for cultural influences, values cultural diversity, and incorporates cultural knowledge in practice is said to be culturally
Correct Answer: competent
Rationale: A culturally competent nurse includes knowledge of cultural values and influences in their nursing practice.
The nurse explains that the Americans with Disabilities Act of 1990 defines a person as disabled if which criteria are met?
- A. The person has a physical or mental impairment.
- B. The person is limited in at least one major life activity.
- C. The person has a medical record of the impairment.
- D. The person is unemployed.
- E. The person needs assistance in completion of ADLs.
Correct Answer: A,B,C
Rationale: The definition is that a disabled person may have a physical or mental impairment that limits the person in one or more major life activities and has a medical record of that disability.
When the nurse observes a patient experiencing a severe episode of autonomic dysreflexia, what should be the initial intervention?
- A. Locate the cause of irritation.
- B. Assess the blood pressure.
- C. Cover the patient with several blankets.
- D. Raise the head of the bed to a high Fowler's position.
Correct Answer: D
Rationale: The head of the bed should be raised immediately. Raising the head of the bed will reduce the blood pressure. Finding the cause of the episode is secondary to preventing the possibility of a stroke from the hypertension.
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