Nokea
The patient with a brain injury is beginning to regain memory. The nurse explains to the family that what will most likely occur?
- A. The patient will become less combative.
- B. The patient will become angrier.
- C. The patient will become more depressed.
- D. The patient will wish to retire.
Correct Answer: C
Rationale: Generally, the more the memory improves, the more the patient becomes depressed.
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The rehabilitation nurse stresses to the family of a patient with a brain injury that difficult and painful rehabilitation will probably be required for what length of time?
- A. 1 to 2 years
- B. 2 to 4 years
- C. 5 to 10 years
- D. 6 to 12 years
Correct Answer: C
Rationale: Most brain-related disabilities, including physical, cognitive, and psychosocial difficulties, call for at least 5 to 10 years of difficult and painful rehabilitation; many require lifelong treatment and attention.
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 rehabilitation nurse assesses localized edema around the knee of a patient with paraplegia. The nurse suspects that this is the first sign of ossification.
Correct Answer: heterotopic
Rationale: Heterotopic ossification is a bony growth in joints of spinal cord injury patients below the injury that ultimately limits range of motion.
The rehabilitation nurse can use basic rehabilitation skills regardless of the origin of the disability. What intervention would be effective for a person with arthritis, a person with a brain injury, or a person with a spinal cord injury?
- A. Encouraging large fluid intake
- B. Seeking spiritual support from a higher being
- C. Using the spouse as a support system
- D. Positioning to maintain alignment
Correct Answer: D
Rationale: Alignment preservation is an implementation that is appropriate for a variety of rehabilitation patients, regardless of the origin of their disability.