Nokea
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.
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Which is a characteristic of the interdisciplinary approach to the rehabilitation team?
- A. Each discipline makes its own goals for the patient.
- B. There are clear boundaries between the disciplines.
- C. There is a combination of expanded problem solving beyond the boundaries of the individual disciplines.
- D. Cross-trained people are used who have functional ability in two or more disciplines.
Correct Answer: C
Rationale: In the interdisciplinary approach, the team collaborates on the goals for the patient. In the multidisciplinary rehabilitation team approach, each discipline makes its own goals for the patient and there are clear boundaries between the disciplines. The transdisciplinary rehabilitation team is characterized by the blurring of boundaries between disciplines and the cross-training and flexibility to reduce a duplication of efforts.
When assessing a patient with a traumatic brain injury, the nurse notes that his memory is improving. The nurse should explain to the family that what other symptom may occur with memory improvement?
- A. Decrease in learning ability
- B. Depression
- C. Anger
- D. Increased concentration
Correct Answer: B
Rationale: Generally, the more memory improves in a patient with a brain injury, the more the patient becomes depressed.
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 instructs the mother of a 5-year-old who sustained a mild brain injury that although all neurologic evaluations are normal, her child may exhibit postconcussive syndrome. What are common characteristics of this syndrome?
- A. Convulsions and high fever
- B. Irritability and memory deficits
- C. Muscular twitching and muscle pain
- D. Paresis of limbs and fatigue
Correct Answer: B
Rationale: Mild brain injury is characterized by brief or no loss of consciousness. This type constitutes the majority of head injuries. Neurologic examinations are often normal. Postconcussive syndrome can persist for months, years, or indefinitely. Signs and symptoms include fatigue, headache, vertigo, lethargy, irritability, personality changes, cognitive deficits, decreased information processing speed and memory, understanding, learning, and perceptual difficulties.
When speaking to a group of high school students, the rehabilitation nurse states that spinal cord injuries resulting in paralysis occur mainly as the result of traumatic accidents in which group of individuals?
- A. Middle-aged men
- B. Older adult females
- C. Young males
- D. Young females
Correct Answer: C
Rationale: Individuals paralyzed by spinal cord injuries are primarily young males.