Nokea
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.
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What should the nurse do to decrease the potential for a deep vein thrombosis (DVT) in a patient who is a paraplegic from a spinal cord injury?
- A. Massage the patient's legs daily.
- B. Perform passive range-of-motion exercises.
- C. Encourage frequent warm baths.
- D. Allow the patient's legs to dangle for a period of 10 minutes several times a day.
Correct Answer: B
Rationale: DVTs are a problem for patients with a spinal cord injury. Passive range-of-motion exercises manipulate the muscles, which improves venous return, reducing the probability of DVT.
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.
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.
A 33-year-old patient with a spinal cord injury says to the nurse, 'I've let my family down. I don't know what to do.' What would be the best response by the nurse?
- A. After your rehabilitation starts, you'll feel better.
- B. You should be grateful you are alive.
- C. What does this injury mean to you?
- D. Technological advances are changing the future for spinal cord injury victims.
Correct Answer: C
Rationale: The patient should be encouraged to express his or her feelings about the disability.
What is the primary difference between the rehabilitation of children and the rehabilitation of adults?
- A. Level of disability
- B. Body part involved
- C. Degree of disability
- D. Developmental potential
Correct Answer: D
Rationale: The primary difference between rehabilitation of children and rehabilitation of adults is the developmental potential of the child.