Nokea
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.
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When changing the position of a patient with a spinal cord injury at T4, the nurse should recognize that what symptom is an indication of an episode of autonomic dysreflexia?
- A. Nausea
- B. Pallor
- C. Goose bumps
- D. Dizziness
Correct Answer: C
Rationale: Patients with spinal cord lesions above T5 may experience sudden and extreme elevations in blood pressure caused by a reflex action of the autonomic nervous system. It is produced by stimulation of the body below the level of the injury, usually by a distended bladder from a blocked catheter. Any stimulation can produce the syndrome, including constipation, diarrhea, sexual activity, pressure injuries, position changes (from lying to sitting), and even wrinkles in clothing or bed sheets. Other symptoms may include diaphoresis, shivering, goose bumps, flushing of the skin, and a severe pounding headache.
When caring for a 32-year-old Hispanic male who has become disabled, on what should the rehabilitation team base the priority of treatment goals?
- A. Difficulty of the language barrier
- B. Cultural significance of the disability
- C. Depth of the patient's support system
- D. Attitude toward rehabilitation
Correct Answer: B
Rationale: Culture defines the significance of disease and disability. Although all of the options must be addressed, the significance of the disability has highest priority.
What should a nurse explain to a patient as a cause of triggering autonomic dysreflexia?
- A. Loud sound
- B. Distended bladder
- C. Leg cramp
- D. Sudden chilling
Correct Answer: B
Rationale: Patients with spinal cord lesions above T5 may experience sudden and extreme elevations in blood pressure caused by a reflex action of the autonomic nervous system. It is produced by stimulation of the body below the level of the injury, usually by a distended bladder from a blocked catheter. Any stimulation can produce the syndrome, including constipation, diarrhea, sexual activity, pressure injuries, position changes (from lying to sitting), and even wrinkles in clothing or bed sheets.
The nurse recognizes that the rehabilitation process involves the efforts of various disciplines. The focus of rehabilitation is to build on which area?
- A. A person's losses
- B. A person's long-term plans
- C. A person's drives
- D. A person's abilities
Correct Answer: D
Rationale: The underlying philosophy of rehabilitation is to focus on the abilities of the patient.
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.