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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.
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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.
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.
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 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 the nurse do to reduce the incidence of postural hypotension in a patient with a spinal cord injury?
- A. Monitor diastolic blood pressure closely.
- B. Encourage the patient to remain in the bed.
- C. Raise the head of the bed for 15 to 20 minutes before transfer to a wheelchair.
- D. Encourage adequate intake of fluids to expand fluid volume.
Correct Answer: C
Rationale: Raising the head of the bed before transfer allows for gradual vessel accommodation from the supine position to the upright position. It is important to check the patient's blood pressure, but it will not reduce the incidence of postural hypotension. It is important to encourage the patient to get out of bed. Postural hypotension is related to a pooling of blood in the lower extremities and is not related to a fluid volume deficit.