Chapter 11 Principles and Practices of Rehabilitation

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Chapter 11  Principles and Practices of Rehabilitation

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

Multiple Choice

1. Rehabilitation nursing deals with many and a variety of problems. When caring for a male patient with urinary incontinence, what intervention would the nurse avoid with this patient? A) Intermittent self-catheterization
B) Indwelling catheter

C) External condom catheter D) Incontinence pads

Ans: B
Chapter: 11
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 8
Page and Header: 192, Assessment and Functional Ability

Feedback: Indwelling catheters are avoided if at all possible because of the high incidence of urinary tract infections with their use. Intermittent self-catheterization is an appropriate alternative for managing reflex incontinence, urinary retention, and overflow incontinence related to an overdistended bladder. External catheters (condom catheters) and leg bags to collect

spontaneous voidings are useful for male patients with reflex or total incontinence. Incontinence pads should be used as a last resort because they only manage, rather than solve, the incontinence.

2. You are the nurse caring for a patient with a pressure ulcer. The nurse on the shift before you has done patient teaching about pressure ulcers and what the patient can do to help heal the pressure ulcer. You assess that the patient has understood the teaching by observing what?
A) Patient performs range-of-motion exercises

B) Patient avoids pressure on the healing site
C) Patient elevates body parts susceptible to edema
D) Patient demonstrates improved level of consciousness

Ans: B
Chapter: 11
Client Needs: A-1
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 4
Page and Header: 185, Assessment and Functional Ability

Feedback: The major goals may include relief of pressure, improved mobility, improved sensory perception, improved tissue perfusion, improved nutritional status, minimized friction and shear forces, dry surfaces in contact with skin, and healing of pressure ulcer, if present. The other options do not demonstrate the achievement of the goal of the patient teaching.

3. An elderly female patient who is bedridden is admitted to the unit because of a large pressure ulcer. During your assessment of the patient, you find that the ulcer extends into the muscle and bone. What stage would document this ulcer?
A) I

B) II C) III D) IV

Ans: D
Chapter: 11
Client Needs: A-1
Cognitive Level: Comprehension Difficulty: Moderate
Integrated Process: Nursing Process

Objective: 7
Page and Header: 190, Assessment and Functional Ability

Feedback: Stage III and IV pressure ulcers are characterized by extensive tissue damage. In addition to the interventions listed for stage I, these advanced draining, necrotic pressure ulcers must be cleaned (débrided) to create an area that will heal. Stage IV is an ulcer that extends to underlying muscle and bone. Stage III is an ulcer that extends into the subcutaneous tissue. With this type of ulcer, necrosis of tissue and infection may develop. Stage I is an area of erythema that does not blanch with pressure. Stage II involves a break in the skin that may drain.

4. Part of the care given to rehabilitation patients is teaching them different ways to exercise their limbs, no matter what the patient is rehabbing for. You are the nurse assisting a stroke patient to exercise. You are coaching the patient to contract and relax her muscles while keeping the extremity in a fixed position. Which type of exercise is the patient completing?

A) Passive B) Isometric C) Resistive D) Abduction

Ans: B
Chapter: 11
Client Needs: B
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Teaching/Learning
Objective: 6
Page and Header: 178, Assessment and Functional Ability

Feedback: Isometric exercises are those in which there are alternating contraction and relaxation of a muscle while keeping the part in a fixed position. This exercise is performed by the patient. Passive exercises are carried out by the therapist or the nurse without assistance from the patient. Resistive exercises are carried out by the patient working against resistance produced by either manual or mechanical means. Abduction is movement of a part away from the midline of the body.

5. The definition of rehabilitation is a team of professionals working together with the patient and the family. Which member of the rehabilitation team is the one who determines the final outcome of the process?
A) Nurse

B) Patient

C) Family D) Doctor

Ans: B
Chapter: 11
Client Needs: D-4
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Page and Header: 169, The Rehabilitation Team

Feedback: The patient is the key member of the rehabilitation team. He or she is the focus of the team effort and the one who determines the final outcomes of the process. The nurse, family, and doctor are part of the rehabilitation team but do not determine the final outcome.

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