Chapter 09: Chronic Illness and Rehabilitation

Chapter 09: Chronic Illness and Rehabilitation

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The rehabilitation nurse describes a patient who is blind, works full time as a Spanish interpreter, and lives with his wife in a downtown apartment. The nurse classifies this person as:

a.	impaired.
b.	disabled.
c.	handicapped.
d.	dependent.

 

 

ANS:  A

The blindness is an impairment of vision that does not inhibit the patient from performing his job or enjoying a normal life.

 

DIF:    Cognitive Level: Application           REF:   177                OBJ:   1 (theory)

TOP:   Concepts of Rehabilitation               KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. A resident with advanced Parkinson’s disease stays in his wheelchair all day because it is too tiring to walk and he is fearful of falling. In order to increase mobility, the best intervention would be to:

a.	instruct the resident in crutch walking.
b.	assist the resident to walk in the hallway with a gait belt.
c.	encourage the resident to rock back and forth in his wheelchair to off load weight.
d.	arrange for a walking cane.

 

 

ANS:  B

Walking is the best exercise to prevent problems associated with immobility. The gait belt will make the resident more secure. Canes and crutches do not diminish the weakness or the fear of falling.

 

DIF:    Cognitive Level: Application           REF:   184 | Box 9-5

OBJ:   2 (theory)       TOP:   Preventing Problems of Immobility

KEY:  Nursing Process Step: Planning        MSC:  NCLEX: Health Promotion and Maintenance

 

3. The obese resident who lies on her back because it is difficult to turn due to her weight has a pressure ulcer on her coccyx that is covered with a dressing. The most effective intervention to encourage independence is:

a.	have staff turn the resident every 2 hours.
b.	turn the patient on her side and use pillows to stabilize her.
c.	arrange for short side rails to be used for positioning.
d.	arrange for a trapeze so the patient can assist with positioning.

 

 

ANS:  D

The trapeze allows for self-positioning and is less confining than are bed rails. The other options do not foster independence.

 

DIF:    Cognitive Level: Application           REF:   186-187         OBJ:   2 (theory)

TOP:   Preventing Problems of Immobility

KEY:  Nursing Process Step: Planning        MSC:  NCLEX: Health Promotion and Maintenance

 

4. When the nurse assesses reddened heels on the bed-bound stroke patient, the nurse modifies the care plan to include which intervention?

a.	Massage heels briskly.
b.	Apply socks to feet.
c.	Swab heels with alcohol.
d.	Elevate feet on pillows.

 

 

ANS:  D

Elevation of the feet gets the weight off the heels and will allow them to heal. All other options are not helpful to damaged skin. Brisk massage may promote damage to the skin. Alcohol can be irritating and may further damage heel skin.

 

DIF:    Cognitive Level: Application           REF:   180 | Nursing Care Plan 9-1

OBJ:   2 (theory)       TOP:   Preventing Problems of Immobility

KEY:  Nursing Process Step: Planning        MSC:  NCLEX: Health Promotion and Maintenance

 

5. The nurse cautions the 70-year-old patient who just had the cast removed from a broken arm that the immobility during the time he was in a cast can cause:

a.	arthritis.
b.	phlebitis.
c.	frozen shoulder.
d.	painful swelling.

 

 

ANS:  C

Immobility can cause loss of strength and flexibility in the older adult.

 

DIF:    Cognitive Level: Knowledge            REF:   178 | 180 | Table 9-1

OBJ:   3 (theory)       TOP:   Effects of Immobility: Joint Stiffness

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance