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. How should the nurse classify this person?

ANS:  A

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

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   178

OBJ:   1 (theory)       TOP:   Concepts of Rehabilitation

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

2. A resident with advanced Parkinson disease stays in his wheelchair all day. He reports that he is too tired to walk and is fearful of falling. Which intervention to increase the patient’s mobility should the nurse add to the patient’s care plan?

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.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   185, Box 9-5

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

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

3. The nurse is caring for an obese resident with a pressure ulcer on her coccyx. The patient frequently lies on her back because it is difficult to turn due to her weight. Which intervention most effectively encourages independence?

ANS:  D

The trapeze allows for self-positioning and is less confining than are bed rails. Turning the patient on her side or using short rails for positioning do not foster independence.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   187

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

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

4. After assessing reddened heels on a bed-bound patient with a history of a stroke, which intervention should the nurse add to the care plan?

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.

PTS:   1                    DIF:    Cognitive Level: Application           REF:   181, 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 is educating a 70-year-old patient who just had a cast removed from a broken arm. The nurse should teach the patient about which potential effect of immobility related to casting?

ANS:  C

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

PTS:   1                    DIF:    Cognitive Level: Knowledge            REF:   180, Table 9-1

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

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance