Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 35- Rehabilitative Care
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | The mobility, activity tolerance, and overall quality of life of a 79-year-old woman are severely diminished by her angina. The woman now lives with her daughter and son-in-law, both of whom are unsure how best to foster her well-being. Which of the following teaching points of the nurse is most appropriate? | |
| A) | “Doing as much as you and your husband can for your mother will allow her to dedicate her energies to recovery.” | |
| B) | “The most beneficial approach for your mother is to treat her exactly as you did before she developed this disability.” | |
| C) | “It will be helpful for you both to occasionally remind your mother about the areas of her health and abilities that remain intact.” | |
| D) | “Try to maximize the amount of self-care that your mother performs and still treat her like a responsible person.” | |
| Ans: | D | |
| Feedback: | ||
| Interacting with the woman as a responsible adult who can still perform some self-care is more beneficial than doing everything for her, denying the reality of her losses or downplaying her disability by reminding her of what she still possesses. | ||
| Origin: Chapter 35- Rehabilitative Care, 2
Chapter: 35 Client Needs: A1 Cognitive Level: Application Difficulty: Moderate Integrated Process: Communication and documentation Objective: 1 Page and Header: 468, The Need for Rehabilitation |
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| 2. | Part of the job responsibility of a nurse who works for a team of physicians is to provide documentation about elderly patients who may need nursing home care. Which of the following patients meets the criteria for being classified as frail? | |
| A) | Mrs. A is inactive, walks slowly, and has many colds. | |
| B) | Mrs. B has many colds, tires easily, and has lost 15 pounds in the past year. | |
| C) | Mr. C has lost 20 pounds in the past year, cannot grip utensils, and is inactive. | |
| D) | Mr. D has lost 20 pounds in the past year, is inactive, and has many colds. | |
| Ans: | C | |
| Feedback: | ||
| Only Mr. C meets three of the criteria for frailty. The others meet only two; having many colds is not a criterion for frailty. | ||
| Origin: Chapter 35- Rehabilitative Care, 3
Chapter: 35 Client Needs: D3 Cognitive Level: Application Difficulty: Moderate Integrated Process: Nursing process Objective: 1 Page and Header: 468, The Need for Rehabilitation |
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| 3. | Elderly people are at risk for becoming frail, which can lead to serious disabilities. Which of the following is the most likely to prevent or postpone frailty? | |
| A) | Exercises for strengthening muscles | |
| B) | Reminiscing activities | |
| C) | A weight-loss diet | |
| D) | Puzzles and board games | |
| Ans: | A | |
| Feedback: | ||
| Frailty refers to physical condition. Although activities like doing puzzles and reminiscing may be helpful for a person’s mental condition, they do not directly benefit the person’s physical condition. Weight loss may be desirable for some elderly people, but being overweight is not a step toward frailty. | ||
| Origin: Chapter 35- Rehabilitative Care, 4
Chapter: 35 Client Needs: A1 Cognitive Level: Analysis Difficulty: Difficult Integrated Process: Nursing process Objective: 1 Page and Header: 469, Importance of Attitude and Coping Capacity |
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| 4. | Albert, Bob, Charlie, and David have all had below-the-knee amputations and are leaving the hospital. Albert’s family members are excited about having him come home and have had the house completely remodeled with grab bars, a wheelchair ramp, and every other aid they know of. Someone will always be available to help him. Bob’s family members mean well, but they are not reliable. They have made some preparations for his homecoming, but others have not been finished. He will have willing help at times. Charlie’s family members have finished some essential preparations, such as a wheelchair ramp; others have not been finished but have been planned. Other family members work and will be able to help him only occasionally; however, he can always rely on their showing up at scheduled times. David’s family members have done nothing, saying they will rehab the house when he comes home and then see what is needed. Other family members work and can make no promises about helping him. Whose family situation seems most promising? | |
| A) | Albert’s | |
| B) | Bob’s | |
| C) | Charlie’s | |
| D) | David’s | |
| Ans: | C | |
| Feedback: | ||
| Charlie is probably going home to the best family support. Albert’s family may smother him with helpfulness, interfering with his own need to be active and independent. Bob’s family members cannot be relied on to help him when he may need them, despite their good intentions. David’s family may be of no help at all. Although Charlie may have some difficulty in getting help at all times, he knows that his family can be relied on and that some planning and scheduling will take care of most problems. | ||
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