Chapter 8: Rehabilitation Concepts for Chronic and Disabling Health Problems

Chapter 8: Rehabilitation Concepts for Chronic and Disabling Health Problems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A paraplegic client is being evaluated for transfer to a rehabilitation unit. The nurse refers the client to which interdisciplinary team member for evaluation of activities of daily living?

a.	Physical therapist
b.	Occupational therapist
c.	Recreational therapist
d.	Vocational therapist

 

 

ANS:  B

The occupational therapist is responsible for ADL training, the physical therapist for muscle strength, the vocational therapist for job training, and the recreational therapist for hobbies or pastime activities.

 

DIF:    Cognitive Level: Knowledge/Remembering                       REF:   p. 91

TOP:   Client Needs Category: Safe and Effective Care Environment (Management of Care—Referrals)   MSC:           Integrated Process: Nursing Process (Planning)

 

2. The nurse is teaching a client who is a paraplegic about prescribed rehabilitation. The client verbalizes that he doesn’t know why he should go. What is the nurse’s best response?

a.	“Your doctor ordered rehabilitation, and he does know what is best for you.”
b.	“When new discoveries are made, people in rehabilitation programs benefit first.”
c.	“Rehabilitation will teach you how to maintain the functional ability you have.”
d.	“You are right. It will not benefit you. I will cancel the orders for rehabilitation.”

 

 

ANS:  C

There are many purposes for participating in rehabilitation programs, including disability prevention, maintenance of functional ability, and restoration of function. Without the special knowledge learned through rehabilitation, the client with a newly acquired disability may never learn the skills needed to prevent long-term problems or conserve energy.

 

DIF:    Cognitive Level: Comprehension/Understanding               REF:   p. 90

TOP:   Client Needs Category: Health Promotion and Maintenance (Self-Care)

MSC:  Integrated Process: Nursing Process (Implementation)

 

3. The nurse is caring for a client who has long-standing chronic obstructive pulmonary disease (COPD) and is recovering from a stroke. Which intervention is a priority when activity tolerance is assessed during rehabilitation?

a.	Assess vital signs before, during, and after activity.
b.	Perform a daily cognitive assessment.
c.	Consult physical therapy to ambulate the client.
d.	Monitor the client’s progress in self-care ability.

 

 

ANS:  A

To see whether a client is tolerating activity, vital signs are measured before, during, and after the activity. If the client is not tolerating activity, heart rate may increase more than 20 beats/min, blood pressure may increase over 20 mm Hg, and vital signs will not return to baseline within 5 minutes after the activity. A cognitive assessment is not necessary before basic activities are performed. A consultation would not provide data on activity tolerance, and monitoring of self-care ability does not directly reflect tolerance as vital signs do.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Physiological Integrity (Physiological Adaptation—Pathophysiology)

MSC:  Integrated Process: Nursing Process (Evaluation)

 

4. A client with a past history of angina had a total knee replacement. What will the nurse teach the client before rehabilitation activities are begun?

a.	“Use analgesics even if you are not in pain.”
b.	“Take nitroglycerin prophylactically before beginning activity.”
c.	“Take anti-inflammatory medications before exercising.”
d.	“Do not exercise if you have knee pain.”

 

 

ANS:  B

Participation in exercise may increase myocardial oxygen demand beyond the ability of the coronary circulation to deliver enough oxygen to meet the increased need. Nitroglycerin dilates coronary arteries within 5 minutes of use, ensuring that they will be ready to meet the demand during exercise.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Physiological Integrity (Pharmacological and Parenteral Therapies—Expected Actions/Outcomes)    MSC:  Integrated Process: Teaching/Learning