Deck 19: Rehabilitation and Restorative Care

Question 1

An older patient with end-stage emphysema refuses physical therapy, continues to smoke, and realizes that death will probably result from emphysema. Which principle should guide this patient's rehabilitation?
1) Loss and its meaning vary with every person.
2) Convalescence is a gradual process that can take a long time.
3) Values are examined and limitations are put into perspective over time.
4) The duration of rehabilitation depends on the psychological acceptance of the older adult's condition.

Answer 1

3

Question 2

An older patient is prescribed bedrest for 2 weeks to aid in the healing of a fractured ankle. What is an appropriate rehabilitation intervention for this patient?
1) Use a walker to teach standing on one foot.
2) Transfer from wheelchair to toilet for activity.
3) Use a mechanical lift to transfer to the tub for bathing.
4) Perform active range-of-motion and weightlifting exercises in bed.

Answer 2

4

Question 3

An older person with a spinal cord injury is being discharged to home. What should the nurse suggest to improve this person's ability to perform self-care?
1) Apply a lift sheet to the bed.
2) Use leg braces as prescribed.
3) Lower the sinks, counters, and mirrors.
4) Place a donut on the seat of the wheelchair.

Answer 3

3

Question 4

A stroke has affected an older patient's ability to move and ambulate. Which intervention should be part of this patient's plan of care?
1) Perform passive range of motion to all joints.
2) Encourage weight-lifting exercises to increase strength.
3) Encourage ambulation without assistance to determine walking ability.
4) Encourage transferring without assistance to determine ability to transfer.

Question 5

A patient with spinal rods is having difficulty putting on shoes. What should the nurse suggest to improve this patient's self-care abilities?
1) Wear bedroom slippers.
2) Wear shoes without backs.
3) Use a long-handled shoehorn.
4) Have family help with the shoes.

Question 6

The nurse notes than an older person has difficulty walking stairs. What type of change is this patient experiencing?
1) Functional
2) Instrumental
3) Psychological
4) Socioeconomic

Question 7

An older patient recovering from a fractured hip and wrist is motivated to stay active and is eager to attend rehabilitation sessions. The patient informs family and friends when to visit so as not to interfere with rehabilitation. What has influenced this patient's motivation and desire for rehabilitation?
1) Positive self-esteem and self-image
2) Pain medication altering perception of the environment
3) Advanced age, which motivates her to make each day special
4) Family expectation for the patient to recover and return home

Question 8

An older patient is being instructed on a walking program. What should the nurse emphasize as important to maintaining this program? Select all that apply.
1) Daily foot care
2) Dietary roughage
3) Properly fitted shoes
4) Toileting every 2 hours
5) Adequate caloric intake

Question 9

During a home visit the nurse notes that an older person with weakness is having difficulty bathing. What should the nurse suggest to improve this patient's independence with self-care?
1) Grab bars
2) Throw rugs
3) Shower chair
4) Elevated commode seat

Question 10

An older patient recovering from a myocardial infarction is taking the loss of independence and self-care ability well. Which statement addresses this assessment?
1) The patient is probably just thankful to be alive.
2) The patient has probably withdrawn and is depressed.
3) The patient must be in the denial phase of grieving a loss.
4) The patient is demonstrating the concept that loss and its meaning vary with individuals.

Question 11

An older patient is experiencing musculoskeletal changes that are affecting the rehabilitation and restorative program of care. What changes should the nurse keep in mind when caring for this patient? Select all that apply.
1) Muscle atrophy
2) Decreased bone mass
3) Subcutaneous fat loss
4) Thickened heart valves
5) Decreased joint flexibility

Question 12

An older patient has a reputation of being a "difficult resident." Which principle should guide this patient's rehabilitation?
1) Loss and its meaning vary with every person.
2) More severe emotional reactions are produced when the disability is traumatic.
3) The duration of rehabilitation depends on the psychological acceptance of the older adult's condition.
4) Personality problems are generally related to personality characteristics of the older person before being disabled.

Question 13

The nurse is creating an education plan for an older patient's rehabilitation. What should the nurse include as the focus of this plan?
1) Health measures to obtain and retain function
2) Strategies to solve and cope effectively with problems
3) Influence and power to bring about necessary changes
4) Resolution of actual problems and prevention of potential problems

Question 14

An older patient has been diagnosed with situational depression after having a leg amputated from severe peripheral vascular disease related to diabetes mellitus. Which principle should guide this patient's rehabilitation?
1) Loss and its meaning vary with every person.
2) Convalescence is a gradual process that can take a long time.
3) More severe emotional reactions are produced when the disability is traumatic.
4) The duration of rehabilitation depends on the psychological acceptance of the older adult's condition.

Question 15

An older patient is admitted to a long-term care facility with pressure ulcers on the coccyx and both hips. Which intervention would be least likely to be supportive for this patient?
1) Hourly turning and repositioning program
2) Bedrest with dressing changes twice a day
3) Toileting program to reduce incontinent episodes
4) Assisted active range of motion and assisted ambulation