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Principles and Practices of Rehabilitation: Multiple Choice Questions and Answers, Quizzes of Nursing

Glasgow School of Art (GSA)Nursing

A series of multiple choice questions and answers related to the principles and practices of rehabilitation. It covers various aspects of rehabilitation, including pressure ulcers, traumatic brain injury, spinal cord injury, stroke, and incontinence. The questions are designed to test knowledge and understanding of key concepts in rehabilitation nursing.

Typology: Quizzes

2024/2025

Available from 03/07/2025

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Chapter 10: Principles and Practices of Rehabilitation
1. The nurse is providing care for an older adult man whose diagnosis of dementia has recently led to
urinary incontinence. When planning this patients care, what intervention should the nurse avoid?
A) Scheduled toileting
B) Indwelling catheter
C) External condom catheter
D) Incontinence pads โœ”โœ”B) Indwelling catheter
2. You are the nurse caring for a female patient who developed a pressure ulcer as a result of decreased
mobility. The nurse on the shift before you has provided patient teaching about pressure ulcers and
healing promotion. You assess that the patient has understood the teaching by observing what?
A) Patient performs range-of-motion exercises.
B) Patient avoids placing her body weight on the healing site.
C) Patient elevates her body parts that are susceptible to edema.
D) Patient demonstrates the technique for massaging the wound site. โœ”โœ”B) Patient avoids placing her
body weight on the healing site.
3. An elderly female patient who is bedridden is admitted to the unit because of a pressure ulcer that can
no longer be treated in a community setting. During your assessment of the patient, you find that the
ulcer extends into the muscle and bone. At what stage would document this ulcer?
A) I
B) II
C) III
D) IV โœ”โœ”D) IV
4. A 74-year-old woman experienced a cerebrovascular accident 6 weeks ago and is currently receiving
inpatient rehabilitation. You are coaching the patient to contract and relax her muscles while keeping her
extremity in a fixed position. Which type of exercise is the patient performing?
A) Passive
B) Isometric
C) Resistive
D) Abduction โœ”โœ”B) Isometric
5. An interdisciplinary team has been working collaboratively to improve the health outcomes of a
young adult who suffered a spinal cord injury in a workplace accident. Which member of the
rehabilitation team is the one who determines the final outcome of the process?
A) Most-responsible nurse
B) Patient
C) Patients family
D) Primary care physician โœ”โœ”B) Patient
6. A school nurse is providing health promotion teaching to a group of high school seniors. The nurse
should highlight what salient risk factor for traumatic brain injury?
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Download Principles and Practices of Rehabilitation: Multiple Choice Questions and Answers and more Quizzes Nursing in PDF only on Docsity!

Chapter 10: Principles and Practices of Rehabilitation

  1. The nurse is providing care for an older adult man whose diagnosis of dementia has recently led to urinary incontinence. When planning this patients care, what intervention should the nurse avoid? A) Scheduled toileting B) Indwelling catheter C) External condom catheter D) Incontinence pads โœ”โœ”B) Indwelling catheter
  2. You are the nurse caring for a female patient who developed a pressure ulcer as a result of decreased mobility. The nurse on the shift before you has provided patient teaching about pressure ulcers and healing promotion. You assess that the patient has understood the teaching by observing what? A) Patient performs range-of-motion exercises. B) Patient avoids placing her body weight on the healing site. C) Patient elevates her body parts that are susceptible to edema. D) Patient demonstrates the technique for massaging the wound site. โœ”โœ”B) Patient avoids placing her body weight on the healing site.
  3. An elderly female patient who is bedridden is admitted to the unit because of a pressure ulcer that can no longer be treated in a community setting. During your assessment of the patient, you find that the ulcer extends into the muscle and bone. At what stage would document this ulcer? A) I B) II C) III D) IV โœ”โœ”D) IV
  4. A 74-year-old woman experienced a cerebrovascular accident 6 weeks ago and is currently receiving inpatient rehabilitation. You are coaching the patient to contract and relax her muscles while keeping her extremity in a fixed position. Which type of exercise is the patient performing? A) Passive B) Isometric C) Resistive D) Abduction โœ”โœ”B) Isometric
  5. An interdisciplinary team has been working collaboratively to improve the health outcomes of a young adult who suffered a spinal cord injury in a workplace accident. Which member of the rehabilitation team is the one who determines the final outcome of the process? A) Most-responsible nurse B) Patient C) Patients family D) Primary care physician โœ”โœ”B) Patient
  6. A school nurse is providing health promotion teaching to a group of high school seniors. The nurse should highlight what salient risk factor for traumatic brain injury?

A) Substance abuse B) Sports participation C) Anger mismanagement D) Lack of community resources โœ”โœ”A) Substance abuse

  1. A nurse is giving a talk to a local community group whose members advocate for disabled members of the community. The group is interested in emerging trends that are impacting the care of people who are disabled in the community. The nurse should describe an increasing focus on what aspect of care? A) Extended rehabilitation care B) Independent living C) Acute-care center treatment D) State institutions that provide care for life โœ”โœ”B) Independent living The nurse is caring for an older adult patient who is receiving rehabilitation following an ischemic stroke. A review of the patients electronic health record reveals that the patient usually defers her self- care to family members or members of the care team. What should the nurse include as an initial goal when planning this patients subsequent care? A) The patient will demonstrate independent self-care. B) The patients family will collaboratively manage the patients care. C) The nurse will delegate the patients care to a nursing assistant. D) The patient will participate in a life skills program. โœ”โœ”A) The patient will demonstrate independent self-care. You are caring for a 35-year-old man whose severe workplace injuries necessitate bilateral below-the- knee amputations. How can you anticipate that the patient will respond to this news? A) The patient will go through the stages of grief over the next week to 10 days. B) The patient will progress sequentially through five stages of the grief process. C) The patient will require psychotherapy to process his grief. D) The patient will experience grief in an individualized manner. โœ”โœ”D) The patient will experience grief in an individualized manner. An elderly woman diagnosed with osteoarthritis has been referred for care. The patient has difficulty ambulating because of chronic pain. When creating a nursing care plan, what intervention may the nurse use to best promote the patients mobility? A) Motivate the patient to walk in the afternoon rather than the morning. B) Encourage the patient to push through the pain in order to gain further mobility. C) Administer an analgesic as ordered to facilitate the patients mobility. D) Have another person with osteoarthritis visit the patient. โœ”โœ”C) Administer an analgesic as ordered to facilitate the patients mobility. The nurse is providing care for a 90 - year-old patient whose severe cognitive and mobility deficits result in the nursing diagnosis of risk for impaired skin integrity due to lack of mobility. When planning relevant assessments, the nurse should prioritize inspection of what area? A) The patients elbows B) The soles of the patients feet
  1. A 52-year-old married man with two adolescent children is beginning rehabilitation following a motor vehicle accident. You are the nurse planning the patients care. Who will the patients condition affect? A) Himself B) His wife and any children that still live at home C) Him and his entire family D) No one, provided he has a complete recovery โœ”โœ”C) Him and his entire family
  2. You are planning rehabilitation activities for a patient who is working toward discharge back into the community. During a care conference, the team has identified a need to focus on the patients instrumental activities of daily living (IADLs). When planning the patients subsequent care, you should focus particularly on which of the following? A) Dressing B) Bathing C) Feeding D) Meal preparation โœ”โœ”D) Meal preparation A 93-year-old male patient with failure to thrive has begun exhibiting urinary incontinence. When choosing appropriate interventions, you know that various age-related factors can alter urinary elimination patterns in elderly patients. What is an example of these factors? A) Decreased residual volume B) Urethral stenosis C) Increased bladder capacity D) Decreased muscle tone โœ”โœ”D) Decreased muscle tone You are the nurse caring for an elderly patient who has been on a bowel training program due to the neurologic effects of a stroke. In the past several days, the patient has begun exhibiting normal bowel patterns. Once a bowel routine has been well established, you should avoid which of the following? A) Use of a bedpan B) Use of a padded or raised commode C) Massage of the patients abdomen D) Use of a bedside toilet โœ”โœ”A) Use of a bedpan
  3. As a member of the rehabilitation team, the nurse is conscious of the need to perform the nursing role in collaboration with the other members of the team. Which of the following variables has the greatest bearing on the nurses choice of actions and interventions during rehabilitative care? A) The skills of the other members of the team B) The circumstances of the patient C) The desires of the patients family D) The nurses education and experience level โœ”โœ”B) The circumstances of the patient
  4. The rehabilitation team has reaffirmed the need to maximize the independence of a patient in rehabilitation. When working toward this goal, what action should the nurse prioritize? A) Encourage families to become paraprofessionals in rehabilitation. B) Delegate care planning to the patient and family.

C) Recognize the importance of informal caregivers. D) Make patients and families to work together. โœ”โœ”C) Recognize the importance of informal caregivers.

  1. You are the nurse creating the care plan for a patient newly admitted to your rehabilitation unit. The patient is an 82-year-old patient who has had a stroke but who lived independently until this event. What is a goal that you should include in this patients nursing care plan? A) Maintain joint mobility. B) Refer to social services. C) Ambulate three times every day. D) Perform passive range of motion twice daily. โœ”โœ”A) Maintain joint mobility.
  2. You are the rehabilitation nurse caring for a 25-year-old patient who suffered extensive injuries in a motorcycle accident. During each patient contact, what action should you perform most frequently? A) Complete a physical assessment. B) Evaluate the patients positioning. C) Plan nursing interventions. D) Assist the patient to ambulate. โœ”โœ”B) Evaluate the patients positioning.
  3. A patient has been transferred to a rehabilitative setting from an acute care unit. What is the most important reason for the nurse to begin a program for activities of daily living (ADLs) as soon as the patient is admitted to a rehabilitation facility? A) The ability to perform ADLs may be the key to dependence. B) The ability to perform ADLs is essential to living in a group home. C) The ability to perform ADLs may be the key to reentry into the community. D) The ability to perform ADLs is necessary to function in an assisted-living situation. โœ”โœ”C) The ability to perform ADLs may be the key to reentry into the community.
  4. A female patient has been achieving significant improvements in her ADLs since beginning rehabilitation from the effects of a brain hemorrhage. The nurse must observe and assess the patients ability to perform ADLs to determine the patients level of independence in self-care and her need for nursing intervention. Which of the following additional considerations should the nurse prioritize? A) Liaising with the patients insurer to describe the patients successes. B) Teaching the patient about the pathophysiology of her functional deficits. C) Eliciting ways to get the patient to express a positive attitude. D) Appraising the family's involvement in the patients ADLs. โœ”โœ”D) Appraising the family's involvement in the patients ADLs.
  5. An adult patients current goals of rehabilitation focus primarily on self-care. What is a priority when teaching a patient who has self-care deficits in ADLs? A) To provide an optimal learning environment with minimal distractions B) To describe the evidence base for any chosen interventions C) To help the patient become aware of the requirements of assisted-living centers D) To ensure that the patient is able to perform self-care without any aid from caregivers โœ”โœ”A) To provide an optimal learning environment with minimal distractions
  1. A home care nurse performs the initial visit to a patient who is soon being discharged from a rehabilitation facility. This initial visit is to assess what the patient can do and to see what he will need when discharged home. What does this help ensure for the patient? A) Social relationships B) Family assistance C) Continuity of care D) Realistic expectations โœ”โœ”C) Continuity of care
  2. A nurse has been asked to become involved in the care of an adult patient in his fifties who has experienced a new onset of urinary incontinence. During what aspect of the assessment should the nurse explore physiologic risk factors for elimination problems? A) Physical assessment B) Health history C) Genetic history D) Initial assessment โœ”โœ”B) Health history
  3. You are the nurse caring for a patient who has paraplegia following a hunting accident. You know to assess regularly for the development of pressure ulcers on this patient. What rationale would you cite for this nursing action? A) You know that this patient will have a decreased level of consciousness. B) You know that this patient may not be motivated to prevent pressure ulcers. C) You know that the risk for pressure ulcers is directly related to the duration of immobility. D) You know that the risk for pressure ulcers is related to what caused the immobility. โœ”โœ”C) You know that the risk for pressure ulcers is directly related to the duration of immobility.
  4. A nurse is caring for a patient undergoing rehabilitation following a snowboarding accident. Within the interdisciplinary team, the nurse has been given the responsibility for coordinating the patients total rehabilitative plan of care. What nursing role is this nurse performing? A) Patient educator B) Caregiver C) Case manager D) Patient advocate โœ”โœ”C) Case manager
  5. You are the nurse providing care for a patient who has limited mobility after a stroke. What would you do to assess the patient for contractures? A) Assess the patients deep tendon reflexes (DTRs). B) Assess the patients muscle size. C) Assess the patient for joint pain. D) Assess the patients range of motion. โœ”โœ”D) Assess the patients range of motion.
  6. You are creating a nursing care plan for a patient who is hospitalized following right total hip replacement. What nursing action should you specify to prevent inward rotation of the patients hip when the patient is in a partial lateral position? A) Use of an abduction pillow between the patients legs B) Alignment of the head with the spine using a pillow

C) Support of the lower back with a small pillow D) Placement of trochanter rolls under the greater trochanter โœ”โœ”A) Use of an abduction pillow between the patients legs

  1. You have been referred to the care of an extended care resident who has been diagnosed with a stage III pressure ulcer. You are teaching staff at the facility about the role of nutrition in wound healing. What would be the best meal choice for this patient? A) Whole wheat macaroni with cheese B) Skim milk, oatmeal, and whole wheat toast C) Steak, baked potato, spinach and strawberry salad D) Eggs, hash browns, coffee, and an apple โœ”โœ”C) Steak, baked potato, spinach and strawberry salad
  2. You are the nurse caring for an elderly adult who is bedridden. What intervention would you include in the care plan that would most effectively prevent pressure ulcers? A) Turn and reposition the patient a minimum of every 8 hours. B) Vigorously massage lotion into bony prominences. C) Post a turning schedule at the patients bedside and ensure staff adherence. D) Slide, rather than lift, the patient when turning. โœ”โœ”C) Post a turning schedule at the patients bedside and ensure staff adherence.