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Chapter 38 Rehabilitation Nursing

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Chapter 38 Rehabilitation Nursing

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  • August 27, 2024
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  • 2024/2025
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Chapter 38: Rehabilitation Nursing



MULTIPLE CHOICE

1. The nurse who is part of a team focused on restoring an individual to the fullest physical,
mental, social, vocational, and economic capacity is practicing what type of nursing?
a. Holistic nursing
b. Conscientious nursing
c. Rehabilitation nursing
d. Comprehensive nursing
ANS: C
Rehabilitation is the process of restoring an individual to the fullest physical, mental, social,
vocational, and economic capacity of which he or she is capable.

PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 1193
OBJ: 1 TOP: Rehabilitation KEY: Nursing Process Step: N/A
MSC: NCLEX: Health Promotion and Maintenance

2. The nurse recognizes that the rehabilitation process involves the efforts of various disciplines.
The focus of rehabilitation is to build on which area?
a. A person‘s losses
b. A person‘s long-term plans
c. A person‘s drives
d. A person‘s abilities
ANS: D
The underlying philosophy of rehabilitation is to focus on the abilities of the patient.

PTS: 1 DIF: Cognitive Level: Application REF: Page 1193
OBJ: 1 TOP: Rehabilitation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

3. The nurse should tell a paraplegic that the rehabilitation experience will consist of:
a. relearning former skills.
b. learning to walk.
c. learning new skills to adapt to a different lifestyle.
d. developing muscle strength.
ANS: C
The type and the focus of rehabilitation are individualized to the patient, the injury, and
abilities. Skills will be taught to enhance the patient‘s adaptation to a new lifestyle.

PTS: 1 DIF: Cognitive Level: Application REF: Page 1195
OBJ: 3 TOP: Rehabilitation
KEY: Nursing Process Step: Assessment MSC: NCLEX: Health Promotion and Maintenance

4. The nurse who helps a patient with a disability rejoice in the acquisition of the smallest new
skill is embracing which rehabilitation philosophy?

, a. Resolving impairments
b. Removing disabilities
c. Increasing quality of life
d. Eliminating complications
ANS: C
A philosophy of rehabilitation is to increase the quality of life. Impairments may not be able to
be resolved, disabilities may not be able to be completely removed, and complications may
not be totally eliminated. However, with rehabilitation, the individual can learn to adjust to the
new lifestyle.

PTS: 1 DIF: Cognitive Level: Application REF: Page 1195
OBJ: 1 TOP: Rehabilitation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

5. A patient with quadriplegia resulting from a spinal cord injury says to the rehabilitation nurse,
―I‘m sick of this therapy! What is an occupational therapist going to do for me? Can she give
me an ‗occupation‘?‖ What response by the nurse would be the most helpful?
a. ―No, but the occupational therapist can show you how to enjoy some recreational
activities.‖
b. ―Yes, in a way. The occupational therapist provides training that strengthens
muscles you can still control.‖
c. ―Maybe. The occupational therapist recommends adaptive equipment that will
make you more independent.‖
d. ―No, the voc-rehab counselor helps with employment. The occupational therapist
helps train you for improved communication skills.‖
ANS: C
The occupational therapist recommends adaptive equipment or helps in modifying skills to
enhance independence.

PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1196, Table 38-1
OBJ: 4 TOP: Rehabilitation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity

6. When caring for a patient with a disability, the rehabilitation nurse provides individual
treatment to help the patient stay focused on which goals?
a. Returning to normal
b. Independence
c. Employment
d. Promotion of health
ANS: B
The focus on rehabilitation is on enabling the individual to move from a totally dependent
state to a level of independence.

PTS: 1 DIF: Cognitive Level: Application REF: Page 1197
OBJ: 3 TOP: Rehabilitation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance

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