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Eliopoulos - Gerontological Nursing 8th Ed - Rehabilitative Care Exam
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Eliopoulos - Gerontological Nursing 8th Ed - Rehabilitative Care Exam
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Eliopoulos - Gerontological Nursing 8thEd - Rehabilitative Care Exam
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." - Answers -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.
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. - Answers
-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.
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 - Answers -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.
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 fami - Answers -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.
Which of the following are reactions that accompany disability for most people? (Select
all that apply.)
A) Mourning losses
B) Denial of disabilities by making unrealistic plans and not complying with their care
plans
C) Angry outbursts and impatience with those who are trying to help them
D) Fluctuations in reactions
E) Acceptance of the disability with an absence of periods of regret or resentment -
Answers -Ans: A, B, C, D
Feedback:
A person who has a disability may mourn their losses, deny disabilities by making
unrealistic plans and not complying with their care plans, have angry outbursts and
impatience with those who are trying to help them, and fluctuations in reactions. It is
rare that a person can accept a disability without some periods of regret or resentment.
After a fall in the supermarket near his home, Mr. G has experienced a slow recovery in
hospital from hip replacement surgery 9 weeks prior, enduring a postoperative infection
and a slow resumption of mobility. Consequently, the care team has recommended that
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