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Med Surg - Chapter 6 - Rehabilitation Concepts for Chronic and Disabling Health Problems Questions and Answers 2024 $14.49   Add to cart
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Med Surg - Chapter 6 - Rehabilitation Concepts for Chronic and Disabling Health Problems Questions and Answers 2024
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Med Surg - Chapter 6 - Rehabilitation Concepts for Chronic and Disabling Health Problems

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  • November 9, 2024
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  • 2024/2025
  • Exam (elaborations)
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Med Surg - Chapter 6 - Rehabilitation
Concepts for Chronic and Disabling
Health Problems

What would the nurse use to prevent a patient from falling out of a wheelchair?
1
Restraint
2
STRATIFY
3
Morse Fall Scale
4
Hendrich II Fall Risk Model - answer1
Restraint

A restraint is the correct answer because it is a device that prevents a patient from
falling out of a wheelchair and must be prescribed by a health care provider. STRATIFY,
the Morse Fall Scale, and the Hendrich II Fall Risk Model are evidence-based
assessment tools which have been developed to help nurses assess for factors that
increase an older person's risk for falling.

Which is true regarding restraint use for patients in nursing homes?
1
The law gives patients the right to be restraint-free.
2
The law has led to an increase in the use of physical restraints.
3
The law makes it mandatory for all weak, older patients to be placed in restraints.
4
The law gives health care facility staff the right to use restraints according to their
convenience. - answer1
The law gives patients the right to be restraint-free.

The law passed in 1990 gives nursing home residents the right to be restraint-free .
Hospitals have reduced the use of physical restraints. Patients should not be placed
under physical or chemical restraints just because they are old and weak. A restraint—
any device or drug that prevents a patient from moving freely—must be prescribed by a
primary health care provider and should never be used for staff convenience.

,What recommendation does the National Institute on Aging (NIA) make for safe alcohol
use by older adults?
1
Abstaining completely
2
No more than one drink per day
3
No more than two drinks per day
4
No more than six drinks per week - answer2
No more than one drink per day

The NIA recommends adults over the age of 65 have no more than one alcoholic drink
per day, or seven drinks in a week. It does not recommend that older adults abstain
completely. Two drinks per day is over the recommended limit, and six drinks per week
is under the recommended limit.

A patient avoids taking over-the-counter (OTC) medications unless the primary health
care provider suggests the patient do so. This is an example of what?
1
A health-providing behavior
2
A health-protecting behavior
3
A health-enhancing behavior
4
A health-understanding behavior - answer2
A health-protecting behavior

Avoiding OTC medications unless their use is directed by a provider is an example of a
health-protecting behavior. It is not an example of a health-enhancing behavior, and
health-providing and health-understanding behaviors are not categories of patient
behaviors.

Which finding is an indication of hyperglycemia in a patient who is on risperidone?
1
Heart rate: 88 beats/min
2
Blood pressure: 120/80mmHg
3
Blood glucose level: 160mg/dL
4
Serum calcium level: 8.6mg/dL - answer3
Blood glucose level: 160mg/dL

,Risperidone is an antipsychotic drug that may cause hyperglycemia. A normal blood
glucose concentration is less than 100mg/dL, so a level of 160mg/dL indicates
hyperglycemia, and the nurse should immediately notify the primary health care
provider to prevent serious complications. A heart rate of 88 beats/min, a blood
pressure of 120/80 mm Hg, and a serum calcium level of 8.6 mg/dL are all normal
findings.

What is the most important predictor for falls?
1
A recent knee injury
2
Severe farsightedness
3
A diagnosis of dementia
4
A recent history of falling - answer4
A recent history of falling

The single most important predictor for falls is a recent history of falling. A recent knee
injury, severe farsightedness, and a diagnosis of dementia may raise the risks of falling,
but none of these are as important.

Which condition is likely to be found in a patient who has experienced a stroke?
1
Cancer
2
Asthma
3
Arthritis
4
Dysphagia - answer4
Dysphagia

Patients who had experienced a stroke may have dysphagia, or difficulty swallowing.
Cancer, asthma, and arthritis are common chronic diseases that can result in varying
degrees of disability, but that are not associated with a stroke.

Which factor causes undernourishment of older patients?
1
Fatigue
2
Loss of vision
3
High blood pressure
4
Low blood pressure - answer1

, Fatigue

A fatigued patient may not have the strength to eat and maintain a proper diet; thus
fatigue is a factor that can cause undernourishment. Loss of vision, high blood pressure,
and low blood pressure are not factors that lead to undernourishment.

The nurse is using the Geriatric Depression Scale—Short Form (GDS-SF) to determine
if an older patient has clinical depression. Which statement about the scale is correct?
1
It is available only in English and German.
2
It requires the patient to answer 12 questions.
3
A score greater than 10 suggests clinical depression.
4
It assesses the level of confusion in cognitive processing. - answer3
A score greater than 10 suggests clinical depression.

The GDS-SF is a valid and reliable tool that helps to determine if a patient has
depression. A score of 10 or greater suggests clinical depression. It is available in
multiple languages. The patient has to provide "yes" or "no" answers to 15 questions.
The level of confusion in cognitive processing is assessed in NEECHAM confusion
scale to evaluate delirium.

An older adult patient is diagnosed with depression that the provider believes is due to
insufficient serotonin in the brain. This is described as what?
1
Primary depression
2
Geriatric depression
3
Situational depression
4
Secondary depression - answerPrimary depression

Primary depression is thought to result from insufficient levels of norepinephrine and
serotonin in the brain. Geriatric depression is not a specific classification of depression.
Secondary depression can result after a sudden change in a person's life. Situational
depression is another term for secondary depression.

What should the nurse include in the assessment when looking for signs of skin
breakdown including pressure ulcers?
1
Delusions
2
Thiothixene

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