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Certified Rehabilitation Registered Nurse
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Which of the following lab results would most likely indicate a patient is at risk for developing dysphagia due to electrolyte imbalance?
Elevated sodium levels
Low magnesium levels
rmal calcium levels er: B
nation: Low magnesium levels can lead to neuromuscular dysfunction, which may increase t phagia due to impaired swallowing coordination.
ontext of behavior management, what is the primary objective when implementing a structu ention plan for a patient with aggressive tendencies?
ontrol the patient's behavior through restrictive measures nsure staff safety above all else
romote the patient's ability to self-regulate their emotions inimize the need for verbal communication with the patient
er: C
nation: The primary objective is to promote the patient’s ability to self-regulate their emotion ng a more therapeutic and safe environment for rehabilitation.
No
Answ
Expla he risk
of dys
In the c red
interv
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To e
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fosteri
Post-Traumatic Stress Disorder (PTSD) can manifest in various ways. Which of the following symptoms is considered a hallmark of PTSD, particularly in relation to re-experiencing the trauma?
Intense fear during new experiences unrelated to the trauma.
Recurrent, involuntary, and intrusive distressing memories of the traumatic event.
Persistent avoidance of reminders associated with the trauma.
Generalized anxiety about future threats unrelated to past trauma. Answer: B
Explanation: Recurrent, involuntary, and intrusive memories of the traumatic event are hallmark symptoms of PTSD, indicating a strong re-experiencing of the trauma.
of the Rehabilitation Act, which of the following practices should a rehabilitation nurse ment to ensure compliance with Section 504 regarding patients with disabilities?
viding access to rehabilitation services only to individuals who can demonstrate a need for t miting accommodations to physical changes in the environment without considering educatio ments.
uring that all patients, regardless of disability status, have equal access to programs and serv quiring individuals with disabilities to provide additional documentation to access services.
er: C
nation: Section 504 of the Rehabilitation Act mandates that individuals with disabilities have to services and programs, ensuring non-discrimination in rehabilitation settings.
statement best reflects the rationale behind using an elimination diary in the management of with bowel dysfunction?
llows for the identification of medications that cause constipation. erves as a legal document for treatment verification.
rovides a visual representation of bowel habits over time. primarily used to track dietary intake.
Pro hem.
Li nal
adjust
Ens ices.
Re
Answ
Expla equal
access
Which patients
It a
It s
It p
It is Answer: C
Explanation: An elimination diary offers a visual representation of bowel habits over time, which can help healthcare providers and patients identify patterns, triggers, and areas for intervention in bowel management.
A 65-year-old patient presents with expressive aphasia following a stroke. During your assessment, he struggles to communicate his needs effectively, often using gestures. Which intervention is most appropriate to facilitate his communication?
Encourage the use of written notes for communication
Implement a speech-generating device
Use a picture board to enhance understanding
nation: A speech-generating device can help the patient express himself more effectively, nsating for his expressive aphasia and promoting communication.
erapeutic session, a nurse uses reflective listening to help a patient articulate feelings of stres of the following techniques best exemplifies this approach?
hy do you think you feel this way?"
ou should try to manage your time better."
ounds like you're feeling overwhelmed by your responsibilities." ave you considered taking a break?"
er: C
nation: Reflective listening involves paraphrasing and validating the patient's feelings, which the therapeutic relationship and encourages further exploration.
Expla compe
In a th s.
Which
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Answ
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In a patient with diabetes who is also undergoing rehabilitation, what is the most important dietary consideration to help manage their condition effectively?
Frequent high-sugar snacks
Balanced meals with controlled carbohydrate intake
Elimination of all carbohydrates
High-fat diet to control blood sugar levels Answer: B
Explanation: Balanced meals with controlled carbohydrate intake are essential for managing diabetes effectively, helping to maintain stable blood glucose levels.
vide a detailed manual for the device edule regular reminders via phone calls
nduct a weekly review of device functionality a visual cue system to prompt device use
er: D
nation: A visual cue system can serve as a constant reminder for the patient to use their perso se device, improving adherence.
naging a patient with chronic pain on long-term opioid therapy, which of the following entions is vital to prevent the development of tolerance and dependence?
orporating multimodal pain management strategies gularly scheduling opioid doses
reasing the opioid dosage frequently miting patient assessment of pain levels
er: A
Pro
Sch
Co
Use Answ
Expla nal
respon
In ma interv
Inc
Re
Inc
Li
Answ
Explanation: Multimodal pain management strategies, including physical therapy and non-opioid medications, can prevent tolerance and dependence by providing comprehensive pain relief.
A 65-year-old patient with a stroke is admitted to a rehabilitation facility. The interdisciplinary team is tasked with establishing achievable goals for the patient’s rehabilitation. Which of the following is the most appropriate initial goal for this patient based on the principles of rehabilitation nursing?
Achieving full independence in all activities of daily living (ADLs) within two weeks
Improving mobility to the point where the patient can transfer from bed to wheelchair with minimal assistance
Returning home with a complete recovery of speech and cognitive function
Attending a support group for stroke survivors three times a week Answer: B
ehabilitation principles and promotes gradual progress.
atient-centered approach, which complementary alternative medicine (CAM) modality is mos o enhance a patient's self-efficacy in managing chronic pain?
upuncture ded imagery omatherapy
rbal supplements er: B
nation: Guided imagery can empower patients by enhancing their sense of control over pain ement, thus improving self-efficacy.
valuating the impact of staffing patterns in rehabilitation settings, which of the following fa be prioritized to enhance patient outcomes?
In a p t
likely t
Ac
Gui
Ar
He
Answ Expla
manag
When e ctors
should
The qualifications and training of staff members in rehabilitation practices.
The total number of staff employed in the facility.
The geographical location of the facility.
The staff's ability to work long hours without breaks. Answer: A
Explanation: The qualifications and training of staff members in rehabilitation practices are critical factors that directly influence patient outcomes, as skilled and knowledgeable staff can provide high-
quality care tailored to individual patient needs.
A nurse is assessing a patient with a history of seizures who wears a helmet as a precaution. What additional safety strategy should the nurse recommend to minimize risks associated with potential falls or injuries?
alling padding on furniture edges couraging independence in movement miting the patient's mobility
er: B
nation: Installing padding on furniture edges can help prevent injuries in case of falls, ementing the use of a helmet.
bilitation facility is preparing for an audit regarding documentation practices. Which of the ing practices should be emphasized to ensure compliance with regulatory standards?
intaining a separate log for verbal orders
ng electronic health records with automatic updates ying on summary reports for overall patient care
suring that all patient interactions are documented comprehensively er: D
nation: Comprehensive documentation of all patient interactions is critical for compliance an es a complete picture of care, which is essential during audits.
Avoiding all physical activity Inst En Li Answ Expla compl A reha follow Ma Usi Rel En Answ Expla d provid In a patient with advanced dementia, which of the following approaches is most effective in promoting safe swallowing during mealtimes? Encouraging the patient to eat independently Using adaptive utensils for easier handling Allowing the patient to choose food textures Serving meals in a dimly lit environment Answer: B Explanation: Using adaptive utensils can help promote independence and safety during mealtimes, facilitating better control over food intake and reducing the risk of aspiration. el events are critical incidents that require immediate investigation. Which of the following m tely describes a sentinel event according to the National Patient Safety Goals? hospital-acquired infection nexpected occurrence involving death or serious physical or psychological injury inor medication error that does not cause harm atient complaint regarding facility cleanliness er: B nation: Sentinel events involve unexpected occurrences that result in death or serious harm, itating immediate response and investigation to prevent future incidents. ding to Rogers' Science of Unitary Human Beings, which principle is central to understandin approach in rehabilitation nursing? importance of environmental control focus on physiological assessments concept of energy field interactions hierarchy of needs in patient careQuest
Question: 1484
ion: 1486