Chapter 26: Rehabilitation Clients In The Community
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- 1.
What is the reason why more and more people will require care because of disabilities?
- A.
Chronic diseases and improved health care services
- B.
Congenital birth defects and increased premature births
- C.
Aging people in society and increased life expectancy
- D.
Traumatic injuries and improved lifesaving technology
Correct Answer
C. Aging people in society and increased life expectancyExplanation
As people age, they are more likely to develop disabilities and require care. This is due to the natural process of aging, which can lead to a decline in physical and cognitive abilities. Additionally, with advancements in healthcare and increased life expectancy, people are living longer, increasing the likelihood of developing disabilities later in life. Therefore, the combination of aging individuals in society and increased life expectancy is a significant reason why more and more people will require care because of disabilities.Rate this question:
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- 2.
What is the primary difficulty for which people older than age 18 require rehabilitation services?
- A.
Activities of daily living, such as bathing or going to the toilet
- B.
Functional activities, such as walking or climbing stairs
- C.
Instrumental activities, such as preparing meals or paying bills
- D.
Use of assistive aids, such as walkers, canes, or wheelchairs
Correct Answer
B. Functional activities, such as walking or climbing stairsExplanation
As people age, they may experience physical limitations that make it difficult for them to perform functional activities such as walking or climbing stairs. These activities are essential for maintaining independence and quality of life. Rehabilitation services can help older individuals regain or improve their ability to perform these activities, allowing them to remain active and independent for as long as possible.Rate this question:
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- 3.
What is the primary goal of rehabilitation?
- A.
To avoid the problem created by a disability
- B.
To improve quality of life
- C.
To treat the underlying cause
- D.
To control the symptoms of the disability
Correct Answer
B. To improve quality of lifeExplanation
The primary goal of rehabilitation is to improve the quality of life. Rehabilitation aims to restore or enhance an individual's physical, cognitive, and emotional abilities, enabling them to regain independence and participate fully in daily activities. It focuses on improving functional abilities, reducing pain and discomfort, and promoting overall well-being. By addressing physical and psychological limitations, rehabilitation helps individuals achieve a higher level of functioning, leading to an improved quality of life.Rate this question:
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- 4.
When was the idea conceived that functional rehabilitation was more than just treating injuries?
- A.
After a famous medical conference held in New York in 1955
- B.
During the Korean War, when so many married men were drafted and hurt
- C.
During the Vietnam War, when so many young men were injured
- D.
During Dr. Howard Rusks treatment of World War II convalescents
Correct Answer
D. During Dr. Howard Rusks treatment of World War II convalescentsExplanation
During Dr. Howard Rusk's treatment of World War II convalescents, the idea was conceived that functional rehabilitation was more than just treating injuries. This suggests that Dr. Rusk's approach to treating the soldiers went beyond simply addressing their physical injuries and focused on restoring their overall functionality and quality of life. This likely involved a holistic approach that considered the psychological, emotional, and social aspects of the soldiers' rehabilitation process.Rate this question:
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- 5.
Which of the following is emphasized as part of the holistic approach to rehabilitation by the Association of Rehabilitation Nurses?
- A.
Client independence
- B.
Development of new abilities to replace those previously lost
- C.
Financial reimbursement to continue rehabilitation care
- D.
Minimizing pain and effort required
Correct Answer
A. Client independenceExplanation
The Association of Rehabilitation Nurses emphasizes client independence as part of the holistic approach to rehabilitation. This means that the focus is on helping clients regain their ability to perform daily activities and live independently. By prioritizing client independence, rehabilitation nurses aim to empower individuals and improve their quality of life. This approach involves providing support, resources, and interventions that enable clients to regain control over their lives and become self-sufficient.Rate this question:
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- 6.
A client has started a rehabilitation program after a stroke. What is the primary purpose of this program?
- A.
Learn about community resources.
- B.
Find a dependable caregiver.
- C.
Promote successful interactions with family and neighbors.
- D.
Maximize the clients independence.
Correct Answer
D. Maximize the clients independence.Explanation
The primary purpose of the rehabilitation program for a client who has had a stroke is to maximize their independence. Stroke can often result in physical and cognitive impairments, and the rehabilitation program aims to help the client regain their abilities and skills to perform daily activities on their own. The program may include physical therapy, occupational therapy, speech therapy, and other interventions tailored to the individual's needs. By maximizing the client's independence, the program aims to improve their quality of life and functional abilities.Rate this question:
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- 7.
A young woman, as a result of her mothers medication use during pregnancy, was born without arms. She used her feet to eat, engage in grooming, and correspond via computer. How might a nurse summarize this example?
- A.
A true success story in rehabilitation
- B.
Demonstrating great persistence
- C.
Evidence of the human spirit
- D.
Habilitation by the young woman
Correct Answer
D. Habilitation by the young womanExplanation
The nurse might summarize this example as "Habilitation by the young woman" because it highlights the young woman's ability to adapt and overcome her physical limitations by using her feet to perform daily activities and communicate. This term emphasizes the young woman's personal growth and achievement in developing skills and independence despite her unique circumstances.Rate this question:
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- 8.
Whether a physical problem interferes with successful functioning in life primarily depends on the
- A.
Environment.
- B.
Nature of the disability.
- C.
Other problems faced by the person with the disability.
- D.
Attitude of the person with the disability.
Correct Answer
A. Environment.Explanation
The correct answer is "Environment." This is because the environment plays a crucial role in determining whether a physical problem interferes with successful functioning in life. The physical surroundings, accessibility, support systems, and societal attitudes can either enable or hinder individuals with disabilities in their daily lives. A supportive and inclusive environment can help individuals overcome barriers and achieve successful functioning, while a negative or inaccessible environment can exacerbate the challenges faced by individuals with disabilities.Rate this question:
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- 9.
A client who has a physical disability has moved into a new community. Which of the following factors will determine how well the client will function in this community?
- A.
Attitude of the community
- B.
Extent of the disability
- C.
Number of other problems the person has
- D.
The persons social skills
Correct Answer
A. Attitude of the communityExplanation
The attitude of the community plays a crucial role in determining how well a client with a physical disability will function in their new community. If the community is welcoming, inclusive, and supportive, the client is more likely to have a positive experience and be able to fully participate in community activities. On the other hand, if the community is discriminatory, inaccessible, or lacks awareness about disabilities, the client may face barriers and difficulties in accessing resources, services, and social interactions. Therefore, the attitude of the community is a key factor in determining the client's level of functioning in their new community.Rate this question:
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- 10.
A 69-year-old woman entered a nursing home because she was no longer able to care for herself and her home. At this time, she was not eligible for Medicaid. What is the probable reason why she does not qualify for Medicaid?
- A.
Neither she nor her husband ever paid into Social Security.
- B.
She has too many financial assets.
- C.
She is too young.
- D.
She was too proud to accept Medicaid support.
Correct Answer
B. She has too many financial assets.Explanation
The probable reason why the 69-year-old woman does not qualify for Medicaid is that she has too many financial assets. Medicaid is a government program that provides health coverage for individuals with low income and limited resources. To be eligible for Medicaid, individuals must meet certain income and asset limits. Since the woman has too many financial assets, she exceeds the eligibility criteria for Medicaid.Rate this question:
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- 11.
A 32-year-old man applied for admission to a nursing home because he was no longer able to care for himself at his home. Without knowing any more about his problems, why is he probably seeking admission?
- A.
Arthritis or an orthopedic impairment
- B.
Paralysis, including speech impairment
- C.
Senility or Alzheimer disease
- D.
Spinal cord injuries or severe multiple sclerosis
Correct Answer
D. Spinal cord injuries or severe multiple sclerosisExplanation
The man is likely seeking admission to a nursing home because he is no longer able to care for himself at home. This suggests that he has a condition that significantly impairs his ability to perform daily activities and requires specialized care, such as spinal cord injuries or severe multiple sclerosis.Rate this question:
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- 12.
A 73-year-old man admitted that he was permanently disabled. What is the most probable cause of his disability?
- A.
Arthritis
- B.
Head injury
- C.
Homelessness
- D.
Alzheimer disease
Correct Answer
A. ArthritisExplanation
The most probable cause of the 73-year-old man's disability is arthritis. Arthritis is a common condition that affects the joints, causing pain, stiffness, and difficulty in movement. As the man is elderly, it is more likely that he has developed arthritis over time, leading to his permanent disability. The other options, such as head injury, homelessness, and Alzheimer's disease, may also cause disabilities, but arthritis is the most probable cause given the information provided.Rate this question:
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- 13.
Which type of legislation provided assistance to workers who were unemployed because of work-related injuries?
- A.
Disabilities laws
- B.
Community living legislation
- C.
Vocational rehabilitation acts
- D.
Workers compensation laws
Correct Answer
D. Workers compensation lawsExplanation
Workers compensation laws provide assistance to workers who are unemployed due to work-related injuries. These laws require employers to provide financial compensation, medical benefits, and rehabilitation services to employees who are injured on the job. The purpose of workers compensation laws is to ensure that injured workers receive necessary support and financial assistance while they recover from their injuries and are unable to work. This legislation helps protect workers' rights and provides a safety net for those who are injured or disabled while performing their job duties.Rate this question:
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- 14.
What does workers compensation legislation in all states require from the employer?
- A.
To assume the cost of occupational disabilities only if the employer was in some way at fault
- B.
To assume the cost of occupational disabilities regardless of whose fault the injury was
- C.
To carry health insurance for their employees that will pay for injuries that occurred at work
- D.
To allow an employee to return to his or her position regardless of how long the employee was not at work because of illness or disability
Correct Answer
B. To assume the cost of occupational disabilities regardless of whose fault the injury wasExplanation
Workers compensation legislation in all states requires the employer to assume the cost of occupational disabilities regardless of whose fault the injury was. This means that if an employee is injured or becomes disabled due to their work, the employer is responsible for covering the costs associated with their disability, regardless of whether the employer was at fault or not. This legislation is in place to protect workers and ensure that they are provided with compensation and support in the event of a work-related injury or disability.Rate this question:
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- 15.
Which piece of legislation increased problems for some disabled persons?
- A.
Balanced Budget Act
- B.
Community Living Legislation
- C.
Family and Medical Leave Act
- D.
Technology-Related Assistance for Individuals with Disabilities Act
Correct Answer
A. Balanced Budget ActExplanation
The Balanced Budget Act increased problems for some disabled persons because it included provisions that led to cuts in funding for healthcare services and programs that were essential for their well-being and independence. These cuts resulted in reduced access to necessary medical treatments, assistive devices, and support services, making it more challenging for disabled individuals to live fulfilling lives and participate fully in society.Rate this question:
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- 16.
A nurse is assessing the community reintegration needs of a client who has had a spinal cord injury. Which of the following questions is most appropriate for the nurse to answer?
- A.
Do the local pharmacies provide home delivery of medications?
- B.
What are the clients current health problems?
- C.
What therapies will the client need in the home?
- D.
Does the client have a stable support network?
Correct Answer
D. Does the client have a stable support network?Explanation
The most appropriate question for the nurse to answer is whether the client has a stable support network. This is important because a stable support network is crucial for the community reintegration of a client with a spinal cord injury. Having a support system in place can help the client with various aspects of their daily life, such as managing their medications, accessing therapies at home, and dealing with their current health problems.Rate this question:
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- 17.
Which of the following statements regarding disabled employees and employers is accurate?
- A.
Employers really do not care about whether the employee is disabled.
- B.
Research has not yet determined whether workers with disabilities are off work more or less than the typical employee.
- C.
Workers with disabilities are absent more than are able-bodied workers.
- D.
Workers with disabilities are absent no more, and often less, than are able-bodied workers.
Correct Answer
D. Workers with disabilities are absent no more, and often less, than are able-bodied workers.Explanation
The correct answer states that workers with disabilities are absent no more, and often less, than able-bodied workers. This means that disabled employees do not have a higher rate of absenteeism compared to non-disabled employees. The answer suggests that the assumption that disabled employees are absent more is inaccurate.Rate this question:
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- 18.
An employer has recently hired a person with a disability who will require special accommodations. What will a typical reasonable accommodation cost an employer?
- A.
Between $1 and $600
- B.
Between $601 and $1200
- C.
Between $1200 and $1800
- D.
Over $1801
Correct Answer
A. Between $1 and $600Explanation
A typical reasonable accommodation cost for an employer when hiring a person with a disability is between $1 and $600. This cost range suggests that the accommodations required may be relatively low-cost and manageable for the employer. It also implies that the accommodations needed may not be extensive or complex, but rather simple adjustments that can be made to support the employee with a disability in their work environment.Rate this question:
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- 19.
Which of the following interventions best describes the primary responsibility of a rehabilitation nurse?
- A.
Assessing client and family needs
- B.
Being the educator of the client and family
- C.
Obtaining necessary resources for the client and family
- D.
Implementing a detailed plan of care
Correct Answer
B. Being the educator of the client and familyExplanation
The primary responsibility of a rehabilitation nurse is to be the educator of the client and family. This means that the nurse is responsible for providing information and teaching the client and their family about their condition, treatment options, and self-care techniques. By being the educator, the nurse helps empower the client and their family to actively participate in their own care and make informed decisions. This intervention is crucial in promoting the client's rehabilitation and overall well-being.Rate this question:
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- 20.
A middle-aged adult had a stroke, which resulted in left-sided paralysis. His wife was doing her best as she learned to care for him but found it difficult. He had always been the strong one. Besides his physical problems, what is probably causing the most suffering for him?
- A.
Frustration in not being able to speak correctly
- B.
Grief and loss
- C.
Having to be cared for by his wife
- D.
The limitations in what he is physically able to do
Correct Answer
B. Grief and lossExplanation
The most likely cause of suffering for the middle-aged adult who had a stroke and left-sided paralysis is grief and loss. This individual is experiencing a significant change in their physical abilities and independence, which can lead to feelings of loss and grief for their previous way of life. Additionally, the stroke may have resulted in the loss of certain abilities or activities that were important to them, further contributing to their grief. This emotional suffering can be just as impactful, if not more, than the physical limitations they are facing.Rate this question:
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- 21.
A wife was doing her best to care for her husband, who had a stroke that produced left-sided paralysis. Which of the following needs would the nurse expect the wife to express?
- A.
Desiring assistance in the home because her responsibilities had expanded
- B.
Desiring information on how to better care for her husband
- C.
Feeling overwhelmed and drained, both physically and emotionally
- D.
Feeling frustrated that she has to deal with all this
Correct Answer
C. Feeling overwhelmed and drained, both physically and emotionallyExplanation
The correct answer is feeling overwhelmed and drained, both physically and emotionally. This is because caring for a spouse with left-sided paralysis after a stroke can be physically demanding and emotionally challenging. The wife may feel overwhelmed by the increased responsibilities and the need to provide constant care for her husband. Additionally, the emotional toll of seeing her husband in this condition and the uncertainty of his recovery can contribute to feelings of being drained and overwhelmed.Rate this question:
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