PATHS Chapter 25, 26
Aspiration
A cuffless tracheostomy tube is often used if the resident has a low risk for this
skin care
A nursing assistant should provide this for the site around the tracheostomy
speech language pathologist
A patient who is unable to communicate verbally will be treated by a a. physical therapist b. occupational therapist c. nursing assistant d. speech language pathologist
Taught to adapt to the present circumstances
A patient with a permanent disability is a. taught to adapt to the present circumstance b. not a good candidate for rehabilitation c. given much sympathy d. encouraged to be helpless
geriatric
A person who chooses to work with rehabilitation of the elderly is specializing in ________________ rehabilitation
Physiatrist
A physician who specializes in rehabilitation is called a/an
Chest
A portable telemetry unit attaches to a resident's ____________________
Tracheostomy
A surgically created opening in the neck into the trachea is called a(n) a. ileostomy b. gastrostomy c. colostomy d. tracheostomy
contracture
A/An ________________ occurs when a joint is in a permanent state of flexion
Embolus
A/An ___________________ is a blood clot that moves through the circulatory system
Self-care deficit
A/An ____________________ exists when an adult cannon complete one or more activities of daily living
ordinary items modified for use by patients with self-care deficits
Adaptive devices are a. inappropriate for patients receiving rehabilitation b. used by nursing assistants to feed patients c. ordinary items modified for use by patients with self-care deficits d. used only by occupational therapists
Mobility skills
Ambulation and transfers are examples of
ventilation
An artificial airway may be needed in order to facilitate a. ventilation b. secretions c. heart rate d. aspiration
Disability
An impairment that affects the ability to preform an activity that a person of that age would normally be able to do is called a/an
Stoma
Another name for the opening for the tracheostomy
adaptive
Assistive or __________________ devices can help people who are recovering from illness or adapting to a physical disability
Dorsiflexion
Beinding backward
Flexion
Bending a body part
spinal cord injury
Disabilities may result from a. too much exercise b. getting inadequate sleep c. spinal cord injury d. not drinking enough water
Active range of motion
Done by a resident alone, without help
Passive range of motion
Done by a staff member, without the resident's help
Active assisted range or motion
Done by resident with some help from a staff member
Activities of daily living
Dressing and undressing are examples of
Range of motion exercises
Exercises that put a joint through its full arc of motion
Four
How many feet does a quad cane have
Walker, weaker leg, then stronger leg
How should a walker be moved? a. Walker first, stronger leg, then weaker leg b. weaker leg, walker, then stronger leg c. stronger leg, walker, then weaker leg d. Walker, weaker leg, then stronger leg
Abduction
Moving a body part away from the midline of the body
Adduction
Moving a body part toward the midline of the body
atrophy
Occurs when a muscle shrinks and loses strength
Improves circulation
One benefit of regular activity for the circulatory system
Increases metabolism
One benefit of regular activity for the endocrine system
Promotes appetite
One benefit of regular activity for the gastrointestinal system
Improves the quality and health of the skin
One benefit of regular activity for the integumentary system
Increases blood flow to the muscles
One benefit of regular activity for the musculoskeletal system
Improves sleep
One benefit of regular activity for the nervous system
reduces the chance of infection
One benefit of regular activity for the respiratory system
Improves elimination
One benefit of regular activity for the urinary system
Fowler's
One position that a resident may need to be in when he has a tracheostomy
Cancer
One reason why a tracheostomy may be necessary
Support, protection
Orthotic devices are devices applied externally to a limb for ____________ and _________________
Nasogastric tube
Percutaneous endoscopic gastrostomy tube
Disuse osteoporosis
Physical inactivity can cause calcium to drain from the bones, resulting in __________________
hand-over-hand technique
Placing your hand over the patient's hand to guide the patient's actions in an approach called a. giving verbal cues b. demonstration c. hand-over-hand technique d. setting up
False
T/F A normal blood oxygen level is approximately 84%
True
T/F A pulse oximeter measures a person's blood oxygen level and pulse rate
True
T/F A resident using a mechanical ventilator is often sedated
False
T/F A resident using a mechanical ventilator is usually able to speak, although his voice will be weaker
False
T/F A resident using a mechanical ventilator will prefer to be left alone as much as possible
True
T/F A ventilator preforms the process of breathing for a person who cannot breathe on his own
False
T/F All persons with disabilities are considered to be handicapped
False
T/F Being able to preform activities of daily living is not very important
True
T/F Being required to accept help with ADLs can cause a decrease in a resident's independence
True
T/F Diseases such a chronic obstructive pulmonary disease can lower a person's blood oxygen level
True
T/F Dressing is one example of an activity of daily living (ADL)
False
T/F If a resident is doing a task too slowly, a NA should offer to do it for her to help prevent the resident from being frustrated
False
T/F If the alarm on the pulse oximeter sounds, the nursing assistant should turn it off
True
T/F Independence helps with self-esteem and can help speed recovery
True
T/F OBRA regulations require that restorative services be provided to patients in skilled care facilities
False
T/F Persons with disabilities will never recover their lost skills
True
T/F Rehabilitation and restorative services both strive to prevent complications
False
T/F Rehabilitation services are provided only in special hospitals
True
T/F Residents have a legal right to make choices about food, visitors, and how to spend their time
True
T/F The nursing assistant should report cyanotic skin or mucous membranes
True
T/F Verbal cues are short sequences of words that direct a person to complete a specific step
cardiac
Telemetry is the application of a ___________________ monitoring device
vital signs
The nursing assistant should monitor _____________________ carefully as ordered
Loose
The nursing assistant should report if pads become _______________
Rehabilitation
The process used to help a patient reach an optimal level of ability is
rhythm, rate
The telemetry unit transmits information about the heart's ___________________ and ______________ to a central monitoring station
Pronation
Turning downward
Rotation
Turning the joint
Supination
Turning upward
Verbal cues
Using short, simple phrases to prompt the patients to complete an activity of daily living is called
Use other methods of communication, such as writing notes or communication boards, if resident cannot speak
When assisting a resident with an artificial airway, the nursing assistant should a. avoid preforming oral care on the resident so tat the airway does not become blocked b. use other methods of communication, such as writing notes or communication boards, if resident cannot speak c. reinsert the tubing if it falls out d. give medication to relax the resident if he bites or tugs on the tube
handicap
When the impairment limits or prevents the person from fulfilling a role that is normal for that person, a/an ______________________ exists
The resident should be wearing nonskid shoes with the laces tied
Which of the following is true of using canes, walkers, and crutches? a. A cane should be held on the resident's weaker side b. The resident should be wearing nonskid shoes with the laces tied c. When resident is ambulating, the nursing assistant should stay near the resident's stronger side d. When resident is ambulating, the nursing assistant should walk in front of the resident
Crutches
Which of the following walking aids is used when a resident cannot bear any weight at all on one leg? a. C-cane b. Quad cane c. walker d. Crutches
Abduction
___________________ pillows or hip wedges keep hips in proper position after hip surgery
foot drop
____________________ is a weakness of muscles in the feet and ankles that interferes with the ability to walk normally
Speak
A person with a tracheostomy may not be able to do this
identify common items
Agnosia is a perceptual deficit in which the patient cannot a. organize a task b. identify common items c. sequence a task d. initiate a task
Contractures
Handrolls help prevent finger, hand, or wrist ___________________
Extension
Straightening a body part
Opposition
Touching the thumb to any other finger
Outward
Trochanter rolls prevent the hip and leg from turning _________________