N104 Ch 38 Rehabilitation Nursing (Includes Workbook: No idea what ATI to include)

the nurse should establish a therapeutic nurse-patient relationship

when caring for a patient with PTSD, what should the nurse's initial action with the patient be?

improving quality of life

when setting goals for an elderly patient, the nurse should consider what primary goal of Rehabilitation?

believing that one's own culture is better than others treating one group better than another on the basis of culture or race

which are barriers to cultural competence? (Select all that apply)

the nurse includes the patient's family in the plan of care. the nurse helps the patient achieve the goal of re-entry into the home or community. the nurse uses therapeutic communication skills with the patient and family.

which nurse is demonstrating a desired quality of a rehabilitation nurse? (Select all that apply)

patient who had a TBI

which patient is most likely to need minimization of distractions that would prevent participation in therapy?

headache and vertigo

The spouse reports that the patient tripped and bumped his head. He never lost consciousness, but seems confused for a few minutes after the accident. Which assessment finding does the nurse expect?

ineffective breathing patterns related to neurogenic injury

a 19 year old patient is seen in the emergency department after a diving accident. She is noted as having a spinal cord injury at the cervical level (C3). Which nursing diagnosis is likely?

spouse acknowledges patient's ability to independently stay at home.

a patient had cardiac surgery. He is slowly improving, but it seems unlikely that he will be able to return to his job. The spouse expresses fear that her husband will die if she doesn't quit her job and stay at home to take care of him. In this case, what would be considered a successful outcome?

you sound upset.

a patient has been in the Intensive Care Unit for several days following a head injury. His condition is stable but today he has shown no signs of improvement. Over the past shift, the patient's father has seemed increasingly upset over small concerns. Toward the end of the shift, he yells at the nurse when the intravenous alarm goes off. What would be the most appropriate response by the nurse?

Burns fractures of extremities chemical pneumonitis brain injury hearing loss

a patient was involved in an explosion at a chemical factory and sustained polytrauma/blast related injury (PT/BRI). what types of injuries would the healthcare team expect to find? (Select all that apply)

severe brain injury

an 11 year old boy had a head injury from being struck in the skull by a baseball bat. When he awakens in the hospital three weeks later, how would his head injury be classified?

nurses are in the unique position of having extended time to talk with patients and hear their concerns, feelings, and needs

as part of the rehabilitation treatment team, why is the nurse often the first professional to detect symptoms of post-traumatic stress disorder (PTSD)?

potential for respiratory failure and infections.

the construction worker sustained an injury to C3 after a fall at a work site. The nurse anticipates that this patient will have:

assist the patient to sit in a stable chair in the shower stall and adjust the water temperature of the handheld shower spray.

the elderly patient with a hip fracture has a self-care deficit related to bathing due to problems with ambulation and balance. Which action would the nurse use to foster independence, while ensuring safety?

passive and active range of motion exercises administration of anticoagulants application of elastic stockings assessment for swelling, redness, and heat in extremities

the nurse anticipates that the patient with a spinal cord injury is at risk for deep vein thrombosis (DVT). Which interventions will be used? (Select all that apply)

observe the patient as he performs tasks such as eating.

the nurse is assessing a patient who had a stroke and was recently admitted to the Rehabilitation Unit. What is the best method to determine how much assistance is required for hygienic care?

secondary

the nurse is caring for a veteran who has shrapnel embedded in his eye as a result of a polytrauma-blast-related injury (PT/BRI). how should the nurse classify this injury?

the ability to work with all members of The Rehabilitation team organized approaches to care skills in all therapies that are provided willingness to cross-train with other disciplines

the nurse is considering a position on a rehabilitation care unit that utilizes the concept of a transdisciplinary rehabilitation team. The nurse must be aware that this type of care will require what characteristics? (Select all that apply)

assist with ADLs.

the patient experienced a spinal cord injury at the T1-T5 level. The nurse anticipates that the patient should be able to:

check for bladder distention.

the patient has a spinal cord injury above the level of T5. While assisting with hygiene care, the nurse notices that the patient is diaphoretic and shivering, and he states that he has a headche. Upon assessment, it is found that his blood pressure is elevated. The nurse's next action should be to:

disability

what term is the student nurse referring to that describes a disadvantage for a person that results from an impairment or a disability and limits that person's fulfillment of his or her normal roles?