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 _________________