Podcast
Questions and Answers
What stage of the Rancho Los Amigos Levels of Cognitive Functioning is indicated by a patient who starts to squeeze the therapist's hand upon command and recognizes their mother?
What stage of the Rancho Los Amigos Levels of Cognitive Functioning is indicated by a patient who starts to squeeze the therapist's hand upon command and recognizes their mother?
- II-generalized response
- IV-confused-agitated
- V-confused-inappropriate
- III-localized response (correct)
In spinal cord injury rehabilitation, which of the following best describes a patient who is lethargic and oriented to name only?
In spinal cord injury rehabilitation, which of the following best describes a patient who is lethargic and oriented to name only?
- Obtunded and aware of surroundings
- Sleepy with full orientation
- Lethargic and demonstrating confusion (correct)
- Confused and disoriented
What is a reasonable expectation for a patient with C4 quadriplegia regarding self-care ability and mobility?
What is a reasonable expectation for a patient with C4 quadriplegia regarding self-care ability and mobility?
- Independent feeding without an assistive device
- Transfer from wheelchair to bed independently
- Use of a power wheelchair (correct)
- Donning a shirt independently and pants with minimal assistance
Which of the following describes the best goal-setting strategy for a therapist working with a patient recovering from traumatic brain injury?
Which of the following describes the best goal-setting strategy for a therapist working with a patient recovering from traumatic brain injury?
A patient who is orientated to person, but confused about time and place could be classified as which of the following?
A patient who is orientated to person, but confused about time and place could be classified as which of the following?
What cognitive stage is characterized by inconsistent responses but still includes some level of awareness, such as recognizing a familiar person?
What cognitive stage is characterized by inconsistent responses but still includes some level of awareness, such as recognizing a familiar person?
Which of the following assistive devices is most suitable for a patient unable to transfer independently due to severe mobility limitations?
Which of the following assistive devices is most suitable for a patient unable to transfer independently due to severe mobility limitations?
What might be the first sign of progress in physical rehabilitation for a patient sustaining a traumatic brain injury?
What might be the first sign of progress in physical rehabilitation for a patient sustaining a traumatic brain injury?
Which level of arousal describes a patient who requires continual stimulus to stay awake?
Which level of arousal describes a patient who requires continual stimulus to stay awake?
What is the first aspect to assess in a patient who has experienced a recent stroke?
What is the first aspect to assess in a patient who has experienced a recent stroke?
In the context of traumatic brain injury recovery, which statement is true regarding mental status assessment?
In the context of traumatic brain injury recovery, which statement is true regarding mental status assessment?
Which of the following best defines the role of patient goal setting in therapy?
Which of the following best defines the role of patient goal setting in therapy?
Which condition is associated with a patient who is sleepy but can be easily roused during an examination?
Which condition is associated with a patient who is sleepy but can be easily roused during an examination?
In spinal cord injury rehabilitation, which factor is essential for developing a care plan?
In spinal cord injury rehabilitation, which factor is essential for developing a care plan?
Which assistive device is typically used for enhancing mobility in patients with severe weakness?
Which assistive device is typically used for enhancing mobility in patients with severe weakness?
What is a common misconception about the arousal state of a patient in a stupor?
What is a common misconception about the arousal state of a patient in a stupor?
Which type of wheelchair control is most suitable for a client with a C6 injury operating on even terrain?
Which type of wheelchair control is most suitable for a client with a C6 injury operating on even terrain?
What is the expected healing time for fractures in children with osteogenesis imperfecta?
What is the expected healing time for fractures in children with osteogenesis imperfecta?
What should be the primary goal for a person with C7 quadriplegia regarding wheelchair use?
What should be the primary goal for a person with C7 quadriplegia regarding wheelchair use?
In the context of spinal cord injury rehabilitation, what is a realistic functional goal for a patient with a C6 injury when negotiating terrain?
In the context of spinal cord injury rehabilitation, what is a realistic functional goal for a patient with a C6 injury when negotiating terrain?
Which symptom is NOT characteristic of a person with drop attacks following a spinal cord injury?
Which symptom is NOT characteristic of a person with drop attacks following a spinal cord injury?
When setting therapy goals for a patient with spinal cord injury, which of the following is considered unrealistic?
When setting therapy goals for a patient with spinal cord injury, which of the following is considered unrealistic?
What is a common misconception regarding the functional abilities of a patient with a C6 spinal cord injury?
What is a common misconception regarding the functional abilities of a patient with a C6 spinal cord injury?
What should a therapist focus on when discharging a patient with a spinal cord injury after meeting therapy goals?
What should a therapist focus on when discharging a patient with a spinal cord injury after meeting therapy goals?
Flashcards are hidden until you start studying
Study Notes
Wheelchair and Spinal Cord Injuries
- A client with a C6 spinal cord injury retains control of head, neck, diaphragm, deltoids, biceps, and wrist extensors for movement on even terrain.
- A manual wheelchair is appropriate for navigating uneven surfaces for those with C6 injury.
- Patients with C7 quadriplegia can operate a wheelchair without power control, emphasizing independent mobility without assistance.
Healing Times and Injuries
- In children with osteogenesis imperfecta, fracture healing occurs within the normal healing timeframe.
- Healing time remains unchanged for patients with spinal cord injuries, regardless of injury severity.
Cognitive Functioning and Patient Assessment
- A patient suffering from C4 quadriplegia demonstrates lethargy, and is oriented to his name only, indicating a need for stimulus to maintain consciousness.
- Patients with traumatic brain injuries may exhibit varying levels of responsiveness; an 18-year-old male may be assessed at Rancho Los Amigos Level II (generalized response) or III (localized response) based on his interactions.
Patient Examination and Assessment Priorities
- During initial assessments for patients with a recent stroke, mental status should be assessed first to establish subjective reliability.
- A lethargic patient remains interactive, in contrast to those in a stupor, who do not respond to stimuli.
Key Goals for Rehabilitation
- Goals for patients recovering from spinal injuries often focus on independence in activities like transfers and self-feeding.
- Realistic long-term goals must be established for self-care and mobility, adapting to the patient’s functional capacity and level of support needed.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
