Questions and Answers
An older patient recovering from a myocardial infarction is taking the loss of independence and self-care ability well. Which statement addresses this assessment?
an older patient with end-stage emphysema refuses physical therapy, continues to smoke, and realizes that death will probably result from emphysema. Which principle should guide this patient's rehabilitation
An older patient has been diagnosed with situational depression after having a leg amputated from severe peripheral vascular disease related to diabetes mellitus. Which principle should guide this patient's rehabilitation?
An older patient has a reputation of being a "difficult resident" Which principle should guide this patient's rehabilitation?
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A stroke has affected an older patient's ability to move and ambulate. Which intervention should be part of this patient's plan of care?
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An older patient is admitted to a long-term care facility with pressure ulcers on the coccyx and both hips. Which intervention would be least likely to be supportive for this patient?
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An older patient is prescribed bedrest for 2 weeks to aid in the healing of a fractured ankle. What is an appropriate rehabilitation intervention for this patient?
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An older patient recovering from a fractured hip and wrist is motivated to stay active and is eager to attend rehabilitation sessions. The patient informs family and friends when to visit so as not to interfere with rehabilitation. What has influenced this patient's motivation and desire for rehabilitation?
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The nurse is creating an education plan for an older patient's rehabilitation. What should the nurse include as the focus of this plan?
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The nurse notes than an older person has difficulty walking stairs. What type of change is this patient experiencing?
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During a home visit the nurse notes that an older person with weakness is having difficulty bathing. What should the nurse suggest to improve this patient's independence with self-care?
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An older person with a spinal cord injury is being discharged to home. What should the nurse suggest to improve this person's ability to perform self-care?
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A patient with spinal rods is having difficulty putting on shoes. What should the nurse suggest to improve this patient's self-care abilities?
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An older patient is experiencing musculoskeletal changes that are affecting the rehabilitation and restorative program of care. What changes should the nurse keep in mind when caring for this patient? Select all that apply
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An older patient is being instructed on a walking program. What should the nurse emphasize as important to maintaining this program? Select all that apply
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Study Notes
Myocardial Infarction Rehabilitation
- An older patient recovering from a myocardial infarction demonstrates resilience in accepting loss of independence.
- Emotional support and encouragement of self-care should be emphasized to enhance coping mechanisms.
Emphysema and Rehabilitation
- For a patient with end-stage emphysema, rehabilitation should focus on autonomy and comfort.
- Awareness of disease progression and patient choice regarding therapy should be respected in care plans.
Amputation and Depression
- Rehabilitation for a patient with situational depression post-amputation should incorporate mental health support and coping strategies.
- Encouraging social interaction and gradual re-engagement in activities can aid recovery.
Difficult Patient Behavior
- A "difficult resident" may benefit from a person-centered approach, emphasizing communication and understanding their background.
- Establishing trust through consistent and empathetic care is essential in managing challenging behaviors.
Stroke Impact and Care Plan
- Following a stroke, interventions should include physical therapy to regain movement and mobility.
- A comprehensive assessment of functional abilities guides personalized rehabilitation goals.
Pressure Ulcers Care
- When addressing pressure ulcers, avoid reliance on passive treatments that lack engagement, such as prolonged bedrest without repositioning.
- Regular skin assessments and mobility encouragement are crucial in prevention and recovery.
Fractured Ankle Rehabilitation
- For an older patient on bedrest due to an ankle fracture, active range-of-motion exercises can stimulate healing and prevent stiffness.
- Education on safe mobility practices as recovery progresses is important for independence.
Motivation in Rehabilitation
- A patient's motivation can stem from personal goals, social support, and a structured rehabilitation program.
- Family involvement in scheduling visits can enhance focus on recovery.
Education Plan for Rehabilitation
- The focus should include practical skills, safety awareness, and adaptive techniques for daily activities.
- Continuous monitoring of progress and adjustments to the plan are important for sustained engagement.
Mobility Challenges
- Difficulty walking stairs reflects a functional decline often seen in older adults, highlighting potential musculoskeletal issues.
- Assessment of balance, strength, and endurance is necessary to develop a supportive care plan.
Home Care Recommendations
- Suggestions for improving self-care independence may include adaptive devices and environmental modifications.
- Educating about energy conservation techniques and efficient task management can support self-sufficiency.
Spinal Cord Injury and Self-Care
- A patient with a spinal cord injury may require tailored interventions for personal care and mobility challenges.
- Recommendations could involve the use of assistive devices and strategies for easier dressing.
Musculoskeletal Changes in Rehabilitation
- Understanding common musculoskeletal changes in older patients, such as decreased flexibility and strength, is vital for rehabilitation planning.
- Care strategies should consider gradual progression and custom adaptations to meet individual needs.
Walking Program Essentials
- Emphasizing the importance of consistency, proper footwear, and environment safety are key in a walking program.
- Encouraging regular assessments to track progress and adapt the program is also important.
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Description
This quiz focuses on assessing an older patient's emotional response after a myocardial infarction. It evaluates the patient's coping mechanisms regarding loss of independence and self-care abilities. Understanding these factors is crucial in cardiac rehabilitation and patient support.
