Chapter 12: Rehabilitation: Black & Hawks: Medical-Surgical Nursing: Clinical Management For Positive Outcomes, 7 Edition

Black & Hawks: Medical-Surgical Nursing: Clinical Management for
Positive Outcomes, 7th Edition
Chapter 12: Rehabilitation
MULTIPLE CHOICE
1. The rehabilitation nurse stresses that the major focus in a rehabilitation setting is
a. elimination of clinical manifestations.
b. prevention of disease progression.
c. skills instruction for independence.
d. aquisition of services for the newly discharged client.
ANS: c
Rehabilitation nursing is a complex arrangement of services from a multifaceted team to
support the client and family in learning to live with chronic disease and disability.
DIF: Cognitive Level: Comprehension REF: Text Reference: 189

TOP: Nursing Process Step: Intervention
MSC: NCLEX: Health Promotion and Maintenance
2. The nurse clarifies that the Medicare criteria to qualify for rehabilitation services
include that a client will
a. participate in 3 hours of therapy daily.
b. require three or more therapeutic modalities.
c. be able to walk independenly with crutches, cane, or walker.
d. communicate adequately to be understood.
ANS: a
Medicare criteria require that the client seeking rehabilitation services is able to
participate in 3 hours of therapy daily and requires two or more therapeutic modalities.
DIF: Cognitive Level: Application REF: Text Reference: 190

3. The rehabilitation nurse reminds a client that according to the International

Classification of Functioning, Disability and Health (ICF), the broad theoretical
qualification criterion for rehabilitation services is that the client
a. has impairments that lead to reduced ability to engage in activities.
b. has impaired mobility in two limbs.
c. requires assistance in mobility, dressing, and toileting.
d. has no potential for independent living.
ANS: a
Elsevier items and derived items 2005 by Elsevier Inc.

Chapter 12: Rehabilitation 2
The ICF has the theoretical qualification of impairment severe enough to reduce the
ability to engage in activities. ICF criteria do not consider stricter criteria of third-party
payers.

4. The rehabilitation nurse uses the Functional Independence Measures (FIM) tool to
assess the client’s
a. attitude.
b. physical strength.
c. self-care capabilities.
d. rehabilitation goals.
ANS: c
The FIM tool assesses the client on a 7-point scale over 18 areas of functioning to arrive
at a score for the client’s rehabilitation needs.

TOP: Nursing Process Step: Assessment
5. The rehabilitation nurse explains that the transdisciplinary approach to rehabilitation

provides the client with
a. reduced therapeutic modalities.
b. reduced number of personnel with whom to interact.
c. shortened stay in the rehabilitation unit.
d. more efficient service at a reduced cost.
ANS: b
The transdisciplinary approach reduces the number of personnel interacting with the
client. This is especially effective for clients who need longer-term rehabilitation and for
those with signficant cognitive sequelae following brain trauma.

TOP: Nursing Process Step: Application
6. To set the stage for a successful rehabilitation experience, the rehabilitation nurse
helps the client and the family conceptualize their definition of
a. wellness.
b. quality of life.
c. independence.
d. activity participation.
ANS: b

The conceptualization of the client’s and family’s idea of quality of life is the cornerstone
of a successful rehabilitation experience.

7. The nurse makes sure that the client and the family understand that in the
transdisciplinary approach, the entire team
a. sets team goals.
b. limits what each discipline will offer.
c. identifies a primary therapist.
d. estimates the length of the rehabilitation process.
ANS: c
The team appoints a primary therapist based on the major needs of the rehabilitation
client. Each member develops a plan for how their discipline will contribute to the
realization of the client’s goals.

8. The rehabilitation nurse ensures that teaching plans are

a. individualized to the client and family.
b. designed to cover all aspects of the rehabilitation process.
c. flexible and do not necessarily offer the same information every time.
d. easily reduced to written instructions.
ANS: a
Although a flexible plan and written instructions are important, education is necessary in
appropriate levels and formats to meet the need of a variety of clients.

9. A rehabilitation nurse scores the client at “1” in a functional area on the FIM. This
means the client has
a. full independence in that area.
b. independence in that area with assistive device.
c. partial dependence in need of signficant assistance.
d. total dependence.
ANS: d
The rating scale is 1 through 7, with 1 indicating total dependence and 7 total
independence.


TOP: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

Chapter 12: Rehabilitation: Black & Hawks: Medical-Surgical Nursing: Clinical Management For Positive Outcomes, 7 Edition

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Black & Hawks: Medical-Surgical Nursing: Clinical Management for

Positive Outcomes, 7th Edition

Chapter 12: Rehabilitation

DIF: Cognitive Level: Comprehension REF: Text Reference: 189

DIF: Cognitive Level: Application REF: Text Reference: 190

3. The rehabilitation nurse reminds a client that according to the International

Elsevier items and derived items 2005 by Elsevier Inc.

DIF: Cognitive Level: Comprehension REF: Text Reference: 190

DIF: Cognitive Level: Comprehension REF: Text Reference: 191

5. The rehabilitation nurse explains that the transdisciplinary approach to rehabilitation

DIF: Cognitive Level: Application REF: Text Reference: 191

Elsevier items and derived items 2005 by Elsevier Inc.

DIF: Cognitive Level: Application REF: Text Reference: 192

DIF: Cognitive Level: Comprehension REF: Text Reference: 191

8. The rehabilitation nurse ensures that teaching plans are

DIF: Cognitive Level: Application REF: Text Reference: 192

Elsevier items and derived items 2005 by Elsevier Inc.

DIF: Cognitive Level: Application REF: Text Reference: 191

Elsevier items and derived items 2005 by Elsevier Inc.

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