T1: Rehab and Restorative Care (CH 32)

Question 1

Rehab and Restorative care puts an emphasis on __ __.

Answer 1

saving lives

Question 2

The emphasis on saving lives must be balanced with an emphasis on preserving ___

Answer 2

quality of life (QOL)

Question 3

What are some symptoms of frailty?

Answer 3

• Unplanned weight loss
• Slow walking speed
• Low grip strength
• Fatigue, poor endurance
• Low levels of activity

Question 4

Causes of frailty?

Answer 4

-sarcopenia

Question 5

Definition: Loss of muscle tissue as a natural part of the aging process.

Answer 5

Sarcopenia

Question 6

Older adults who are frail are at high risk for:

Answer 6

• Falls
• Disability
• Hospitalization
• Nursing home admission
• Death

Question 7

Prevention of frailty:

Answer 7

• Positive health practices

- Effective management of health conditions

Question 8

Impact of disability:

Answer 8

• Vulnerability and frustration
• Relationships, roles, and responsibilities disrupted
• Disfigurement and dysfunction alter body image and self-concept

Question 9

What are 4 influence on reactions to disability?

Answer 9

• Previous attitudes
• Personality
• Lifestyle
• Family response

Question 10

Severity of a disability may be less important than the coping capacity of a ___ person.

Answer 10

disabled

Question 11

What are some losses a person can accompany due to a disability?

Answer 11

• function
• role
• income
• status
• independence
• anatomic structure

Question 12

Individuals with a disability mourn these losses, and may demonstrate the same reactions experienced during the stages of __.

Answer 12

dying

Question 13

A principle of Rehab nursing is to increase self-care ___, and eliminate or minimize self-care ___.

Answer 13

capacity

limitations

Question 14

Improving ___ capacity can promote well-being and QOL

Answer 14

functional

Question 15

Each nurse should know the unique ___ and __ of the individual

Answer 15

capacities

limitations

Question 16

Emphasize function rather than ___; capabilities rather than ___

Answer 16

dysfunction

disabilities

Question 17

The nurse should provide ___ and ___.

Answer 17

time

flexibility

Question 18

The nurse should recognize and praise ___.

Answer 18

accomplishments

Question 19

Do not equate physical disability with ___ ___ .

Answer 19

mental disability

Question 20

The nurse should demonstrate what 3 things?

Answer 20

hope, optimism, and humor

Question 21

Rehabilitation is a highly ___ process.

Answer 21

individualized

Question 22

Rehabilitation requires a ___ team effort.

Answer 22

Multidisciplinary

Question 23

Functional status, rather than ___, directs rehabilitative care.

Answer 23

diagnosis

Question 24

___ status varies widely among older adults.

Answer 24

Functional

Question 25

Functional status can change within an individual depending on the control of what 3 things?

Answer 25

symptoms, progression of the disease, and mood

Question 26

The nurse should determine the individual ability to perform __ and __.

Answer 26

ADL’S

IADL’s (instrumental)

Question 27

An individual can be totally independent, partially independent, or dependent. T/F?

Answer 27

true

Question 28

Correct body alignment facilitates:

4

Answer 28

• Respiration
• Circulation
• Comfort
• Prevents complications

Question 29

Wheelchairs, canes, and walkers can increase ___ and enhance functional capacity

Answer 29

independence

Question 30

Use __ aids only when necessary

Answer 30

mobility

Question 31

Canes should be individually fitted, usually based on the distance from the __ __ to a distance 6 inches from the side of the person’s foot.

Answer 31

greater trochanter

Question 32

The cane is used on the __- side of the body and is advanced when the __ limb advances.

Answer 32

unaffected

affected

Question 33

Walkers are sized by the measurement from the patient’s ___ to the floor

Answer 33

trochanter

Question 34

T/F:

The person should use the walker to pull himself or herself to a standing position.

Answer 34

FALSE

Question 35

Education about bowel and bladder training can improve __.

Answer 35

continence

Question 36

Consistency is a __ factor in educating.

Answer 36

crucial

Question 37

Mental function can decline if not ___.

Answer 37

exercised

Question 38

Mental ___ is a highly individualized process.

Answer 38

stimulation

Question 39

A condition in which a person has poor endurance and weakness

Answer 39

Frailty

Question 40

Disability includes what 3 things:

Answer 40

frailty, handicap, and impairment