I | Galen College | 26/27 Updated (PDF)
1. Which of the following best describes the primary goal of rehabilitation nursing?
A) Assisting the patient to attain and maintain optimum health as defined by the patient
B) Restoring the patient to the exact pre-injury physical condition they experienced before the illness
C) Ensuring the patient can return to work as quickly as possible to resume their normal life
D) Focusing exclusively on the medical diagnosis and its associated treatment protocols
Correct Answer: Assisting the patient to attain and maintain optimum health as defined by the patient
Rationale: Rehabilitation nursing is a patient-centered practice that aims to help individuals achieve
their highest possible level of function and quality of life, based on their own personal goals and
concept of well-being. It is not focused on returning to a specific pre-morbid condition or solely on the
medical diagnosis, as the patient's own values and aspirations define the desired outcome.
2. The rehabilitation team member who is primarily responsible for helping patients regain the ability
to perform activities of daily living (ADLs) such as bathing and dressing is the:
A) Physical therapist
B) Occupational therapist
C) Speech-language pathologist
D) Psychologist
Correct Answer: Occupational therapist
Rationale: Occupational therapists focus on helping patients develop, recover, and improve the skills
needed for daily living and working. Physical therapists address mobility and gait, speech-language
pathologists treat communication and swallowing disorders, and psychologists address mental health
and coping.
,3. A nurse is developing a rehabilitation plan for a patient with a spinal cord injury. What percentage
of spinal cord injuries are associated with substance abuse?
A) 10%
B) 25%
C) 50%
D) 75%
Correct Answer: 50%
Rationale: Approximately 50% of spinal cord injuries involve substance abuse, and a similar
percentage of traumatic brain injuries occur due to acute intoxication. This highlights the importance
of including substance abuse screening and evaluation as a standard component of any
comprehensive rehabilitation plan.
4. A patient is being assessed for functional status. Which activity is considered an instrumental
activity of daily living (IADL)?
A) Bathing
B) Toileting
C) Managing finances
D) Dressing
Correct Answer: Managing finances
Rationale: IADLs are more complex tasks required for independent living, such as managing money,
shopping, meal preparation, and housekeeping. Bathing, toileting, and dressing are classified as basic
ADLs, which are fundamental self-care tasks.
5. A nurse is caring for a patient following a stroke. Which member of the interdisciplinary team is
primarily responsible for evaluating and treating the patient's swallowing disorder?
A) Physical therapist
B) Occupational therapist
C) Speech-language pathologist
, D) Registered dietitian
Correct Answer: Speech-language pathologist
Rationale: Speech-language pathologists assess and treat speech, language, cognitive-communication,
and swallowing disorders. Physical therapists focus on mobility, occupational therapists on daily living
skills, and dietitians on nutritional needs.
6. Which type of surgical procedure is performed primarily to relieve symptoms and improve quality
of life without curing the underlying disease?
A) Curative
B) Restorative
C) Diagnostic
D) Palliative
Correct Answer: Palliative
Rationale: Palliative surgery provides comfort and symptom relief but is not intended to cure the
disease. Examples include debulking a tumor to reduce pain or pressure. Curative surgery aims to
remove or eradicate disease, restorative surgery improves function or appearance, and diagnostic
surgery obtains tissue for examination.
7. A patient is having a breast mass removed for cancer treatment along with reconstructive surgery.
This combination is classified as:
A) Curative only
B) Cosmetic and curative together
C) Restorative
D) Diagnostic
Correct Answer: Cosmetic and curative together