CRRN Test 181 Questions with Verified Answers,100% CORRECT

CRRN Test 181 Questions with Verified Answers The INITIAL purpose of stump wrapping is to: - CORRECT ANSWER aid in venous return and reduce swelling What is an important travel tip for people with COPD? - CORRECT ANSWER avoid elevation above 4000 feet unless in a pressurized cabin What produces esophageal speech? - CORRECT ANSWER burping to exert pressure and produce vibration What is not included in a patient's occupational history? - CORRECT ANSWER past learning difficulties Blindness of the nasal half of one eye and the temporal half of the other is known as: - CORRECT ANSWER homonymous hemianopsia The terms perceived "susceptibility," "perceived threat," and "cues to action" are important concepts in which nursing theory? - CORRECT ANSWER health belief model What bladder disorder will MOST likely be present in a patient with a CVA? - CORRECT ANSWER uninhibited neurogenic bladder What is the legal definition of blindness? - CORRECT ANSWER visual field restriction of up to 20 degrees or central visual acuity in the better eye of no more than 20/200 Pursed lip breathing improves oxygenation because it: - CORRECT ANSWER keeps the alveoli open longer What is a result of injury to the satiety center? - CORRECT ANSWER overeating Tardive dyskinesia, associated with the prolonged use of psychotropic drugs, may be assessed by instructing the patient to: - CORRECT ANSWER grimace, smile, frown, pucker, and chew With normal capillary perfusion, the color will return within: - CORRECT ANSWER 3 seconds What is an appropriate nursing intervention for a pt. experiencing physiological and/or psychosocial disturbances who has recently been transferred from one environment to another? - CORRECT ANSWER encourage pt's verbalization of feelings A patient who is unwilling to discuss his disability or to touch or look at his involved body parts may have a nursing diagnosis of: - CORRECT ANSWER body image disturbance What is a principle upon which learning depends? - CORRECT ANSWER providing for learner participation Autonomous areflexic bladder dysfunction occurs when a lesion involves: - CORRECT ANSWER both the motor and sensory components of the sacral segments of the spinal cord Reflexogenic erections are possible when which spinal segments are perserved? - CORRECT ANSWER sacral What is the Barthel Index? - CORRECT ANSWER consists of 10 items that measure a person's daily functioning specifically the activities of daily living and mobility What is a normal finding when assessing the skin of an elderly person? - CORRECT ANSWER decreased subcutaneous fat What is the premise of the Bobath neurodevelopmental technique? - CORRECT ANSWER pt's learn the sensation of movement, not the movement itself Sleep deprivation can result in: - CORRECT ANSWER psychosis A patient who presents with drooling or insufficiently chewed food has a problem in which phase of the swallowing process? - CORRECT ANSWER oral Upon discharge, what is the MOST important learning outcome for the patient with quadriplegia? - CORRECT ANSWER demonstrating knowledge and skills of self care Which part of the brain control temperature? - CORRECT ANSWER hypothalamus In order to qualify for SSI, an individual must: - CORRECT ANSWER demonstrate financial need by income level In the absence of an audiologist, which professionals would formally evaluate a pt's hearing? - CORRECT ANSWER speech therapist The three point gate consists of: - CORRECT ANSWER moving both crutches forward along with the affected leg and followed by the unaffected leg What is the most therapeutic position for distribution of body weight over bony prominences? - CORRECT ANSWER prone Proprioceptors mediate deep somatic sensations related primarily to: - CORRECT ANSWER position and movement The most common barrier to community re-entry that a patient with disabilities encounters is: - CORRECT ANSWER societal attitudes What is a characteristic of the autonomous neurogenic bowel? - CORRECT ANSWER flaccid anal sphincter Which cranial nerves innervate the muscles necessary for eye movemnet? - CORRECT ANSWER oculomotor, abducens, and trochlear The factor determining Social Security Disability Insurance eligibility is that the person: - CORRECT ANSWER can no longer engage in gainful activity In a patient with hemiplegia, how should the affected shoulder be positioned to minimize the risk of shoulder problems? - CORRECT ANSWER abduction In developing a discharge plan, it is MOST essential to consider the patient's: - CORRECT ANSWER previous lifestyle The sensory strip is located in the: - CORRECT ANSWER parietal lobe A neurological exam of a pt. with a complete lower motor neuron lesion would demonstrate which reflex activity? - CORRECT ANSWER bulbocavernosus absent What intervention would help a pateint with figure ground deficit to dress independently? - CORRECT ANSWER choose distinct colors or patterns for different articles of clothing When assisting a patient with spastic cerebral palsy to perform activities of daily living, what action is most important? - CORRECT ANSWER moving spastic body parts with slow, even movements What is a common side effect of hyperosmotic tube feedings? - CORRECT ANSWER diarrhea The General Aptitude Test Battery and the Differential Aptitude Test are frequently used to measure: - CORRECT ANSWER cognitive ability A prudent cardiac rehabilitation exercise program for a pt. following myocardial infarction is based upon: - CORRECT ANSWER gradually increasing exercise after cardiac testing A pt. with a right hemisphere CVA may be at risk for injury due to: - CORRECT ANSWER impulsivity and perceptual deficits Which complication in the pt. with paraplegia is indicative of maladaptation? - CORRECT ANSWER reccurent pressure ulcers over three years post discharge A patient with a complete SCI at T5 uses digital rectal stimulation to: - CORRECT ANSWER stimulate peristalsis and relax the anal spincter ALS affects: - CORRECT ANSWER skeletal muscles What is the lowest level of SCI that requires a pt. to be ventilator-dependent due to the neurological injury? - CORRECT ANSWER C2 A form of NEGLECT in which the pt. fails to recognize the severity of paralysis is: - CORRECT ANSWER anosognosia Which intervention is useful for a person with hypercalcemia? - CORRECT ANSWER force fluids What advice about walking should be given to the pt. with Parkinson's disease? - CORRECT ANSWER lift the toes with every step The MOST important treatment in promoting wound healing is: - CORRECT ANSWER a high protein diet A pt. with a right hemisphere CVA generally experience a DECREASE in: - CORRECT ANSWER processing of directional information The INITIAL step in planned change is to: - CORRECT ANSWER identify a need for change Subluxation of the shoulder in a pt. with hemiplegia can be prevented by: - CORRECT ANSWER positioning For the pt. with decreased attention span, the nurse should: - CORRECT ANSWER use repetition What type of depression is a pt. MOST likely to experience following the onset of disability? - CORRECT ANSWER psychotic What is a true statement regarding a person with a laryngectomy? - CORRECT ANSWER breathing and coughing patterns change What is the primary purpose of the bridging technique? - CORRECT ANSWER avoid pressure on boney prominences A pt. whose SCI is above the sacral reflex arc generally has what type of neurogenic bladder? - CORRECT ANSWER reflex What best defines a contracture? - CORRECT ANSWER shortening of muscle fibers What is a MAJOR complication often occuring in pts. with a lower extremity amputation? - CORRECT ANSWER hip flexion contracture According to the gate control theory by Melzack and Wall, the - CORRECT ANSWER cells in the dorsal horn block transmission of nerve impulses In preparing a pt. for crutch walking, it is essential to: - CORRECT ANSWER begin exercises to strengthen the upper extremities The pt. seems unaware of objects on his right side. What is MOST important in planning how to help him compensate for this loss? - CORRECT ANSWER encourage the pt. to position and turn his head frequently to scan the environment on his affected side What is an appropriate nursing intervention for the pt. who has trouble remembering the sequence of simple tasks? - CORRECT ANSWER giving one command at a time What strategy may BEST resolve the interprofessional issues that are a frequent cause of rehabilitation team dysfunction? - CORRECT ANSWER conflict management What is the PRIMARY characteristic of Broca's (nonfluent) aphasia? - CORRECT ANSWER ability to speak only a word or two with great effort The FIRST sign of respiratory muscle fatigue is usually: - CORRECT ANSWER an increase in respiratory rate An intrinsic factor which affects tissue tolerance and is responsible for pressure ulcer development is: - CORRECT ANSWER low arteriolar pressure The FIRST step in developing a pt. education program is to assess: - CORRECT ANSWER the educational need What should discharge instructions to a pt. with COPD regarding use of an inhaler include? - CORRECT ANSWER coordinating the squeezing action upon inhalation Antihypertensives may cause urinary incontinence because they: - CORRECT ANSWER relax the smooth muscle of the bladder neck According to Lewin's theory, what are the stages of change? - CORRECT ANSWER unfreezing, moving, refreezing The act of recognizing objects on the basic of touching and manipulating them is: - CORRECT ANSWER stereognosis What is the MOST important part of a job analysis? - CORRECT ANSWER visit the job site What is the PLISSIT Model? - CORRECT ANSWER an approach used for sexual counseling that involves four levels of intervention How should a pt. with dysphagia and hemiplegia be positioned for meals - CORRECT ANSWER leaning at 90 degrees leaning slightly forward A person with verbal apraxia experiences difficulty with: - CORRECT ANSWER voluntary speech What area of the spinal cord controls bladder, bowel, and sexual functioning? - CORRECT ANSWER S2-S4 Intake of which foods should be increase during the healing phase of a drainging pressure ulcer? - CORRECT ANSWER meat and legumes Positive Homan's sigh is an indication of: - CORRECT ANSWER thrombophlebitis What is the major focus of Orem's Nursing Model? - CORRECT ANSWER self-care When assessing the bowel function of a child with spinal bifida, the nurse is MOST likely to encounter: - CORRECT ANSWER ineffective defecation reflex and leakage of fecal matter A positive gag reflex indicates that: - CORRECT ANSWER pharyngeal muscles are constricting When teaching the pt. with left hemiplegia to put on a button front shirt, the first instruction should be to: - CORRECT ANSWER put the left arm into the sleeve The motor strip is located in the: - CORRECT ANSWER frontal lobe The teaching plan for a pt. post MI who needs to travel extensively should include emphasis on the need to: - CORRECT ANSWER use two small suitcases instead of one large suitcase The MOST appropriate approach to manage fatique in a pt. with an exacerbation of MS is to schedule: - CORRECT ANSWER moderate conditioning exercise and higher energy activities in the morning and following rest periods The pt. who is unable to roll over on command, but is able to do so spontaneously, MOST likely suffers from which typ of apraxia? - CORRECT ANSWER ideomotor A value-belief pattern assessment will include questions that identify the patients: - CORRECT ANSWER resources for hope and strength founded on reality The function of the lateral corticospinal tract is to: - CORRECT ANSWER transmit impulses for voluntary motion Traction is used to control all of the following EXCEPT: immobility, contracture, muscle spasms, bone alignment - CORRECT ANSWER immobility What cranial nerves are involved in eating? - CORRECT ANSWER glossopharyngeal, hypoglossal, vagus What learning domain is MOST influenced by a lecture-style teaching approach? - CORRECT ANSWER cognitive What bladder retraining program would MOST likely be implemented for a pt. with a left-hemisphere CVA? - CORRECT ANSWER timed voiding schedule To provide complete range of motion to the shoulder joint, which motions should be performed? - CORRECT ANSWER flexion/extension, abduction/adduction, internal/external rotation Which areas are MOST at risk whan a pt. with a below the knee amputation begins ambulating with a prosthesis? - CORRECT ANSWER the patellar tendon and popliteal areas Which of the following is characteristic of a pt. with a CVA who has a proprioceptive deficit on the affected side? - CORRECT ANSWER inability to know where the affected extremities are in relation to space Learned helplessness is caused by: - CORRECT ANSWER previous exposure to events over which a pt. had no control Which of the following techniques would BEST help the pt. with a recent amputation deal with phantom sensations and prepare for prosthesis use? - CORRECT ANSWER gently stimulating the stump The average adult has a normal bladder capacity of approximately: - CORRECT ANSWER 250-400 ml What nursing diagnosis is BEST related to denial of physical disability six months after injury? - CORRECT ANSWER ineffective individual coping Motor nerve fibers cross over in the brainstem at the level of the: - CORRECT ANSWER medulla A pt. with a posterior lesion of the first temporal gyrus of the left hemisphere has: - CORRECT ANSWER Wernicke's aphasia Besides joint pain, the MOST frequently cited causes of sexual impairment associated with rheumatoid arthritis include: - CORRECT ANSWER fatigue The volume of air that can be exhaled by the deepest possible expiration after the deepest possible inspiration is known as: - CORRECT ANSWER vital capcity The MOST significant variable in determining a team's effectiveness is its: - CORRECT ANSWER communication Which of the following approaches are MOST effective in managing phantom pain? - CORRECT ANSWER prosthesis usage and restoration of functional abilities Which act requires state and local sponsors to identify and recruit people with disabilities? - CORRECT ANSWER Comprehensive Employment and Training Act In Bobath's third stage of recovery of movement patterns for a stroke pt., spasticity is: - CORRECT ANSWER decreased A pt. who has sustained an injury to the conus medullaris will usually have which of the folowing bladder symptoms? - CORRECT ANSWER hypotonicity, no voiding reflex, overflow dribbling Nursing interventions for the patient with verbal apraxia include: - CORRECT ANSWER having the pt. use writing as an alternative to speaking What is the FIRST indicator of peripheral nerve impairment in a hip replacement patient? - CORRECT ANSWER paresthesia A work sample evaluation is primarily performed to: - CORRECT ANSWER determine the types of tasks the person can perform Roger's Paradigm for Nursing outlines the interaction between: - CORRECT ANSWER human beings and the environment With spasticity, what complication is MOST likely if proper nursing measures are not implemented? - CORRECT ANSWER contractures The 1990 Americans with Disabilities ACT expands legislation for equal access for people with disabilities to include which of the following groups? - CORRECT ANSWER privately-owned and funded businesses, organizations and institutions Swan neck deformities in the fingers are caused by: - CORRECT ANSWER rheumatoid arthritis Brain injuries MOST often occur as a result of: - CORRECT ANSWER auto accidents In Bloom's cognitive domain of learning, the progression from basic to complex is from: - CORRECT ANSWER knowledge to comprehension to application Which of the following is an application of the Bobath principles? - CORRECT ANSWER transfer of a patient to a chair from the affected side Pts. with disabilities are MOST likely to comply with a skin care program when they: - CORRECT ANSWER perceive themselves at risk for a severe pressure ulcer Spatial-perceptual deficits are MOST commonly associated with: - CORRECT ANSWER right cerebral hemisphere lesion Which of the following MOST commonly occurs in conjunction with spina bifida? - CORRECT ANSWER hydrocephalus Mechanical friction on a wound delays wound healing because it: - CORRECT ANSWER disrupts granulation tissue Which ethical principle justifies an amptee's refusal to wear a prosthesis? - CORRECT ANSWER autonomy What symptom is MOST frequent with peripheral thrombophlebitis? - CORRECT ANSWER sweling and redness in an extremity During the initial interview, the rehab nurse assesses a pt's cognition by: - CORRECT ANSWER determining the pt's understanding of gestures and vocal inflections For a pt in the chronic stage of rheumatoid arthritis, which of the following interferes with functioning? - CORRECT ANSWER pain, muscle weakness, and joint disordees A nurse notes hyperactive reflexes and an increased resistance to passive motion in the extremities. This is known as: - CORRECT ANSWER spasticity Which of the following can be achieved by a pt with C5 injury with biceps and most shoulder muscles functioning? - CORRECT ANSWER dressing the upper extremity, writing, and typing with devices Which wheelchair modifications is necessary for a sliding board transfer? - CORRECT ANSWER removable arm rest The inability of a person to comprehend spatial relationships involving his or her body is called: - CORRECT ANSWER impaired proprioception What health and wellness theory is based on the belief that a person is capable of mobilizing his or her cognitive, socail, and behavioral skills? - CORRECT ANSWER self-efficacy Which of the following does NOT typically characterize autonomic dysreflexia? hypotension; bradycardia; sweating; nasal obstruction - CORRECT ANSWER hypotension A patient with left hemiplegia would be MOST likely to present: - CORRECT ANSWER perceptual deficits The MOST effective bowel retraining program based on normal physiology is one in which bowel movements are consistently scheduled: - CORRECT ANSWER 15-30 minutes after a meal Dysarthria is characterized by: - CORRECT ANSWER slurred or thick-tongued speech An initial nursing intervention for a pt. with altered respiratory function includes: - CORRECT ANSWER encouraging coughing and deep breathing techniques What can cause REM suppression during sleep? - CORRECT ANSWER alcohol What is the function of the detrusor muscle? - CORRECT ANSWER contracts the urinary bladder What is the MOST appropriate nursing intervention for fluid volume imbalance? - CORRECT ANSWER monitor intake and output The MOST advanced stage of pressure ulcer grading involves: - CORRECT ANSWER muscle tissue and bone Mr. V has had damage to his right parietal lobe as a result of a brain injury. Mr. V will probably have difficulty with which of the following activities? - CORRECT ANSWER finding his room School age children with disabilities need to develop social skills to overcome the fear and prejudices they may face. This can be accomplished by which of the following? - CORRECT ANSWER providing health related activities at a time that does not interfere with critical academic subjects or peer relationships Metered dose inhalers deliver medicine to pts. with lung disease. Which of the following is an ADVANTAGE of this delivery method? - CORRECT ANSWER less likelihood for systemic side effects The cost of health care has been positively impacted by which of the following action? - CORRECT ANSWER payment for home care services with federal funds What type of living environment provides supervised living for persons with similar disabilities and staff who are available at all times of the day and night? - CORRECT ANSWER group home The bulbocavernosus reflex is a test that is used frequently in which pt. population to determine if there is the potential for training the bowel to empty in response to a suppository or digital stimulation? - CORRECT ANSWER spinal cord injury Which of the following BEST defines cross-subsidization? - CORRECT ANSWER the practice of assigning some pts. more costs than they incur and others less A young woman has had a stroke as a result of cocaine usage. She has poor eye contact with staff, often is impatient with her abilities, has been seen by staff to injure affected limbs, and frequently refers to herself as a cripple. This client may be experiencing which of the following alterations of self perception as a result of her stroke? - CORRECT ANSWER body-image What is ONE of the overall purposes of spirituality? - CORRECT ANSWER to help people develop a cohesive view of the meaning of their livies For who were intervention programs INITIALLY designed? - CORRECT ANSWER children with developmental or physical disabilities Which theorist developed a model for data collection system comprised of 10 functional health patterns necessary for the assessment of a pts. health status? - CORRECT ANSWER Marjory Gordon Which theorist developed a health care systems model in which the person is viewed as an open system in interaction with the environment? - CORRECT ANSWER Betty Neuman Which theorist identified four central concepts that provide the foundation for nursing theories: person; environment; health; and nursing - CORRECT ANSWER Jacqueline Fawcett Which theorist model focused on the person's ability to perform self-care? - CORRECT ANSWER Dorothea Orem The reflex arc associated with micturition is located at which level of the spinal cord? - CORRECT ANSWER sacral A pt. with diabetes has been admitted to a skilled care unit for recovery and wound healing after several revisions of an AKA that had begun as an ingrown toenail. The pt. says to the nurse, "I don't know what eles to do. Nothing I try seems to make a difference with respect to healing this wound." This statement might be an example of which alteration? - CORRECT ANSWER hopelessness Cost-control efforts in the US are characterized by a combination of gov. regulation and market-based competition. Which of the following is an example of a regulation-based cost-containment strategy? - CORRECT ANSWER restrictions on supply of physicians Which organization has taken the lead in developing case managementt standards? - CORRECT ANSWER The National Coalition of Associations for Advancement of Case Management What MUST an internal case manager do when arranging for equipment in the home environment? - CORRECT ANSWER identify if the payer source has contracts with any vendors During periods of stress or trauma, which nutrients are used by the body as energy sources? - CORRECT ANSWER proteins Contractual allowance - CORRECT ANSWER discounts from normal charges given to large payers for health care services Contribution margin - CORRECT ANSWER the amount by which the price exceeds the varible cost Cross- subsidization - CORRECT ANSWER when some pts. are assigned more costs than they create and others less Cost reimbursement - CORRECT ANSWER the revenue based on the organization receiving payment for costs incurred Which cranial nerves are MOST affected in persons with multiple sclerosis? - CORRECT ANSWER II and III The case manager for the brain injured child start the process of re-entry into the school system? - CORRECT ANSWER prior to discharge from the rehabilitation facility When should discharge planning begin? - CORRECT ANSWER prior to admission to the rehab facility Each method of paying health care providers has incentives or imposes financial risks to affect choices and decisions. Which method places all the risk on the payer of health care? - CORRECT ANSWER fee-for-service payment Prospective payment - CORRECT ANSWER health plans shift part of the financial risk to hospitals by paying a fixed amount based on admission diagnosis Capitation payment - CORRECT ANSWER involves a fixed monthly payment Parasomnias such as sleepwalking and enuresis occur during which phase of sleep? - CORRECT ANSWER stage 4 Which stage of sleep is when the person is most difficult to awaken? - CORRECT ANSWER stage 4 Nursing theorists draw from existing knowledge in nursing as well as from other disciplines. Which theorist used learning and motivational theories? - CORRECT ANSWER Lydia Hall Which theorist used general systems theory? - CORRECT ANSWER Imogene King Which theorist used adaptation theory? - CORRECT ANSWER Sister Calista Roy Which theorist used physics theory - CORRECT ANSWER Martha Rogers Ms. H has recently had a right hemisphere stroke. It is likely that Ms. H's rctremities will tend to be positioned in which pattern? - CORRECT ANSWER upper extremity flexion and adduction with lower extremity extension How can the case manager positively INCREASE the value of an Independent Medical Examination? - CORRECT ANSWER by using a physician whose expertise matches the issue