Cert Review for Rehab Nursing

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Question 1 of 1

Time Left

427783

120

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During the initial interview and health history, the CRRN notes that the patient appears very anxious and is fidgeting, licking lips, and trembling. Which of the following is the BEST response?

Select the correct answer(s).

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Explanation

"You are trembling. Can you tell me how you are feeling?" is the best response because it acknowledges what the CRRN sees and encourages the patient to express their feelings. Many people become quite nervous when interviewed, and stress may be contributing to their illness. Nonverbal clues such as fidgeting, licking lips, rubbing hands together, or trembling may indicate anxiety. Some people talk rapidly and nervously when anxious, whereas others remain silent and withdrawn.

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Which term describes the payment system by which Medicare pays a set amount for patient care?

Select the correct answer(s).

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Explanation

Medicare's prospective payment system (PPS) pays a set amount for patient care, depending upon the diagnosis-related group (DRG) to which the patient is assigned. Pay-for-service plans are contracted by Medicare with private insurance companies and may provide more benefits, but the patient may be required to work individually with the insurance company to determine benefits and may be assessed an additional monthly fee. Medicare managed care is provided by a health maintenance organization (HMO), which receives payment for services rather than the traditional pay-for-service Medicare payment system.

427789

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Which characteristic of Roger's science of unitary human beings theory is considered basic to all living and nonliving things?

Select the correct answer(s).

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Explanation

The four primary characteristics of Roger's science of unitary human beings theory include the following: Energy field: this is the basic to all living and non-living things. Openness: The individual and the environment exist together with an openness allowing continuous exchange of energy. Pattern: This energy wave distinguishes and identifies the source of energy. Pan-dimensionality: This domain is nonlinear and not constrained by time and space, which are arbitrary means that people use to describe events.

398098

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Which of the following tests requires a number of tasks, including counting backward from 100 by sevens, providing current location, repeating phrases, following directions, and copying a picture of interlocking shapes?

Select the correct answer(s).

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427794

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Which of the following is within the scope of practice of the CRRN?

Select the correct answer(s).

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Explanation

Evaluating the response to disease is within the scope of practice of the CRRN, whereas diagnosing disease, making referrals, and prescribing treatment is within the scope of physicians or nurse with prescriptive authority, such as nurse practitioners. However, the observations of the CRRN can prove invaluable to other members of the health-care team. The CRRN serves as a resource for patients with disabilities and aids them in restoring, maintaining, and promoting health through the nursing process and education.

398099

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Which of the following tests measures the ability of an adult to function independently?

Select the correct answer(s).

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398100

120

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Which of the following is the MOST appropriate INITIAL intervention for a T5 spinal cord injury patient exhibiting sudden onset of diaphoresis, nasal congestion, flushing above the level of injury, bradycardia, pounding headache, and hypertension?

Select the correct answer(s).

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Explanation

Bladder distension and fecal impaction are the most common causes of autonomic dysreflexia, and identifying and alleviating their cause is essential. The patient should keep the head elevated. Lidocaine should be used for bladder catheterization or rectal exam to reduce stimulation. Autonomic dysreflexia is a complication of central cord lesions at or above T6 and may be precipitated by urinary infection, bladder distension, kidney stones, or fecal impaction, but numerous other stressors, such as ingrown toenail, pressure ulcers, sunburns, sexual intercourse, or tight clothing can cause the disorder.

398101

120

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What is the primary focus of workers' compensation?

Select the correct answer(s).

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Explanation

The primary focus of workers' compensation, a type of insurance, is to return people to work as quickly and safely as possible. Workers' compensation is intended for those who are injured on the job or whose health is impaired because of their jobs. Workers' compansation provides three different types of benefits: (1) cash to replace lost wages, (2) reimbursement for medical costs associated with the injury, and (3) death benefits to survivors. Workers' compensation laws may vary somewhat from one state to another.

398106

120

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Following an embolic stroke with right hemiparesis, which type of rehabilitation exercise is MOST effective?

Select the correct answer(s).

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Explanation

Massed practice exercises, with frequent repetition and assistance to carry out tasks, are based on the concept of neuroplasticity, the ability of the central nervous system to form new neural connections or repair damaged connections through axonal sprouting, in which healthy axons reconnect damaged pathways. Neuroplasticity depends on neural stimulation through motor activities. Different techniques include constrain-induced movement therapy, adaptive task practice (shaping), active assist, body-weight supported treadmill training, and robot-assisted movement.

427803

120

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A Native American patient with severe rheumatoid arthritis has stated that she would like a Native healer to provide a healing ceremony and hopes that this will cure her disease. What is the BEST response?

Select the correct answer(s).

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Explanation

"What can I do to assist you in arranging this?" acknowledges the patient's right to make decisions about care and demonstrates cultural competence. Traditional healing methods are used by many cultures and may provide comfort and hope to a patient even though they may not alter the course of a disease. Many patients combine the use of Western and traditional medicine, but even if they choose traditional medicine, but even if they choose traditional medicine and abandon other treatment, the CRRN may provide information but must recognize the patient's right to autonomy.

427805

120

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Which of the following test is the BEST measure to determine a patients compliance with a balanced diabetic diet to better control his diabetes?

Select the correct answer(s).

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398110

120

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The rehabilitation facility proposes to hire individuals with disabilities to work with patients. What OSHA requirement must be met?

Select the correct answer(s).

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Explanation

The Occupational Safety and Health Administration (OSHA) does not make regulations regarding disabled worker except that they, as all workers, must be able to work safely without endangering themselves or others. OSHA is a federal agency that ensures worker safety and protection. Agents carry out inspections and investigate accidents and reports of noncompliance. OSHA has established different regulations for all types of industries, including health care. Regulatory areas include bloodborne pathogens, chemicals/biologicals, ergonomics, surgical safety, construction, infection control, medical equipment, and personal protection.

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A patient has developed a small ulcer on the dorsal surface of his left great toe after wearing ill-fitting shoes. His ulcer continues to deteriorate despite the use of a half-shoes, which he admits to using only part of the time because it's "too uncomfortable." Which of the following off-loading measures is indicated at this time?

Select the correct answer(s).

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Explanation

Because the patient has already been noncompliant with off-loading measures, the best choice at this time is a total contact cast (TCC), which is more effective than other off-loading measures because people tend to restrict activity more. TCCs encase the lower extremity in a walking cast that equalizes pressure on the plantar surface. The casts may have windows over pressure ulcers to allow observation and treatment. Bed rest may pose the risk of additional pressure sores and increase the risk of deep vein thromboembolism. Studies indicate that people often are noncompliant with the use of removable cast walkers.

427810

120

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A patient has dysphagia associated with left-sided laryngeal and pharyngeal weakness. Which of the following positional strategies is MOST appropriate to reduce the risk of aspiration?

Select the correct answer(s).

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Explanation

Because the patient has one-sided (left) laryngeal and pharyngeal weakness, having her turn her head to the weak (left) side when swallowing results in a twisting that narrows the left side of the pharynx, directing the bolus down the opposite side, and also increasing approximation by applying increased pressure to the vocal fold. The patient should be advised to coordinate turning her head to the side and looking over her shoulder while swallowing.

398115

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Mr. Smith, a patient with CHF, has been complaining of insomnia and feels quite sleepy during the daytime, often falling asleep for brief periods. His wife reports that he has only mild occasional snoring but awakens frequently during the night and has Cheyne-Stokes pattern of respirations (periods of apnea, followed by 10-60 seconds of hyperventilation and then another period of apnea). Mr. Smith does not exhibit chest wall and abdominal movement during the apneic periods. Mr. Smith is of a normal weight. Based on this symptom profile, what is the most likely cause of Mr. Smith's problems?

Select the correct answer(s).

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Explanation

Central sleep apnea involves apneic and hypopneic episodes without obstruction and usually results from cardiac or neurological disorders that cause impairment of ventilation. Snoring is usually mild, and individuals may complain of insomnia because they awaken frequently. Chest wall and abdominal movements do not occur during apneic periods with this breathing related sleep disorder. Cheyne-Stokes respirations may be present. Nocturnal polysomnography shows decreased respiratory effort associated with decreased oxygen saturation.

Cert Review for Rehab Nursing

Question 1 of 1

Time Left

During the initial interview and health history, the CRRN notes that the patient appears very anxious and is fidgeting, licking lips, and trembling. Which of the following is the BEST response?

Select the correct answer(s).

(0/0)

Explanation

Which term describes the payment system by which Medicare pays a set amount for patient care?

Select the correct answer(s).

(0/0)

Explanation

Which characteristic of Roger's science of unitary human beings theory is considered basic to all living and nonliving things?

Select the correct answer(s).

(0/0)

Explanation

Which of the following tests requires a number of tasks, including counting backward from 100 by sevens, providing current location, repeating phrases, following directions, and copying a picture of interlocking shapes?

Select the correct answer(s).

(0/0)

Which of the following is within the scope of practice of the CRRN?

Select the correct answer(s).

(0/0)

Explanation

Which of the following tests measures the ability of an adult to function independently?

Select the correct answer(s).

(0/0)

Which of the following is the MOST appropriate INITIAL intervention for a T5 spinal cord injury patient exhibiting sudden onset of diaphoresis, nasal congestion, flushing above the level of injury, bradycardia, pounding headache, and hypertension?

Select the correct answer(s).

(0/0)

Explanation

What is the primary focus of workers' compensation?

Select the correct answer(s).

(0/0)

Explanation

Following an embolic stroke with right hemiparesis, which type of rehabilitation exercise is MOST effective?

Select the correct answer(s).

(0/0)

Explanation

A Native American patient with severe rheumatoid arthritis has stated that she would like a Native healer to provide a healing ceremony and hopes that this will cure her disease. What is the BEST response?

Select the correct answer(s).

(0/0)

Explanation

Which of the following test is the BEST measure to determine a patients compliance with a balanced diabetic diet to better control his diabetes?

Select the correct answer(s).

(0/0)

The rehabilitation facility proposes to hire individuals with disabilities to work with patients. What OSHA requirement must be met?

Select the correct answer(s).

(0/0)

Explanation

Select the correct answer(s).

(0/0)

Explanation

A patient has dysphagia associated with left-sided laryngeal and pharyngeal weakness. Which of the following positional strategies is MOST appropriate to reduce the risk of aspiration?

Select the correct answer(s).

(0/0)

Explanation

Select the correct answer(s).

(0/0)

Explanation

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