1010- Test 2 Rehab

Front 1

____ is a dynamic, health-oriented process that assists an ill or disabled client to achieve the greatest possible level of physical, mental, spiritual, social and economic functioning.

Back 1

Rehabilitation nursing

Front 2

Rehab nursing is helping a person live to their maximum potential with ______.

Back 2

chronic impairment

Front 3

The focus of rehab nursing is on _____ acceptable to the client, dignity, self-worth and independence.

Back 3

quality of life

Front 4

Rehab nursing focuses on a patients _____, not _____.

Back 4

abilities
disabilities

Front 5

Medicare/medicaid requires that every patient is graded every 3 days on a ____ in order for the system to get reimbursed.

Back 5

FIM

Front 6

FIM stands for

Back 6

functional independent measures

Front 7

The FIM for nursing is

Back 7

bowel and bladder.

Front 8

The Dr. who runs the rehab is the ____.

Back 8

physiatrist

Front 9

The member of the rehab team who helps get medical supplies at home, assists with transitions and helps the patient get money is the ____.

Back 9

social worker

Front 10

The ____ teaches the patient new job skills.

Back 10

vocational counselor

Front 11

The ____ is someone we contract with that brings in braces, splints, and sometimes prosthetics.

Back 11

orthotist

Front 12

In 1990 the Americans with Disabilities Act was passed. It gave access to ____, ____, and _____. Provided ____ devices for the deaf and blind. Required reasonable accommodations by _____ and job evaluation based on ____ not ____.

Back 12

community and job opportunities
public transportation
communication
employers
performance
disability

Front 13

_____ is the nurse's job. It requires careful records and a consistent schedule with ____ and the ______.

Back 13

Bowel training
meds
bowel program

Front 14

Patients undergoing bowel training will usually take ____ and need to consume a diet high in ___ and ____. Also, suppositories and digital stimulation may be necessary.

Back 14

stool softeners
fiber and fruit

Front 15

When using bladder training with a patient, the doctor will often order ____ and fluids restriction of _____/day.

Back 15

intermittent catheterization
1800cc

Front 16

Patients who are on an ICP should be monitored for UTI's by looking for ____.

Back 16

cloudy urine

Front 17

Color, clarity, and smell are important things to note about ____.

Back 17

urine.

Front 18

____ is when you use your hand to firmly press on the bladder towards the pubic bone to empty it completely.

Back 18

Crede

Front 19

____ are used in bladder training to help the patient go to the bathroom.

Back 19

Cholinergics

Front 20

____ are used in bladder training to help with bladder spasms.

Back 20

Anticholinergics

Front 21

Urecholine is a ______.

Back 21

cholinergic

Front 22

Detrol LA and Ditropan are types of ______.

Back 22

anticholinergics

Front 23

____ are used for urinary retention.

Back 23

Cholinergics

Front 24

The number one cause for fatigue is ______.

Back 24

depression

Front 25

DFS stands for

Back 25

deconditioned functional status

Front 26

Interventions for fatigue include:

Back 26

-focus on abilities
-nutrition and rest
-recreation
-eliminate nonessentials
-pacing
-planning
-scheduling
-exercise
-organize environment
-work simplification
-adaptive devices
-assistance
-chemical support for sleep

Front 27

Causes of sexuality issues include:

Back 27

-physical
-fatigue
-self-esteem
-relational

Front 28

Interventions for sexuality issues include:

Back 28

-interaction/touch
-sex education
-sex therapy and counseling

Front 29

____ is a swallowing disorder which can result in difficulty placing food into the mouth, difficulty in the mouth and difficulty in the throat.

Back 29

Dysphagia

Front 30

____ dysphagia is when there is difficulty placing food into the mouth or difficulty in the mouth (weak lip, tongue, cheek muscles, difficulty chewing, manipulating bolus, food pocketing or food spillage).

Back 30

Oral

Front 31

____ dysphagia is difficulty in the throat (food or liquid entering the airway, food or liquid left in the throat after swallowing, delayed swallow reflex).

Back 31

Pharyngeal

Front 32

____ is a language disorder due to CNS damage. It usually affects the left hemisphere.

Back 32

Aphasia

Front 33

Main areas of focus for speech therapy are

Back 33

-language (receptive/expressive)
-speech (intelligibility, oral motor functioning)
-cognition
-swallowing

Front 34

Problems with ____ affect attention, processing, memory, safety, reasoning, and judgement.

Back 34

cognition

Front 35

Cognition problems can lead to _____ and ____.

Back 35

left inattention and neglect

Front 36

Signs and Symptoms of swallowing difficulty are:

Back 36

-coughing/choking during meals
-wet, gurgly voice
-difficulty with or inability to swallow
-food/liquid falling out of mouth
-pocketing of food in cheek
-inability to chew food sufficiently to swallow
-slow eating
-runny nose, eyes
-red face
-throat clearing
-increased R and HR
-decreased oxygen saturation

Front 37

An x-ray study called a ____ is necessary to determine why a patient is having trouble swallowing and to set up the patients swallowing program.

Back 37

Modified Barium Swallow

Front 38

4 issues related to cognition and swallowing are:

Back 38

-impulsivity
-decreased attention
-impaired memory
-impaired judgement or reduced awareness

Front 39

Aphasia usually affects left hemisphere resulting in difficulty ___, ____, ____ and _____.

Back 39

speaking, understanding, reading, and writing

Front 40

If a patient has aphasia, use ___ to help them understand.

Back 40

gestures

Front 41

____ is a motor speech disorder in which the patient has difficulty with purposeful motor movements needed to produce sounds or words.

Back 41

Apraxia

Front 42

If a patient has ____ he/she knows what they want to say but can't produce the words.

Back 42

apraxia

Front 43

____ is a weakness or paralysis of the muscles used to speak (lips, tongue, jaw, palate). It results in slurred speech making the patient difficult to understand.

Back 43

Dysarthria

Front 44

Cognition includes attention, organization, memory, problem solving, reasoning, safety and judgement. Problems in these areas usually are a result of _____ or ____.

Back 44

right CVA
TBI

Front 45

Speech therapy is usually ___ a day and the major goal is to optimize ____ competence so that the pt can function as independent as possible at home and in the community setting.

Back 45

twice
communication

Front 46

Treatments used in speech therapy are:

Back 46

-oral motor exercises
-facial stimulation (neuromuscular electrical stimulation)
-deep pharyngeal neuromuscular stimulation
-changes in food/liquid consistencies
-compensatory techniques
-postural changes

Front 47

Compensatory techniques used in speech therapy are:

Back 47

-chin tuck
-head turn
-dry swallows
-multiple swallows

Front 48

Patients with swallowing difficulty are usually at a ____ angle when eating.

Back 48

90 degree

Front 49

____ is used when a patient exhibits pharyngeal dysphagia and is at risk for aspiration.

Back 49

Liquid thickening

Front 50

___ is slightly thick, consistency of tomato juice or buttermilk.

Back 50

Nectar

Front 51

____ is thicker than nectar and the consistency of syrup.

Back 51

Honey

Front 52

Most diets are modified when there is ____ dysphagia.

Back 52

oral

Front 53

Natural thickeners for food include:

Back 53

-pudding
-crackers in soup
-applesauce
-oatmeal

Front 54

____ is therapy which engages the patient in purposeful activity to achieve functional independence in self-care, home management, meal prep, leisure tasks, work skills and caring for a child or other family member.

Back 54

Occupational therapy

Front 55

3 goals of OT are

Back 55

-independence with self care
-safety with self care
-using the affected side of the body safely and effectively

Front 56

When dressing a patient, always thread the ____ first.

Back 56

weaker side

Front 57

____ is when a patient can scan to a particular side but needs reminders.

Back 57

inattention

Front 58

_____ is a visual cut. The patient can only see out of half of each eye.

Back 58

Hemianopia/hemiomapsia

Front 59

____ is when a patient will not scan to a particular side. They do not feel like it is a part of their body.

Back 59

Neglect

Front 60

Methods of pain management include:

Back 60

-assess pain level and give pain meds
-breathing techniques
-creative visualizations
-positioning
-elevation of limb

Front 61

Try to present things to clients with a CVA on the ____. Change positions every ___ hours or sooner to prevent skin breakdown.

Back 61

weak side
2

Front 62

Hip precautions include:

Back 62

-don't bend forward or bend hip past 90 degrees
-don't cross legs
-don't turn foot inwards

Front 63

Hip precautions must be followed for ____ weeks.

Back 63

6-8

Front 64

___ is used to help things not to slide. It can be put under things like a plate or the patients shoe.

Back 64

Dycem

Front 65

A _____ is a licensed professional who specializes in maximizing functional recovery after illness or injury.

Back 65

physical therapist

Front 66

NC has ____ meaning the patient can go straight to the PT. They don't have to see a physician first unless they are covered with medicare.

Back 66

Direct access

Front 67

The ultimate goal of rehab is

Back 67

getting the patient home as independent as possible and living a life as normal as possible with as few modifications as possible.

Front 68

PT treatment focuses on ____, ____ and motor control of _____.

Back 68

balance
LE function
trunk and legs

Front 69

____ has to do with any aspect of walking- stairs, running, turning around, stepping backwards or sideways.

Back 69

Locomotion

Front 70

_____ are moving from one surface to another and are usually harder than walking.

Back 70

Transfers

Front 71

_____ is moving around on a surface.

Back 71

Mobility

Front 72

Communication with the patent is crucial because it decreases ____.

Back 72

anxiety

Front 73

____ involves learning and teaching. The patient should be an active participant.

Back 73

Therapeutic transfers

Front 74

The five L's of lifting are:

Back 74

-Load
-Look
-Lever
-Lumbar
-Legs

Front 75

When transferring a patient, never hold onto their

Back 75

pants or arm.

Front 76

The ____ muscles are for lifting.

Back 76

large leg muscles

Front 77

It is usually easier to transfer a patient to their ____ side.

Back 77

stronger

Front 78

If a patient is a "pusher" it will be easier to transfer to the ____ side because he/she will push strongly that way.

Back 78

weak

Front 79

A patient is ____ is he/she transfers without assistance or adaptive equipment.

Back 79

independent

Front 80

A patient is _____ if the patient transfers without assistance but with adaptive equipment, or the patient needs increased time to complete, or some safety concerns may be present.

Back 80

modified independent

Front 81

____ level of assist is when the patient transfers with someone observing, giving clues as needed.

Back 81

Supervision

Front 82

____ is the level of assistance in which the patient transfers with someone nearby, providing cues and ready to assist if needed.

Back 82

Stand-by-assist

Front 83

____ is the level of assistance in which the patient needs only steadying assistance during the transfer.

Back 83

Contact Guard Assist

Front 84

_____ is when the patient does at least 75% of the physical work during transfer.

Back 84

Minimal assist

Front 85

____ is when the patient does 50-74% of the physical work during the transfer.

Back 85

Moderate assist

Front 86

____ is when the patient does 25-49% of the physical work during transfer.

Back 86

Maximal assist

Front 87

_____ is when the patient does less than 25% of the physical work during the transfer.

Back 87

Dependent

Front 88

____ indicates that more than one person is required to perform transfer safely.

Back 88

+2

Front 89

When getting ready to have a patient stand up, you should have them...

Back 89

-move hips to edge of seat
-put feet back and under with heels touching floor
-chest up
-place hands appropriately

Front 90

A patient who has a hemiparesis and is getting up should place his/her hands

Back 90

weak hand on weak knee with strong hand on top.

Front 91

FWB means full weight bearing restrictions are

Back 91

none.

Front 92

WBAT means weight bearing as tolerated restrictions are

Back 92

guided by pain.

Front 93

PWB means partial weight bearing, restrictions are

Back 93

patient may bear about 25% of body weight

Front 94

TTWB/TDWB means toe touch or touch down weight bearing, restrictions are

Back 94

affected limb may be used for balance only.

Front 95

NWB means

Back 95

non weight bearing.

Front 96

Hip precautions include

Back 96

-don't bend hip past 90 degrees
-don't point toes together
-don't cross your legs
-don't twist

Front 97

Complications of the respiratory system r/t immobility include

Back 97

-hypostatic pneumonia
-oxygen/Carbon Dioxide imbalance
-pulmonary embolus

Front 98

Complications of the circulatory system r/t immobility include

Back 98

-orthostatic hypotension
-increased workload on heart
-thrombus formation

Front 99

Complications of the musculoskeletal system r/t immobility include

Back 99

-osteoporosis
-contracture
-decubitis
-muscular atrophy

Front 100

Complications of the GU/GI system r/t immobility include

Back 100

-urinary stasis (UTI, kidney stones)
-anorexia
-diarrhea- constipation
-impaction- obstruction

Front 101

Complications of the metabolic system r/t immobility include

Back 101

-bone demineralization
-electrolyte imbalance
-protein breakdown

Front 102

Complications of the psychosocial system r/t immobility include

Back 102

-disorientation
-depression