Question 1 of 6
Report content error
Which nursing intervention during rehabilitation would increase self-esteem for a patient who is recovering from a stroke?
-
- Assisting the patient at the first sign of difficulty to prevent frustrationIntervening at the first sign of difficulty allows the patient no opportunity to succeed or improve at accomplishing difficult tasks.
- Correct
- Offering praise for small patient efforts so the patient will feel encouraged to continueOffering reasonable praise for small patient efforts demonstrates interest in the patient and motivates the patient to attempt other tasks.
-
- Offering praise only for major patient efforts so the patient will feel a sense of accomplishmentIf praise is offered only for major patient efforts, opportunities to praise smaller accomplishments would be lost. If the patient is not able to accomplish major tasks, no praise would ever be given.
-
- Performing activities of daily living (ADLs) for the patient to prevent the patient from becoming depressed by new limitationsIf ADLs are done for the patient, no opportunity for success or independence would be available.
Question 2 of 6
Report content error
Which technique would the nurse use to assist the patient and family who are experiencing stress during the rehabilitation phase of treatment?
-
- Helping them improve their weaknessesIt may be appropriate to help the patient and family improve their weaknesses, but this is not the most helpful technique.
- Correct
- Helping them develop positive coping techniquesHelping the patient and family develop positive coping techniques assists in stress reduction.
-
- Telling them that the amount of progress made is up to themTelling the patient and family that the amount of progress made is up to them is not therapeutic.
-
- Reminding them of the outcomes on which they have decidedIt may be appropriate to remind them of the decided outcomes, but this is not the most helpful technique.
Question 3 of 6
Report content error
Which nursing intervention would help manage confusion and disorientation for a patient in a long-term care facility?
-
- Changing routines to reduce boredomChanging routines often promotes confusion and disorientation.
- Correct
- Decorating for the upcoming holiday to help give clues as to the current season of the yearAn intervention that would help manage confusion and disorientation is decorating for the upcoming holiday to help give clues as to the current season of the year.
-
- Having as many different caregivers as possible so the patient will increase social interactionChanging caregivers often promotes confusion and disorientation.
-
- Giving the patient three or four different choices for a snack to facilitate autonomy and self-esteemGiving the patient too many choices often promotes confusion and disorientation.
Question 4 of 6
Report content error
Which statement made by the nurse discussing the duties of the licensed practical/vocational nurse (LPN/LVN) I would demonstrate a need for further education?
-
- “The LPN/LVN is able to assist with patient education.”The LPN/LVN can assist with patient and family education by supporting the outlined teaching plan and reinforcing the teaching.
-
- “The LPN/LVN supervises the certified nursing assistants (CNAs).”The LPN/LVN will oversee patient care assistants, CNAs, and nursing rehabilitation technicians.
- Correct
- “The LPN/LVN can monitor intravenous (IV) infusions.”Only an LPN/LVN II with intravenous therapy training can monitor IV infusions.
-
- “The LPN/LVN will provide input and feedback to the team.”It is important for the LPN/LVN to monitor the patient and report and issues to the health care team.
Question 5 of 6
Report content error
The nurse who is caring for a patient with a functional independence score of 2 would understand which information regarding the level of dependence of this patient?
-
- The patient is completely independent.A score of 6–7 indicates the patient is independent.
-
- The patient is only dependent with self-care.Self-care is a category in the functional independence measure scoring categories; however, this question gives the total score of 2, which would indicate this patient is dependent in multiple categories.
-
- The patient has some dependence.A score of 3–5 indicates some or modified dependence.
- Correct
- The patient is completely dependent.A score of 1–2 indicates complete dependence.
Question 6 of 6
Report content error
Which function would the home health care nurse perform? Select all that apply. One, some, or all responses may be correct.
-
- Maintain structure with patient teachingThe nurse should be flexible and creative in teaching patients and their families because people do not always have the same learning needs.
- Correct
- Conduct a physical assessmentConducting a physical assessment is essential to identifying problems during each visit.
-
- Provide financial education on paying billsThe nurse should avoid getting into financial concerns with the patient, except for referrals to social workers.
- Correct
- Share knowledge of available resourcesSharing knowledge of available resources with the patient and families is an important part of home health care.
- Correct
- Perform wound care and dressing changesPerforming wound care and dressing changes is an important part of home health care.
- Correct
- Provide hospice careHospice care can now be delivered in the home and is a role of the home health nurse, if ordered and appropriate.