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CSRS| CERTIFIED STROKE REHABILITATION SPECIALIST TESTS COMPILATION BUNDLE
CSRS| CERTIFIED STROKE REHABILITATION SPECIALIST TESTS COMPILATION BUNDLE
[Show more]CSRS| CERTIFIED STROKE REHABILITATION SPECIALIST TESTS COMPILATION BUNDLE
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Types of stroke 
(Lesson 2) correct answer: Ischemic: 87% 
-Thrombotic 
-Embolic 
-Lacunar 
Hemorrhagic: 13% 
-Intracerebral 
-Subarachnoid 
 
Thrombotic Stroke (Ischemic) correct answer: 48% of all strokes 
-typically occurs during sleep 
-slow progressive onset of deficits 
-50% are associated...
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Add to cartTypes of stroke 
(Lesson 2) correct answer: Ischemic: 87% 
-Thrombotic 
-Embolic 
-Lacunar 
Hemorrhagic: 13% 
-Intracerebral 
-Subarachnoid 
 
Thrombotic Stroke (Ischemic) correct answer: 48% of all strokes 
-typically occurs during sleep 
-slow progressive onset of deficits 
-50% are associated...
What should All suspected stroke patients be admitted directly and what does this allow? correct answer: o Specialist acute stroke unit: 
o Early recognition and treatment of complications 
o MDT working 
o Co-ordinated and organised in-patient care with weekly MDT meetings 
o Programmes of educati...
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Add to cartWhat should All suspected stroke patients be admitted directly and what does this allow? correct answer: o Specialist acute stroke unit: 
o Early recognition and treatment of complications 
o MDT working 
o Co-ordinated and organised in-patient care with weekly MDT meetings 
o Programmes of educati...
Left Hemisphere (following stroke) correct answer: Aphasia Common (lack of expressive or receptive speech) 
Reaction is catastrophic 
Difficulty processing information in auditory modality 
Profits more from non-language cues such as pantomime, gestures, and visual images 
 
Left hemisphere normal ...
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Add to cartLeft Hemisphere (following stroke) correct answer: Aphasia Common (lack of expressive or receptive speech) 
Reaction is catastrophic 
Difficulty processing information in auditory modality 
Profits more from non-language cues such as pantomime, gestures, and visual images 
 
Left hemisphere normal ...
Stroke priority problems correct answer: 1-Inadequate perfusion 
2-Impaired swallowing 
3-Impaired physical mobility & self-care deficit 
4-Aphasia or dysarthria (slurred speech) 
5-Urinary &/or bowel incontinence 
6- Disturbed sensory perception 
7-Unilateral body neglect 
 
Stroke problems:...
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Add to cartStroke priority problems correct answer: 1-Inadequate perfusion 
2-Impaired swallowing 
3-Impaired physical mobility & self-care deficit 
4-Aphasia or dysarthria (slurred speech) 
5-Urinary &/or bowel incontinence 
6- Disturbed sensory perception 
7-Unilateral body neglect 
 
Stroke problems:...
Gait after stroke is best characterized by (3) correct answer: 1. Asymmetry* 
2. Lack of smoothness in forward progression 
3. Slow velocity 
 
What must a patient's gait speed be in order for them to be identified as community ambulatory? correct answer: 150ft/min or 0.8m/sec 
 
Other characteri...
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Add to cartGait after stroke is best characterized by (3) correct answer: 1. Asymmetry* 
2. Lack of smoothness in forward progression 
3. Slow velocity 
 
What must a patient's gait speed be in order for them to be identified as community ambulatory? correct answer: 150ft/min or 0.8m/sec 
 
Other characteri...
When can rehabilitation of a stroke patient begin? correct answer: As soon as the patient is medically stabilized, typically within 72 hours. 
 
When are patients referred to acute rehabilitation? correct answer: If they can tolerate an intensity of services consisting of 2 or more rehabilitation ...
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Add to cartWhen can rehabilitation of a stroke patient begin? correct answer: As soon as the patient is medically stabilized, typically within 72 hours. 
 
When are patients referred to acute rehabilitation? correct answer: If they can tolerate an intensity of services consisting of 2 or more rehabilitation ...
A pt w/ R hemiplegia and loss of sensation affecting the leg more than arm who is aphasic probably had a stroke in which artery? 
 
L middle cerebral 
R posterior cerebellar 
R anterior cerebral 
L anterior cerebral correct answer: L anterior cerebral 
 
a pt w/ hemiplegia who is impulsive, emoti...
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Add to cartA pt w/ R hemiplegia and loss of sensation affecting the leg more than arm who is aphasic probably had a stroke in which artery? 
 
L middle cerebral 
R posterior cerebellar 
R anterior cerebral 
L anterior cerebral correct answer: L anterior cerebral 
 
a pt w/ hemiplegia who is impulsive, emoti...
A 78-year-old client is admitted to the emergency department (ED) with numbness and weakness of the left arm and slurred speech. Which nursing intervention is priority? 
1. Prepare to administer recombinant tissue plasminogen activator (rt-PA). 
2. Discuss the precipitating factors that caused the...
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Add to cartA 78-year-old client is admitted to the emergency department (ED) with numbness and weakness of the left arm and slurred speech. Which nursing intervention is priority? 
1. Prepare to administer recombinant tissue plasminogen activator (rt-PA). 
2. Discuss the precipitating factors that caused the...
A 59 year old patient had a R CVA 3 days ago and is being evaluated by a physical therapist in the acute hospital. The physical therapist would like to administer an outcome measure to test balance specific to the patient's diagnosis. Which is the best choice? correct answer: Postural Assessment S...
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Add to cartA 59 year old patient had a R CVA 3 days ago and is being evaluated by a physical therapist in the acute hospital. The physical therapist would like to administer an outcome measure to test balance specific to the patient's diagnosis. Which is the best choice? correct answer: Postural Assessment S...
the two parts of the neural system are correct answer: central and peripheral 
 
The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recal...
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Add to cartthe two parts of the neural system are correct answer: central and peripheral 
 
The wife of a 65-year-old man tells the nurse that she is concerned because she has noticed a change in her husband's personality and ability to understand. He also cries very easily and becomes angry. The nurse recal...
Stroke recovery: Anatomy and outcomes correct answer: Anatomical influence d/t: 
-Recovery of ischemic penumbra via reperfusion 
-Resolution of cerebral edema 
-Neuroplasticity & rehab 
 
Better outcomes with: 
-Early medical care and intensive multidisciplinary rehab 
-Small strokes 
-Speciali...
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Add to cartStroke recovery: Anatomy and outcomes correct answer: Anatomical influence d/t: 
-Recovery of ischemic penumbra via reperfusion 
-Resolution of cerebral edema 
-Neuroplasticity & rehab 
 
Better outcomes with: 
-Early medical care and intensive multidisciplinary rehab 
-Small strokes 
-Speciali...
What is the leading cause of long-term disability in the US? correct answer: Strokes 
Impacts ALL areas of function and roles 
 
What are some of the types of neural recovery? correct answer: Collateral sprouting to re-innervate cells 
Unmask alternative neural pathways and synapses 
 
How is Neur...
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Add to cartWhat is the leading cause of long-term disability in the US? correct answer: Strokes 
Impacts ALL areas of function and roles 
 
What are some of the types of neural recovery? correct answer: Collateral sprouting to re-innervate cells 
Unmask alternative neural pathways and synapses 
 
How is Neur...
The nurse is reviewing interventions aimed at maintaining cerebral perfusion in a client who had a thrombotic stroke. Which intervention should the nurse question? 
A.Placing the client in a side-lying position 
B.Monitoring mental status and level of consciousness 
C.Monitoring respiratory status...
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Add to cartThe nurse is reviewing interventions aimed at maintaining cerebral perfusion in a client who had a thrombotic stroke. Which intervention should the nurse question? 
A.Placing the client in a side-lying position 
B.Monitoring mental status and level of consciousness 
C.Monitoring respiratory status...
Orpington Prognostic Scale (OPS) correct answer: outcome measure specific to stroke that is predictive of discharge setting 
-4 domains: balance, cognition, motor, and proprioception 
-taken in 1st two weeks poststroke 
-inpatient or acute care 
 
Scoring: 
< 3.2 indicates discharge to home ...
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Add to cartOrpington Prognostic Scale (OPS) correct answer: outcome measure specific to stroke that is predictive of discharge setting 
-4 domains: balance, cognition, motor, and proprioception 
-taken in 1st two weeks poststroke 
-inpatient or acute care 
 
Scoring: 
< 3.2 indicates discharge to home ...
A 59 year old patient had a R CVA 3 days ago and is being evaluated by a physical therapist in the acute hospital. The physical therapist would like to administer an outcome measure to test balance specific to the patient's diagnosis in the acute care setting. Which is the best choice? 
Postural As...
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Add to cartA 59 year old patient had a R CVA 3 days ago and is being evaluated by a physical therapist in the acute hospital. The physical therapist would like to administer an outcome measure to test balance specific to the patient's diagnosis in the acute care setting. Which is the best choice? 
Postural As...
Brunnstrom Approach correct answer: - Treatment progresses from reflex to voluntary to functional movement 
- Elicit reflexes to get movement, later facilitate integration of these reflexes 
- Need to develop gross patterns of movement (synergies) at first-movement then progresses from gross to fin...
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Add to cartBrunnstrom Approach correct answer: - Treatment progresses from reflex to voluntary to functional movement 
- Elicit reflexes to get movement, later facilitate integration of these reflexes 
- Need to develop gross patterns of movement (synergies) at first-movement then progresses from gross to fin...
recovery results from correct answer: recovery of the ischemic penumbra 
resolution of cerebral edam 
neuroplasticity and rehabilitation 
 
better outcomes associated with correct answer: early medical care 
smaller strokes 
specialized stroke care centers 
early intensive multidiscinplary reh...
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Add to cartrecovery results from correct answer: recovery of the ischemic penumbra 
resolution of cerebral edam 
neuroplasticity and rehabilitation 
 
better outcomes associated with correct answer: early medical care 
smaller strokes 
specialized stroke care centers 
early intensive multidiscinplary reh...
What is the Modified Rankin Scale (MRS)? correct answer: A scale 0-6 indicating severity of disability after stroke 
 
 
What is the Stroke Impact Scale (SIS)? correct answer: Measures quality of life by stroke survivors' perception of level of recovery 
 
(physical, memory, emotion, communicat...
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Add to cartWhat is the Modified Rankin Scale (MRS)? correct answer: A scale 0-6 indicating severity of disability after stroke 
 
 
What is the Stroke Impact Scale (SIS)? correct answer: Measures quality of life by stroke survivors' perception of level of recovery 
 
(physical, memory, emotion, communicat...
What is one treatment strategy to use to increase activation in lower extremities following a stroke? correct answer: Have the patient sit in perch sitting and extend the non-affected leg forward to allow for increased weight-bearing. 
 
What can limit forward progression of the tibia with sit to s...
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Add to cartWhat is one treatment strategy to use to increase activation in lower extremities following a stroke? correct answer: Have the patient sit in perch sitting and extend the non-affected leg forward to allow for increased weight-bearing. 
 
What can limit forward progression of the tibia with sit to s...
Impairment correct answer: Loss of a physiological function 
 
Ex. Renal failure, reduced EJ due to cardiomyopathy, loss of sensation due to peripheral neuropathy, loss of motor function following stroke 
 
Disability correct answer: Loss of the ability to perform a functional task as the result ...
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Add to cartImpairment correct answer: Loss of a physiological function 
 
Ex. Renal failure, reduced EJ due to cardiomyopathy, loss of sensation due to peripheral neuropathy, loss of motor function following stroke 
 
Disability correct answer: Loss of the ability to perform a functional task as the result ...
What does stroke recovery result from? correct answer: Recovery of the ischemic penumbra (restoring blood flow) 
 
Resolution of cerebellar edema 
 
Neuroplasticity and rehabilitation 
 
What are better outcomes of stroke recovery associated with? correct answer: Early medical care 
Smaller stroke...
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Add to cartWhat does stroke recovery result from? correct answer: Recovery of the ischemic penumbra (restoring blood flow) 
 
Resolution of cerebellar edema 
 
Neuroplasticity and rehabilitation 
 
What are better outcomes of stroke recovery associated with? correct answer: Early medical care 
Smaller stroke...
What does recovery from stroke occur from physiologically? correct answer: - recovery of the ischemic penumbra 
-resolution of cerebral edema 
- neuroplasticity and rehab 
 
Better outcomes with stroke rehab are associated with..... correct answer: - early medical care 
- smaller strokes 
- spe...
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Add to cartWhat does recovery from stroke occur from physiologically? correct answer: - recovery of the ischemic penumbra 
-resolution of cerebral edema 
- neuroplasticity and rehab 
 
Better outcomes with stroke rehab are associated with..... correct answer: - early medical care 
- smaller strokes 
- spe...
What is a stroke? correct answer: temporary reduction or stoppage of blood flow to the brain leading to lack of oxygen and nutrients 
 
2 types of stroke correct answer: 1. Ischemic (85%) 
2. Hemorrhagic (15%) 
 
Ischemic stroke correct answer: blocked blood vessel 
 
Hemorrhagic stroke correct a...
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Add to cartWhat is a stroke? correct answer: temporary reduction or stoppage of blood flow to the brain leading to lack of oxygen and nutrients 
 
2 types of stroke correct answer: 1. Ischemic (85%) 
2. Hemorrhagic (15%) 
 
Ischemic stroke correct answer: blocked blood vessel 
 
Hemorrhagic stroke correct a...
good ways to assess balance in stroke population correct answer: DGi, mDGI, Berg, Four square step test, FIST, PASS 
 
LEMOCOT correct answer: Lower extremity motor coordination tests- quantitatively assesses lower limb coordination and has reference values. Has ability to detect changes in MC aft...
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Add to cartgood ways to assess balance in stroke population correct answer: DGi, mDGI, Berg, Four square step test, FIST, PASS 
 
LEMOCOT correct answer: Lower extremity motor coordination tests- quantitatively assesses lower limb coordination and has reference values. Has ability to detect changes in MC aft...
*Reaching Task/Open Chain Activity* correct answer: The reaching task described requires the patient to reach for a book on a shelf that is at forehead level. First, initiation of any movement pattern requires a motivational drive to perform; therefore, the activity must have an inherent purpose. T...
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Add to cart*Reaching Task/Open Chain Activity* correct answer: The reaching task described requires the patient to reach for a book on a shelf that is at forehead level. First, initiation of any movement pattern requires a motivational drive to perform; therefore, the activity must have an inherent purpose. T...
The following quote describes ___________________: 
"Achieving health, well-being, and participation in life through engagement in occupations for people with neurological deficits" correct answer: Neurorehabilitation 
 
This continuum of care in neurorehab deals with health promotion and prevent...
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Add to cartThe following quote describes ___________________: 
"Achieving health, well-being, and participation in life through engagement in occupations for people with neurological deficits" correct answer: Neurorehabilitation 
 
This continuum of care in neurorehab deals with health promotion and prevent...
Which statement is true: 
 
A person who sustains a traumatic brain injury (TBI) is more likely to have more impairments than a person after stroke because: 
 
A. The mechanism of TBI means multiple areas of the brain may be damaged 
 
B. The mechanism of TBI means a single larger area of the brain...
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Add to cartWhich statement is true: 
 
A person who sustains a traumatic brain injury (TBI) is more likely to have more impairments than a person after stroke because: 
 
A. The mechanism of TBI means multiple areas of the brain may be damaged 
 
B. The mechanism of TBI means a single larger area of the brain...
CIMT is a method used for patients with: 
 
a) Low back pain 
b) Cerebral palsy 
c) Myelomeningocele 
d) Osteoarthrosis correct answer: b) 
 
Oxygen pulse is proportional to: 
 
a) Heart stroke volume 
b) Ventilation 
c) FEV1 
d) Central blood pressure 
e) Respiratory reserve correct answer: A) ...
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Add to cartCIMT is a method used for patients with: 
 
a) Low back pain 
b) Cerebral palsy 
c) Myelomeningocele 
d) Osteoarthrosis correct answer: b) 
 
Oxygen pulse is proportional to: 
 
a) Heart stroke volume 
b) Ventilation 
c) FEV1 
d) Central blood pressure 
e) Respiratory reserve correct answer: A) ...
Frontal lobe functions correct answer: Higher cognitive function (i.e. impulse control) 
Memory retention 
Voluntary eye movements 
Voluntary motor movement 
Expressive speech in Broca's area (i.e.Expression aphasia; can't say what they mean) 
Think: Cognitive, Memory, Motor, Expression 
 
Tempor...
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Add to cartFrontal lobe functions correct answer: Higher cognitive function (i.e. impulse control) 
Memory retention 
Voluntary eye movements 
Voluntary motor movement 
Expressive speech in Broca's area (i.e.Expression aphasia; can't say what they mean) 
Think: Cognitive, Memory, Motor, Expression 
 
Tempor...
After a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual effects, the nurse anticipates teaching the patient about 
 
a. cerebral aneurysm clipping. 
b. heparin intravenous infusion. 
c. oral low-dose aspirin therapy. 
d. tissue plasminogen activator (tPA). ...
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Add to cartAfter a patient experienced a brief episode of tinnitus, diplopia, and dysarthria with no residual effects, the nurse anticipates teaching the patient about 
 
a. cerebral aneurysm clipping. 
b. heparin intravenous infusion. 
c. oral low-dose aspirin therapy. 
d. tissue plasminogen activator (tPA). ...
out-of-hospital acute stroke care focuses on: correct answer: - rapid ID and assessment of pts with stroke 
- rapid transport w/ prearrival notification to facility capable of providing acute stroke care 
 
in-hospital acute stroke care correct answer: - ability to rapidly determine pt eligibility...
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Add to cartout-of-hospital acute stroke care focuses on: correct answer: - rapid ID and assessment of pts with stroke 
- rapid transport w/ prearrival notification to facility capable of providing acute stroke care 
 
in-hospital acute stroke care correct answer: - ability to rapidly determine pt eligibility...
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Of the following patients, the nurse recognizes that the one with the highest risk for a stroke is a(n) 
 
A. obese 45-yr-old Native American 
 
B. 35-yr-old Asian American woman who smokes 
 
C. 32-yr-old white woman taking oral contraceptives 
 
D. 65-yr-old African American man with hypertension ...
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Add to cartOf the following patients, the nurse recognizes that the one with the highest risk for a stroke is a(n) 
 
A. obese 45-yr-old Native American 
 
B. 35-yr-old Asian American woman who smokes 
 
C. 32-yr-old white woman taking oral contraceptives 
 
D. 65-yr-old African American man with hypertension ...
what test Assesses distance walked over time as a sub-maximal test of aerobic capacity/endurance correct answer: 6 minute walk test. 
 
what test Assesses walking speed in meters per second over a short duration correct answer: 10 meter walk test. 
 
what ICF domain is the 10 meter walk test in? c...
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Add to cartwhat test Assesses distance walked over time as a sub-maximal test of aerobic capacity/endurance correct answer: 6 minute walk test. 
 
what test Assesses walking speed in meters per second over a short duration correct answer: 10 meter walk test. 
 
what ICF domain is the 10 meter walk test in? c...
ischemia 
part of the brain that results in death of brain cells; lack of perfusion results in lack of oxygen and nutrients (brain cannot be deprived more than 3-4 minutes before injury occurs) 
 
What determines the manifestations of the brain ischemia? 
effects dependent on location and severity ...
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Add to cartischemia 
part of the brain that results in death of brain cells; lack of perfusion results in lack of oxygen and nutrients (brain cannot be deprived more than 3-4 minutes before injury occurs) 
 
What determines the manifestations of the brain ischemia? 
effects dependent on location and severity ...
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