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NRNP 6540 WEEKS 1-5 KNOWLEDGE CHECKS COMBINED EXAM FULLY ANSWERED -8
NRNP 6540 WEEKS 1-5 KNOWLEDGE CHECKS COMBINED EXAM FULLY ANSWERED -8
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NRNP 6540 WEEKS 1-5 KNOWLEDGE CHECKS COMBINEDEXAM FULLY ANSWERED #8
Which of the following is the most appropriate therapeutic intervention strategy for a
patient who is 2 weeks post-stroke and has contraversive pushing? - correct answer
Visually focus on a vertical meter stick to align their posture and have the patient reach
for objects towards their nonparetic side
The Burke Lateropulsion Scale (BLS) and the Scale for Contraversive Pushing (SCP)
both consider which of the following physical atttributes to be the strongest diagnostic
indicator of contraversive laterpulsion in people with stroke? - correct answer Abduction
and extension of the paretic limbs:
Which of the following is the BEST response to a patient's anger demonstration about
an existing condition and level of function? - correct answer Understanding that anger
us an opportunity to have the patient express feelings in an appropriate way
What is the MOST appropriate term to describe the process that requires the integration
of multiple sensory inputs and results in the awareness of objects and experiences
within an environment? - correct answer Perception
The relative inability of a patient to stay focused on a conversation during the initial
evaluation of tasks such as donning or doffing clothing, preparing a basic meal on the
stovetop, or doing mat exercises in a loud therapy gym is MOST likely indicative of a
breakdown in which of the following cognitive systems? - correct answer Attention
A physical therapist is about to start an intervention session with a patient who has had
a stroke. A chart review of the patient, who is using a manual wheelchair, reveals intact
right and left visual fields; however, the patient has multiple abrasions on his left arm,
demonstrates difficulty reading by not scanning all the way to the left side of the page,
and routinely leaves the left side of meal trays untouched when they are served in the
patient's room. Which is the MOST likely condition responsible for these findings? -
correct answer Left unilateral neglect
Health-care professionals have different scopes of practice. Diagnoses of
communication and clinical interventions for communication impairments are part of the
roles and responsibilities of which of the following professionals? - correct answer
Speech-language pathologist (SLP)
The Speech-Language Pathologist (SLP) indicates that a patient with aphasia has
impaired comprehension. One recommendation to the physical therapist is to adjust
spoken directions when instructing the patient about sitting to standing transfers. To
which of the following would the patient most likely successfully respond (show
comprehension)? - correct answer Lock your brakes"... "stand up"
, The following statements about aphasia is true? - correct answer Aphasia impacts both
formulation and understanding of language to some degree.
A 70 year-old outpatient has dysarthria resulting from a stroke. The patient's symptoms
include slurred speech, a low volume, and breathy sounding voice. The physical
therapist finds it very difficult to understand the patient when providing feedback about
completion of home-related activities. Which of the following tips or strategies would be
most helpful for the physical therapist to try in this situation? - correct answer Be honest:
Repeat back that part of the message the PT understood and ask the person to repeat
the portion that the PT did not understand.
Which of the following is important for reducing a shoulder subluxation in a patient with
stroke? - correct answer Establishing alignment of the trunk, scapula, and humerus
Which of the following is true regarding impairments affecting UE use? - correct answer
postural control plays an essential role in maintaining stable and controlled movementes
of UE; ability to turn their head and maintain trunk stability influences their ability to
accurately reach for a target
Which of the following is an extrinsic cause of shoulder subluxation? - correct answer
poor positioning or support of the shoulder joint
A patient presents with a severe upper extremity flexor synergy pattern including the
elbow, wrist and fingers after a cerebrovascular accident with no volitional movement
out of synergy. Which of the following interventions below would be BEST for this
patient's paretic upper extremity? - correct answer closed chain assisted weight bearing
of the involved arm during sit to stand
Which of the following impairments are most likely to be present due to a diagnosis of
multiple sclerosis? - correct answer impaired proprioception (loss of sensation of body
position) and diplopia (double vision)
Which of the following upper extremity motions are required as minimum criteria to be a
candidate for Constraint Induced Movement Therapy (CIMT)? Best match the minimum
active range of motion requirements for Constraint Induced Movement Therapy (CIMT)
to determine whether or not they would be a good candidate? - correct answer -
initiation of active shoulder flexion and abduction (≥45 degrees)
- elbow extension (≥20 degrees)
- wrist and finger extension (≥10 degrees)
Which of the following terms best describes the response of a patient with relapsing-
remitting multiple sclerosis who experiences increased fatigue that resolves within 24
hours which occurs after spending a few hours outdoors in the summer heat? - correct
answer Uthoffs phenomenon
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