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UDC III Seminar Sample Questions - Midterm Exam
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UDC III Seminar Sample Questions - Midterm ExamThe nurse has initiated a teaching plan about rehabilitation goals with a client who is
recovering from a stroke. Which client statement indicates that the client understands
the rehabilitation process? Select all that apply.
A. "I am glad that I will be cured through rehabilitation."
B. "Rehab will help me work to my fullest potential."
C. "This will keep me from having more strokes."
D. "I'll expect to see occupational and physical therapists."
E. "Rehabilitation will focus on my physical needs only." - ANSWER Answer: BD
Rationale: •Rehabilitation is the continuous process of learning to live with and manage
chronic and disabling conditions. The major outcome of rehabilitation is not curative;
however, it is that the client will return to the best possible physical, mental, social,
vocational, and economic capacity possible. Rehabilitation does not protect the clients
from other health problems, for example CVA, and it is not just for physical needs.
Occupational and physical therapists are members of the big interprofessional team
who support clients during the rehabilitation process.
A client who had a skiing accident was diagnosed with paraplegia. Which nursing
intervention is appropriate to meet the client's psychosocial needs?
A. Call a spiritual leader to speak with the client.
B. Assess the client thoroughly to identify his needs
C. Instruct the family to provide additional support for the client during this crisis
D. Order antidepressants for the client from the health care provider. - ANSWER
Answer: B
,Rationale: •Assessing the patient is the appropriate way to anticipate psychosocial
needs of the client. The assessment is not performed for the purpose of merely
assuming that a spiritual leader is desired by the client. The nurse should not assume
that appropriate support will come from the family without performing thorough
assessment, nor should the nurse assume that the client will experience depression.
The key to choosing a proper intervention is to make an assessment of the situation first
and then design the plan of care accordingly thereafter.
The nurse is caring for a client who has a traumatic brain injury and is unconscious at
this time. Which of the following rehabilitative nursing interventions are appropriate?
Select all that apply
A. Refer the client to a recreational therapist.
B. Provide active range of motion exercises
C. Assign assistive personnel to provide hygiene care.
D. Provide turning and repositioning every 1-2 hours.
E. Assist the RDN with evaluating the client's nutrition needs. -ANSWER Answer: CDE
Rationale: •The unconscious client requires total care. The nurse can delegate hygiene
care to assistive personnel and follow up per delegation processes. The client should be
turned and repositioned every 1-2 hours to decrease the risk for pressure injuries and
compromise of tissue integrity. The nurse will also provide passive (not active) range of
motion exercises because the client is unable to self-perform the exercises at this time.
The nurse will collaborate with the RDN to determine nutrition needs that are suitable
for the client who is currently unable to self-feed. The services of a recreation therapist
can be utilized once the client has regained consciousness.
A mother of a 13-year-old male visits the school nurse because she is concerned that he
has become overweight. She states that she has spoken to his pediatrician about this
concern and was dismissed. The nurse measures the boy's height and weight, and plots
it to determine that he is over the 95 percentile for his age. What are the next steps for
the school nurse?
A. Teach about a healthy diet, but reassure mother that child is too young to worry about
his weight.
B. Put the student on a diet and exercise program with a target of 2 to 3 lb. per week
, weight loss.
C. Teach about a healthy diet and exercise and advise mother that her son should not
gain any more weight until he grows taller.
D. It is better that the mother became concerned when her son was pre-pubertal. -
ANSWER Answer: C
Rationale: The goal of weight management in children and adolescents is the
normalization of weight. This can be accomplished by slowing the rate of weight gain to
allow children to "grow" into their weight, by improving eating habits, increasing
exercise, improving self-esteem, and improving relationships with parents.
Interventions should be based on a concentration on goals for family lifestyle changes.
The goal is to change the way the family eats, exercises, and plans daily activities.
The school nurse provides education to the students about injury prevention measures.
What educational topic is shared with the middle school age?
A. Bicycle safety
B. Poisoning prevention
C. Violence
D. Motor vehicle safety - ANSWER Answer: A
Rationale: The school-age group has the lowest injury death rate; however, they do have
difficulty judging speed and distance, placing them at risk for pedestrian and bicycle
accidents. Boys are twice as likely as girls to have nonfatal bicycle injuries, and the
highest injury rate is 10 to 14 years of age. The use of bicycle helmets would prevent
deaths. Peer pressure often inhibits the use of protective devices such as helmets and
limb pads.
A nurse is caring for a client who has had coronary artery bypass graft surgery in an
inpatient rehabilitation unit. Which assessment would the nurse implement to evaluate
the client's activity tolerance?
A. Vital signs before, during, and after activity
B. Body image and self-care abilities
C. Ability to use assistive or adaptive devices
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