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Chapter 39 Rehabilitation Nursing Questions and Answers Fully Solved
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Chapter 39 Rehabilitation Nursing
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Chapter 39 Rehabilitation NursingRehabilitation nursing - answer The focus of ___ is to support patients in the restoration
of a health state or in the adaption of changes that have resulted from chronic illness,
disability, or injury.
Holistic - answer Rehabilitation nursing is ___.
Interdisciplinary team - answer Rehabilitation is a process of outcome-focused patient
care delivered by an ___ (such as nurses, physical and occupational therapists, speech
therapists, and mental health professionals) with the goal of restoring the patient to the
fullest physical, mental, social, vocational, and economic capacity of which he or she is
capable.
Plan of care - answer The patient's physical, mental, emotional, and social needs are
assessed and incorporated into the ___.
Previously done - answer Rehabilitation helps an individual regain function or adjust to a
new set of needs by finding new ways to do the things ___.
Abilities - answerThe underlying philosophy of rehabilitation is to focus on ___ rather
than disabilities, to continually make the most of the abilities that remain intact.
Efforts - answerThe individual, the family, and the support system are the focus of all
rehabilitation ___.
Highest potential - answerQuality rehabilitation results in the person continually striving
to reach his or her ___.
Inpatient or outpatient - answerThe setting for rehabilitative activities may be ___.
Impairment - answerAny loss or abnormality of psychological, physical, or anatomic
structure or function.
Disability - answerThe loss of ability to participate in one or more major life activities as
a result of mental, emotional, or physical impairments. This includes activities such as
school, employment, home, community, or social events. The impairment may limit
participation in a manner within a range of ability that is considered normal.
Functional limitation - answerAny loss of ability to perform tasks or activities of daily
living.
,Chronic illness - answerA chronic illness generally refers to a condition or state that
lasts for 3 months or longer. A chronic illness can have periods of remission and
exacerbation.
Exacerbation - answerGetting worse
The disabled - answerIn rehabilitation nursing, the individual is recognized to have a
disability, and the focus is on the individual rather than on the disability. Thus
rehabilitation nurses work with people who have disabilities, rather than "___."
Special needs - answerHealth care providers must learn to recognize the ___ of the
person with a chronic illness or disability and to organize, plan, and provide care to
meet these needs.
Chronicity and disability - answerProviders first need to understand the concepts of ___.
Acute illnesses - answerUnlike ___, which are usually abrupt in onset and self-limiting
(the illness is either resolved or death ensues), chronic illnesses have the potential to be
either abrupt or insidious in onset and, by definition, persist for an extended and
indefinite period.
Limitation - answerAffected patients are still able to function but often with some ___
because of the chronic illness.
Bridge - answerRehabilitation is a ___ for the patient, spanning the gap between
uselessness and usefulness, between hopelessness and hopefulness, between despair
and happiness.
Life continuum - answerThe scope of conditions that necessitate rehabilitation is broad
and spans the ___.
Paradox - answerLiving longer in the United States presents an interesting ___ between
retiring and enjoying the so-called golden years and a strong probability of acquiring
one or more chronic, disabling conditions.
Younger adults - answerChronic illness and physiologic changes of aging increase the
likelihood of physical limitations and disability disproportionately for older people in
comparison with ___.
Nursing homes - answerAlthough many families continue to care for older people with
disabling conditions in their homes, many also live in ___.
Maximal independence - answerRehabilitation services are built around maintaining
functional abilities, ensuring safety, promoting effective coping, preventing
complications, and modifying the environment for ___.
, Goal-oriented - answerRehabilitation is a ___ (outcome-oriented) process.
Holistic needs - answerThese goal-oriented goals are personal, and the rehabilitation
team individualizes them to meet the ___ of each patient served.
Goals of rehabilitation - answer• The goals maximize the quality of life of the patient.
• The goals address the patient's specific needs.
• The goals assist the patient with adjusting to an altered lifestyle.
• The goals are directed toward promoting wellness and minimizing complications.
• The goals assist the patient in attaining the highest degree of function and self-
sufficiency possible.
• The goals assist the patient with home and community reentry.
Focus on the individual - answerAll efforts of rehabilitation are centered on the patient's
goals and objectives. When the patient sets or holds goals that are not realistic, the
team works with the patient in reshaping expectations.
Community reentry - answerRehabilitation is considered successful if the patient is able
to reenter the community through participation in social, vocational, and recreational
activities.
Independence - answerThe goals of rehabilitation focus on promoting and maintaining
the patient's physical and emotional independence.
Functional ability - answerProgress in rehabilitation is measured in terms of functional
outcomes.
Team approach - answerRehabilitation goals are achieved through the work of the
rehabilitation team members, including the patient and the family.
Quality of life - answerGoals focus on improving the quality of life, rather than increasing
the quantity of life.
Prevention and wellness - answerBecause many problems that necessitate
rehabilitation are long standing, rehabilitation goals focus on preventing complications
and maximizing function.
Change process - answerPatients who experience a disabling condition or chronic
illness experience the change process, as do their families. The rehabilitation team is
responsible for directing the change in as positive a manner as possible.
Adaptation - answerAlthough patients with disabilities do not always accept their
disability, learning to adapt to the circumstances created by the limits of their abilities is
a positive method of coping.
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