CRRN Test 1

CRRN Test 1

Which act allows children with disabilities appropriate education, transition services, assistive technology, and rehab counseling? - Individuals with Disabilities Education Act

What is a SMALL number of people with complementary skills who are equally commited to a common purpose, goals, and working approach known as? - real team

Participants in health care have combined widely shared human beliefs about health and illness into four major ethical principles. What obligation requires health care providers to help people in need? - beneficence

What is nonmaleficence? - the duty to do no harm

What is the process of aligning and developing the capacity of a team to create the results its members desire? - team learning

Which of the following is a barrier to independent living for the C4 spinal cord injured patient? - availability of affordable, accessible housing

Which method of paying health care providers shifts part of the financial risk to hospitals by paying a fixed amount based on admission diagnosis? - prospective payment

Which Christian sect maintains Saturday as the holy day? - Seventh day Adventist

What would be the BEST approach for the rehab nurse with a new interest in political activism?

• identify one issue of interest and act on it

What is included in the American with Disabilities Act of 1990? - mandates 24 hour relay services by telephone companies so that individuals with telecommunication devices for the deaf could communicate with those who do not have those devices

Which team model is UNCOMMON in rehab practice? - medical

Which tool should be used in the nursing assessment of pressure ulcer risk? - Braden Scale

Rebound occurs when an individual spends insufficient time in certain stages of sleep. For which of the following stages is rebound an IMPORTANT concept? - stage 4

Rebound occurs: - when an individual is deprived of Stage 4 sleep

Which statement is incorporated in Orem's self care theory? - investigation/decision making where the pt. has control and input regarding activity

Which nursing theorist views the person as a biological, symbolic, and social unit? - Dorothea Orem

Which spinal cord injury syndrome causes paralysis and loss of position sense on the same side as the injury and loss of pain and temperature sensations on the opposite side? - Brown- Sequard syndrome

What are the two PRIMARY goals of the interdisciplinary team in pediatric rehabilitation? - provision of care and self-maintenance

Which level of wellness views rehabilitation activities and the monitoring of health care processes to prevent complications or further illness, injury or disability? - tertiary prevention

How does an independent living program support an individual with a disability? - allows pts. to remain in their own dwellings while offering support services

Which techique allows the user to determine the volume of pts. required for a progam to be financially self-sufficient? - break-even analysis

When comparing one facility's selected outcomes with those of another facility's outstanding outcomes this is considered which process? - benchmarking

Which strategy, when implemented prior to discharge, promotes communication, defines the roles of each party, clearly outlines expected outcomes, defines the limitations of care, and establishes home health care agency liability? - health contract

Which of the following defines impairment? - the residual limitation that results from disease, injury, or a congenital defect

Define handicap - the interaction of a person with a disability with the environment

Define disability - the inability to perform some key life function

Define functional limitation - the loss of the ability to perform self-care tasks and is the result of an impairment

Patients with which diagnoses would be likely to have restrictive lung disease? - high level spinal cord injury

Which theory did Bandura deveklop to guide the assessment of the individual's ability to promote health and reduce risk? - self-efficacy

What is the role of an interdisciplinary team? - reach a common goal thru team meetings and go beyoud their respective disciplines

What types of drugs would be MOST likely to cause male ejaculation and impotence problems?

• antihypertensives, antispasmodics, calcium channel blockers, tranquilizers, anticonvulsants,

alcohol, and analgesics

Which nursing theorist views health as a value-laden term imposed by society? - Martha Rogers

The major focus of King's nursing theory is: - goal attainment through interaction

Which ethical principle is exemplified by the rehab nurse who spends numerous hours in the preparation of a teaching plan for the pt, and future family caregivers? - fidelity

What is an IMPORTANT condition that must be present for a team to be successful? - a commitment to a common purpose and specific goals

Which member of the rehab team has the PRIMARY responsibility for assisting pts. in gaining skills for community reentry? - recreational therapist

In which rehabilitation team model is communication more vertical than lateral, with the leader controlling team conference? - multidisciplinary model

Self-efficacy is an important concept in relation to changing health behaviors. Which statement BEST describes self-efficacy? - the degree of confidence a person has about his or her ability to perform a specific activity

One lump sum payment made to the provider for each patient's treatment during a month or

year is referred to as: - capitation payment

The Americans with Disabilities Act of 1990 is an expansion of which previous law? - The Rehabilitation Act of 1973

Who is responsible for developing, implementing, documenting and evaluating the treatment plan? - interdisciplinary team

Which initiative was developed by Medicare to reimburse physicians under the Omnibus Budget Reconciliation Act of 1989? - resource-based relative value reimbursement

Which attribute or trait is a characteristic of a change-resilient person? - self-discipline

What is the ideal time to involve the external case manager? - onset of the disability

When faced with an ethical dilemma what must the rehab nurse do FIRST? - assess her own personal values

Which ascending spinal cord tracts is responsible for transmitting pain and temperature sensations? - the lateral spinothalamic tract

Complete injury without preservation of sensation or motor function in S4-5. - ASIA-A

Incomplete injury with preservation of sensation throughout the cord, including S4-5. - ASIA-B

Incomplete injury with motor function intact below the level of the lesion, though the muscle strength is a grade 2 or lower, functional gain may not be significant due to weakness. - ASIA-C

Incomplete injury with motor function intact below the level of the lesion, muscle strength is a grade 3 or higher, functional gains are usually significant. - ASIA-D

Normal motor and sensory function. - ASIA-E

Spontaneous Eye Opening - 4

Eyes open to verbal command - 3

Eyes open to pain - 2

No response (Eye Opening) - 1

Oriented, converses (Verbal Response) - 5

Disoriented/Confused, converses (Verbal Response) - 4

Uses inappropriate words (Verbal Response) - 3

Makes incomprehensible sounds (Verbal Response) - 2

No response (Verbal Response) - 1

Obeys Verbal Commands (Motor Response) - 6

To localized pain (Motor Response) - 5

Flexes and withdraws from pain (Motor Response) - 4

Flexes abnormally (Decorticate Posturing) (Motor Response) - 3

Extends abnormally (Decerebrate Posturing) (Motor Response) - 2

No motor response (Flaccid Coma) (Motor Response) - 1