CPO Test 2023 | Elaborated Answers

CPO Test 2023 | Elaborated Answers Which theorist model focused on the person's ability to perform self-care? - ansDorothea Orem The reflex arc associated with micturition is located at which level of the spinal cord? - anssacral A pt. with diabetes has been admitted to a skilled care unit for recovery and wound healing after several revisions of an AKA that had begun as an ingrown toenail. The pt. says to the nurse, "I don't know what eles to do. Nothing I try seems to make a difference with respect to healing this wound." This statement might be an example of which alteration? - anshopelessness Cost-control efforts in the US are characterized by a combination of gov. regulation and market-based competition. Which of the following is an example of a regulation-based cost-containment strategy? - ansrestrictions on supply of physicians Which organization has taken the lead in developing case managementt standards? - ansThe National Coalition of Associations for Advancement of Case Management What MUST an internal case manager do when arranging for equipment in the home environment? - ansidentify if the payer source has contracts with any vendors During periods of stress or trauma, which nutrients are used by the body as energy sources? - ansproteins Contractual allowance - ansdiscounts from normal charges given to large payers for health care services Contribution margin - ansthe amount by which the price exceeds the varible cost Cross- subsidization - answhen some pts. are assigned more costs than they create and others less Cost reimbursement - ansthe revenue based on the organization receiving payment for costs incurred Which cranial nerves are MOST affected in persons with multiple sclerosis? - ansII and III The case manager for the brain injured child start the process of re-entry into the school system? - ansprior to discharge from the rehabilitation facility Which of the following is an application of the Bobath principles? - anstransfer of a patient to a chair from the affected side Pts. with disabilities are MOST likely to comply with a skin care program when they: - ansperceive themselves at risk for a severe pressure ulcer Spatial-perceptual deficits are MOST commonly associated with: - ansright cerebral hemisphere lesion Which of the following MOST commonly occurs in conjunction with spina bifida? - anshydrocephalus Mechanical friction on a wound delays wound healing because it: - ansdisrupts granulation tissue Which ethical principle justifies an amptee's refusal to wear a prosthesis? - ansautonomy What symptom is MOST frequent with peripheral thrombophlebitis? - anssweling and redness in an extremity During the initial interview, the rehab nurse assesses a pt's cognition by: - ansdetermining the pt's understanding of gestures and vocal inflections For a pt in the chronic stage of rheumatoid arthritis, which of the following interferes with functioning? - anspain, muscle weakness, and joint disordees A nurse notes hyperactive reflexes and an increased resistance to passive motion in the extremities. This is known as: - ansspasticity Which of the following can be achieved by a pt with C5 injury with biceps and most shoulder muscles functioning? - ansdressing the upper extremity, writing, and typing with devices Which wheelchair modifications is necessary for a sliding board transfer? - ansremovable arm rest When should discharge planning begin? - ansprior to admission to the rehab facility Each method of paying health care providers has incentives or imposes financial risks to affect choices and decisions. Which method places all the risk on the payer of health care? - ansfee-for-service payment Prospective payment - anshealth plans shift part of the financial risk to hospitals by paying a fixed amount based on admission diagnosis Capitation payment - ansinvolves a fixed monthly payment Parasomnias such as sleepwalking and enuresis occur during which phase of sleep? - ansstage 4 Which stage of sleep is when the person is most difficult to awaken? - ansstage 4 Nursing theorists draw from existing knowledge in nursing as well as from other disciplines. Which theorist used learning and motivational theories? - ansLydia Hall Which theorist used general systems theory? - ansImogene King Which theorist used adaptation theory? - ansSister Calista Roy The inability of a person to comprehend spatial relationships involving his or her body is called: - ansimpaired proprioception What health and wellness theory is based on the belief that a person is capable of mobilizing his or her cognitive, socail, and behavioral skills? - ansself-efficacy Which of the following does NOT typically characterize autonomic dysreflexia? hypotension; bradycardia; sweating; nasal obstruction - anshypotension A patient with left hemiplegia would be MOST likely to present: - ansperceptual deficits The MOST effective bowel retraining program based on normal physiology is one in which bowel movements are consistently scheduled: - ans15-30 minutes after a meal Dysarthria is characterized by: - ansslurred or thick-tongued speech An initial nursing intervention for a pt. with altered respiratory function includes: - ansencouraging coughing and deep breathing techniques What can cause REM suppression during sleep? - ansalcohol What is the function of the detrusor muscle? - anscontracts the urinary bladder What is the MOST appropriate nursing intervention for fluid volume imbalance? - ansmonitor intake and output The MOST advanced stage of pressure ulcer grading involves: - ansmuscle tissue and bone Mr. V has had damage to his right parietal lobe as a result of a brain injury. Mr. V will probably have difficulty with which of the following activities? - ansfinding his room School age children with disabilities need to develop social skills to overcome the fear and prejudices they may face. This can be accomplished by which of the following? - ansproviding health related activities at a time that does not interfere with critical academic subjects or peer relationships Metered dose inhalers deliver medicine to pts. with lung disease. Which of the following is an ADVANTAGE of this delivery method? - ansless likelihood for systemic side effects The cost of health care has been positively impacted by which of the following action? - anspayment for home care services with federal funds What type of living environment provides supervised living for persons with similar disabilities and staff who are available at all times of the day and night? - ansgroup home The bulbocavernosus reflex is a test that is used frequently in which pt. population to determine if there is the potential for training the bowel to empty in response to a suppository or digital stimulation? - ansspinal cord injury Which of the following BEST defines cross-subsidization? - ansthe practice of assigning some pts. more costs than they incur and others less A young woman has had a stroke as a result of cocaine usage. She has poor eye contact with staff, often is impatient with her abilities, has been seen by staff to injure affected limbs, and frequently refers to herself as a cripple. This client may be experiencing which of the following alterations of self perception as a result of her stroke? - ansbody-image