C HAPTER 39: R EHABILITATION N URSING
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse instructs the mother of a 5 -year-old who sustained a mild brain
injury that although all neurologic evaluations are normal, her ch ild may
exhibit postconcussive syndrome. What are common characteristics of this
s yndrome?
a. Convulsions and high fever
b. Irritabilit y and memory deficits
c. Muscular twitching and muscle pain
d. Paresis of limbs and fatigue
ANS: B
Mild brain injury is characteriz ed by brief or no loss of consciousness.
This t ype constitutes the majorit y of head injuries. Neurologic
examinations are often normal. Postconcussive syndrome can persist
for months, years, or indefinitel y. Signs and symptoms include fatigue,
headache, vertigo, lethargy, irritabilit y, personalit y changes, cognitive
deficits, decreased information processing speed and memory,
understanding, learning, and perceptual difficulties.
DIF: Cognitive Level: Application REF: p. 1199 OBJ: 7
TOP: Rehabilitation KEY: Nursing Process
Step: Implementation MSC: NC LEX: Physiological
Integrit y
,2. When changing the position of a patient with a spinal cord injury at T4,
the nurse should recognize that what symptom is an indication of an
episode of autonomic dysreflexi a?
a. Nausea
b. Pallor
c. Goose bumps
d. Dizziness
ANS: C
Patients with spinal cord lesions above T5 may experience sudden and
extreme elevations in blood pressure caused by a reflex action of the
autonomic nervous system. It is produced by stimulation of the body
below the level of the injury, usuall y by a distended bladder from a
blocked catheter. Any stimulation can produce the syndrome, including
constipation, diarrhea, sexual activit y, pressure injuries, position
changes (from l ying to sitting), and even wrinkl es in clothing or bed
sheets. Other symptoms may include diaphoresis, shivering, goose
bumps, flushing of the skin, and a severe pounding headache.
DIF: Cognitive Level: Anal ysis REF: p. 1196 OBJ: 7
TOP: Rehabilitation KEY: Nursing Process Step:
Assessment MSC: NC LEX: Physiological Integrit y
3. When assessing a patient with a traumatic brain injury, the nurse notes
that his memory is improving. The nurse should explain to the famil y that
what other symptom may occur with memory improvement?
a. Decrease in learning abilit y
b. Depression
, c. Anger
d. Increased concentration
ANS: B
Generall y, the more memory improves in a patient with a brain injury,
the more the patient becomes depressed.
DIF: Cognitive Level: Anal ysis REF: p. 1200 OBJ: 7
TOP: Rehabilitation KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
4. When caring for a 32 -year-old Hispanic male who has become disabled, on
what should the rehabilitation team base the priorit y of treatment goals?
a. Difficult y of the language barri er
b. Cultural significance of the disabilit y
c. Depth of the patient’s support system
d. Attitude toward rehabilitation
ANS: B
Culture defines the significance of disease and disabilit y. Although all
of the options must be addressed, the significance of the disa bilit y has
highest priorit y.
DIF: Cognitive Level: Anal ysis REF: p. 1194 OBJ: 2
TOP: Rehabilitation KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
Cooper: Foundation of Nursing, 9th Edition
MULTIPLE CHOICE
1. The nurse instructs the mother of a 5 -year-old who sustained a mild brain
injury that although all neurologic evaluations are normal, her ch ild may
exhibit postconcussive syndrome. What are common characteristics of this
s yndrome?
a. Convulsions and high fever
b. Irritabilit y and memory deficits
c. Muscular twitching and muscle pain
d. Paresis of limbs and fatigue
ANS: B
Mild brain injury is characteriz ed by brief or no loss of consciousness.
This t ype constitutes the majorit y of head injuries. Neurologic
examinations are often normal. Postconcussive syndrome can persist
for months, years, or indefinitel y. Signs and symptoms include fatigue,
headache, vertigo, lethargy, irritabilit y, personalit y changes, cognitive
deficits, decreased information processing speed and memory,
understanding, learning, and perceptual difficulties.
DIF: Cognitive Level: Application REF: p. 1199 OBJ: 7
TOP: Rehabilitation KEY: Nursing Process
Step: Implementation MSC: NC LEX: Physiological
Integrit y
,2. When changing the position of a patient with a spinal cord injury at T4,
the nurse should recognize that what symptom is an indication of an
episode of autonomic dysreflexi a?
a. Nausea
b. Pallor
c. Goose bumps
d. Dizziness
ANS: C
Patients with spinal cord lesions above T5 may experience sudden and
extreme elevations in blood pressure caused by a reflex action of the
autonomic nervous system. It is produced by stimulation of the body
below the level of the injury, usuall y by a distended bladder from a
blocked catheter. Any stimulation can produce the syndrome, including
constipation, diarrhea, sexual activit y, pressure injuries, position
changes (from l ying to sitting), and even wrinkl es in clothing or bed
sheets. Other symptoms may include diaphoresis, shivering, goose
bumps, flushing of the skin, and a severe pounding headache.
DIF: Cognitive Level: Anal ysis REF: p. 1196 OBJ: 7
TOP: Rehabilitation KEY: Nursing Process Step:
Assessment MSC: NC LEX: Physiological Integrit y
3. When assessing a patient with a traumatic brain injury, the nurse notes
that his memory is improving. The nurse should explain to the famil y that
what other symptom may occur with memory improvement?
a. Decrease in learning abilit y
b. Depression
, c. Anger
d. Increased concentration
ANS: B
Generall y, the more memory improves in a patient with a brain injury,
the more the patient becomes depressed.
DIF: Cognitive Level: Anal ysis REF: p. 1200 OBJ: 7
TOP: Rehabilitation KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
4. When caring for a 32 -year-old Hispanic male who has become disabled, on
what should the rehabilitation team base the priorit y of treatment goals?
a. Difficult y of the language barri er
b. Cultural significance of the disabilit y
c. Depth of the patient’s support system
d. Attitude toward rehabilitation
ANS: B
Culture defines the significance of disease and disabilit y. Although all
of the options must be addressed, the significance of the disa bilit y has
highest priorit y.
DIF: Cognitive Level: Anal ysis REF: p. 1194 OBJ: 2
TOP: Rehabilitation KEY: Nursing Process Step:
Assessment MSC: NC LEX: Psychosocial Integrit y
