CRRN Certified Rehabilitation Registered Nurse Exam Study Review 141 Questions with Verified Answers
knack maneuver - CORRECT ANSWER form of Kegal
... [Show More] exercise used to prevent incontinence
Orem's Theory of Self-Care Model states that its goal of nursing is to serve patients and assist them to provide self-care. What are the 3 categories of needs? - CORRECT ANSWER universal, developmental, health
normal Timed Up and Go (TUG) - CORRECT ANSWER 7-10 seconds
What is the most successful position for sexual activity for a woman with cerebral palsy? - CORRECT ANSWER side-lying with bolster between knees
Which is the best long-term goal of cardiac rehabilitation?hase - CORRECT ANSWER reversing or stabilizing atherosclerosis
What is the symptom that describes almost constant dribbling of urine? - CORRECT ANSWER overflow
What is the theory of aging that states that all cells and organisms have a life span that is predetermined and aging occurs as the end of the life span is approached? - CORRECT ANSWER programmed/cellular
What consists of Constraint-induced movement therapy (CIMT) for those with stroke or TBI? - CORRECT ANSWER constraint of the uninvolved upper extremity and forced use of weakened limbs for 90% of waking hours and massed practice
Case Mix Group (CMG) - CORRECT ANSWER classification system based on patients' clinical characteristics
GCS - Coma - CORRECT ANSWER 3-8
GCS - Severe - CORRECT ANSWER 8 or less
GCS - Moderate - CORRECT ANSWER 9-12
GCS - Mild - CORRECT ANSWER 13-15
King's Theory of Nursing - CORRECT ANSWER involves the interaction of personal systems, interpersonal systems, and society systems
Roger's Theory of Nursing - CORRECT ANSWER views nursing as both a science and an art
Neuman's Theory of Nursing - CORRECT ANSWER involves the patient's defense against stress; focuses on goal setting, prevention, and maximizing function; includes levels of primary, secondary, and tertiary preventative care
A SCI at which level may allow a patient to self-operate a motorized wheelchair? - CORRECT ANSWER C5
Nursing Process - CORRECT ANSWER 1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
Which medication helps with an acute SCI (also helps increase neuro and motor function)? - CORRECT ANSWER methylprednisolone
Which device helps stroke rehab patients to improve ROM and function in the hands? - CORRECT ANSWER smart glove
Which medication is frequently given to patients with a decreased LOC during the acute phase (< 1 month) after a TBI? - CORRECT ANSWER bromocriptine
What is the maximum limit for sodium intake for a patient on a cardiac diet? - CORRECT ANSWER 1500 mg
On a cardiac diet, what is the recommended daily serving of grains and starches? - CORRECT ANSWER 6-11
What are the general guidelines for a renal diet? - CORRECT ANSWER low sodium, low phosphorus, low protein
Which group of medications slows down rehab in TBI patients? - CORRECT ANSWER anticholinergics
Which medication, that helps relieve neurogenic bladder, has the least amount of anticholinergic side effects? - CORRECT ANSWER Tolterodine
What is the best way to assess the external anal sphincter? - CORRECT ANSWER digital rectal exam
What is the goal of medication therapy with bowel incontinence? - CORRECT ANSWER decrease stool frequency and improve stool consistency
Which sleeping medication may help a patient with Parkinsonism symptoms? - CORRECT ANSWER Remeron
Why would one choose to use Bipap vs. Cpap? - CORRECT ANSWER may be used if you have difficulty exhaling positive pressure
Which pain receptor is stimulated if you feel persistent, dull pain? - CORRECT ANSWER polymodal
What is the pain theory that states that signals are sent to a specialized "pain center" in the brain? - CORRECT ANSWER specificity theory
What is the pain theory that states that there are small fibers controlled by larger fibers which are responsible for communicating signals to the spinal cord? - CORRECT ANSWER gate control theory
difficulty in carrying out tasks - CORRECT ANSWER apraxia
What does Medicare Part A cover? - CORRECT ANSWER - covers services outside of the doctor's office
- hospitalization
- first 100 days of skilled care after 3 days in acute care
- hospice
- home health
- DME
IMPACT Act - CORRECT ANSWER streamlines individual patient needs, thereby eliminating costs of unnecessary services and improving patient care
Deontology - CORRECT ANSWER theory that specific acts are based on the intention of the action and not its outcome
POLST (Physician Orders for Life-Sustaining Treatment) - CORRECT ANSWER bright-colored sheet that outlines what a medical provider may do in the event of a life-threatening emergency
Healthcare Proxy - CORRECT ANSWER a document that designates a person to make medical decisions for someone who is incapacitated
lean approach - CORRECT ANSWER set of methods used to maximize value of healthcare by minimizing waste and time
Purpose of quality improvement - CORRECT ANSWER implement specific changes in healthcare that have a measurable improvement for patients
Rancho Los Amigos Scale Level 1 - CORRECT ANSWER No response
Rancho Los Amigos Scale Level 2 - CORRECT ANSWER generalized response, unpredictable
Rancho Los Amigos Scale Level 3 - CORRECT ANSWER localized response, unpredictable, blinks
Rancho Los Amigos Scale Level 4 - CORRECT ANSWER confused-agitated
Rancho Los Amigos Scale Level 5 - CORRECT ANSWER confused-nonagitated
Rancho Los Amigos Scale Level 6 - CORRECT ANSWER confused-appropriate
Rancho Los Amigos Scale Level 7 - CORRECT ANSWER automatic appropriate
Rancho Los Amigos Scale Level 8 - CORRECT ANSWER purposeful appropriate
ASIA A - CORRECT ANSWER Complete: No motor or sensory function is preserved in the sacral segments S4-S5.
ASIA B - CORRECT ANSWER Incomplete; sensory but not motor function is preserved below the neurological level and includes the sacral segments S4-5
ASIA C - CORRECT ANSWER Incomplete; motor function is preserved below neurological level and more than half of the key muscles have a muscle grade < 3
ASIA D - CORRECT ANSWER Incomplete; motor function in preserved with muscle grade > 3
ASIA E - CORRECT ANSWER normal
Gordon's Functional Health Patterns - CORRECT ANSWER a data collection tool that uses a standardized approach that provides a holistic view of the patient
Lydia Hall's Theory - CORRECT ANSWER Aspects of Nursing are Core, Care and Cure
Primary Prevention - CORRECT ANSWER prevents development of injury/disease
Secondary Prevention - CORRECT ANSWER early detection and treatment
Tertiary Prevention - CORRECT ANSWER monitoring in order to prevent complications or further injury/illness
Phase 1 of cardiac rehab program - CORRECT ANSWER limit physical and psychological consequences of an acute cardiac illness
Level I - CORRECT ANSWER Evidence from a systematic review or meta-analysis from a randomized, controlled trial
Diffuse axonal injury - CORRECT ANSWER caused by brain damage (shaken baby syndrome) secondary to swelling
Complex Regional Pain Syndrome (CRPS) - CORRECT ANSWER chronic pain syndrome in which pain is continuous, worsens over time, and increases with emotional stress
Which issue did the Ticket to Work & Work Incentive Improvement Act of 1999 address? - CORRECT ANSWER the disincentive for persons with the disability to work because they'd lose medical insurance if they had substantial income
universal cuff use - CORRECT ANSWER helps hold small objects with impaired grasp
case management goals - CORRECT ANSWER - improving quality through appropriate & timely use of resources
- promoting optimum functioning
- preventing complications
- improving coping
- self-advocacy
- successful return to life roles
What is the primary benefit of using an interdisciplinary team? - CORRECT ANSWER The team has a holistic view of the patient's needs.
strategies to decrease spasticity - CORRECT ANSWER - splinting
- casting
- icing
- positioning strategies
In an acute inpatient rehab setting, when is a score of 0 utilized? - CORRECT ANSWER if the patient doesn't participate in a specific activity during the 3-day admission assessment period
most common cause of vertical compression injury - CORRECT ANSWER a high-velocity blow to the head (diving accident)
spinal cord level of midchest - CORRECT ANSWER T4
living will advanced directive - CORRECT ANSWER a document that directs medical care when a patient is not competent to do so
Medicare - CORRECT ANSWER health insurance which includes both compulsory & voluntary components of hospital insurance & supplemental coverage for patients > 65 years
Prospective Payment System (PPS) - CORRECT ANSWER System for Medicare patients by which a predetermined level of reimbursement is established before services are provided; a fixed amount is paid to the provider while the provider cares within the limits of the funds provided
What is the most significant barrier for rehab for a patient with a traumatic amputation who's self-employed? - CORRECT ANSWER lack of insurance
valleculae - CORRECT ANSWER space between tongue and epiglottis
damaged cranial nerve #7 (facial) - CORRECT ANSWER inability to wink
damaged cranial nerve #5 (trigeminal) - CORRECT ANSWER impaired chewing
impairment - CORRECT ANSWER loss or abnormality of psychological, physiological, or anatomical structure or function
ethics committee - CORRECT ANSWER a group of people who make decisions and makes recommendations when healthcare providers & families are faced with difficult decisions
basic requirement of workers compensation coverage - CORRECT ANSWER must be injured in the course of employment
Bandura's Social Cognitive Theory - CORRECT ANSWER emphasizes that those who believe they're capable of an action are more likely to achieve it
MET method - CORRECT ANSWER measures of metabolic equivalents
Purpose of Fishbone Diagram - CORRECT ANSWER identify causes and effects of a quality problem
Rehabilitation Act of 1978 - CORRECT ANSWER amended the 1973 act to include the expansion of services to support independent living
Phase 1 cardiac rehab - CORRECT ANSWER limit physical & psychological consequences of an acute cardiac illness
Which CN are most likely to be affected in patients with multiple sclerosis? - CORRECT ANSWER CN II (optic) and III (oculomotor)
Beneficence - CORRECT ANSWER obligation that requires health care providers to help people in need
Justice - CORRECT ANSWER concept of trusting everyone in a fair manner
Nonmaleficence - CORRECT ANSWER duty to do no harm
Trust vs. Mistrust - CORRECT ANSWER infancy
Autonomy vs. Shame and Doubt - CORRECT ANSWER toddlerhood
Initiative vs. Guilt - CORRECT ANSWER preschool
Industry vs. Inferiority - CORRECT ANSWER school age
Worden's four dimensions of grief after disability - CORRECT ANSWER feelings, thoughts, behaviors, and physical sensations
Stages of grief - CORRECT ANSWER disbelief, anger, depression, acceptance
impairment - CORRECT ANSWER residual limitation that results from disease, injury, or a congenital defect
disability - CORRECT ANSWER the inability to perform a key life function
handicap - CORRECT ANSWER the interaction of a person with a disability with the environment
functional limitation - CORRECT ANSWER the loss of the ability to perform self-care tasks
self-efficacy - CORRECT ANSWER a sense of control over one's life
Kaplan's Triphasic Model of Human Sexual Response - CORRECT ANSWER desire, excitement, and orgasm
Piaget's Cognitive and Developmental Theory - CORRECT ANSWER growth results from social and neurological maturity where children develop strategies for interacting with the environment and knowing its properties
impaired CN XI (spinal accessory) - CORRECT ANSWER inability to swallow
multidisciplinary team - CORRECT ANSWER one that takes on a pyramid-like shape with the MD or RN at the top; communication is more vertical than lateral
How often should wheelchair bound patients be taught to perform weight shifts? - CORRECT ANSWER q15 minutes
therapeutic modalities for treatment of SIADH - CORRECT ANSWER - fluid restriction
- hypertonic saline
medication classes that may cause male ejaculation and impotence problems - CORRECT ANSWER - antihypertensives
- antispasmodics
- calcium channel blockers
- tranquilizers
- anticonvulsants
- alcohol
- analgesics
Rebound occurs when an individual spends insufficient time in which stage of sleep? - CORRECT ANSWER stage 4, REM sleep
contractual allowances - CORRECT ANSWER discounts from normal charges given to large payers for health care services
contribution margin - CORRECT ANSWER the amount by which the price exceeds the variable cost; If margin is positive, the organization benefits by that amount.
cross-subsidization - CORRECT ANSWER when some patients are assigned more costs than they create and others less
cost reimbursement - CORRECT ANSWER the revenue based on the organization receiving payment for costs incurred
Betty Neuman - CORRECT ANSWER theorist who developed a health care systems model in which a person is viewed as an open system in interaction with the environment
Jacqueline Fawcett - CORRECT ANSWER theorist who identified 4 central concepts for nursing theories:
- person
- environment
- health
- nursing
Marjory Gordon - CORRECT ANSWER nursing theorist who developed a standardized model of data collection, including 10 patterns that represent a composite of the individual's life experiences, including internal and external forces
utility - CORRECT ANSWER the intent to achieve the greatest good
hypothalamus - CORRECT ANSWER the portion of the brain where the sleep/wake cycle (circadian rhythm) is located
self-efficacy - CORRECT ANSWER the confidence a person has about being able to perform some activity
capabilities of functioning parietal lobe - CORRECT ANSWER - information about directions
- spatial orientation
- body schema
purpose of spirituality - CORRECT ANSWER help people develop a cohesive view of their lives from which they can derive meaning
What are the purpose of wheelies? - CORRECT ANSWER an advanced wheelchair skill used to decrease strain crossing uneven surfaces and to climb curbs
symptoms of digoxin toxicity - CORRECT ANSWER anorexia, nausea, confusion, hedache, drowsiness, visual disturbances
What will a patient with motor and sensory impairment at C7 level be independent in doing? - CORRECT ANSWER upper and lower extremity dressing with adaptive equipment
At what age range can you anticipate that a child is developing skills in logical problem solving and abstract thinking? - CORRECT ANSWER 11-15 years
Which healthcare coverage program most likely uses capitation as a method of payment for contracted services? - CORRECT ANSWER managed care
case management - CORRECT ANSWER Dynamic and systematic collaborative approach to provide and coordinate health care services to a defined population
What causes central sleep apnea? - CORRECT ANSWER obstruction of the airway at the soft palate
What type of bladder dysfunction would you expect to see in a patient with a right hemisphere stroke? - CORRECT ANSWER uninhibited bladder contractions
Which intervention is used when emptying the bladder in a patient experiencing autonomic dysreflexia? - CORRECT ANSWER apply lidocaine jelly to provide lubrication and reduce sensory input
What is the purpose of CMS's pay-for-performance initiative? - CORRECT ANSWER provide consumers with information on quality and encourage providers to improve quality
What is the purpose of leadership as a role of a rehab nurse manager? - CORRECT ANSWER to promote change
Roger's Model of the Science of Unitary Human Beings - CORRECT ANSWER theory that views people as unified wholes rather than parts, emphasizes energy fields of humans and the environment that are intertwined and irreducible
Sr. Callista Roy - CORRECT ANSWER theorist who considers humans to be adaptive systems and focuses care approaches on the 4 modes of
physiological needs
self-concept
interdependence
role mastery
Roper's Model for Living - CORRECT ANSWER the model of care which focuses on ADL's categorized as biological, psychological, sociocultural, environmental, and politicoeconomical
Why is the Neurodevelopmental Technique (NDT) used for stroke rehab patients? - CORRECT ANSWER to provide sensory feedback of normal movement patterns and postures
In which phase does the swallowing reflex get triggered? - CORRECT ANSWER pharyngeal phase
understanding of Medicare PPS system - CORRECT ANSWER refining care processes to provide the best possible outcome at the lowest cost
Baclofen teaching - CORRECT ANSWER - Avoid activities that require alertness (driving)
- take with meals or milk
- avoid concurrant use of alcohol and OTC antihistamines
How long should prophylaxis for DVT with anticoagulation therapy continue for? - CORRECT ANSWER 8-12 weeks
What does FCE stand for? - CORRECT ANSWER functional capacity evaluation [Show Less]