A patient with quadriplegia resulting from a spinal cord injury says to the rehabilitation nurse, "I'm sick of this therapy! What is an occupational therapist going to do for me? Can she give me an 'occupation'?"
What response by the nurse would be the most helpful?
a.
"No, but the occupational therapist can show you how to enjoy some recreational activities."
b.
"Yes, in a way. The occupational therapist provides training that strengthens muscles you can still control."
c.
"Maybe. The occupational therapist recommends adaptive equipment that will make you more independent."
d.
"No, the voc-rehab counselor helps with employment. The occupational therapist helps train you for improved communication skills."
ANS: C
The occupational therapist recommends adaptive equipment or helps in modifying skills to enhance independence.
You might also like to view...
The nurse is caring for a critically ill patient with terminal cancer. The monitor alarms and shows ventricular tachycardia. The patient does not have a "do not resuscitate" order written on the chart. What is the appropriate nursing action?
a. Contact the attending physician immediately to determine if CPR should be initiated. b. Contact the family immediately to determine if they want CPR to be started. c. Give emergency medications but withhold intubation. d. Initiate CPR and call a code.
On admission to the ER, the patient with a compression fracture at C5 can move only his head and has flaccid paralysis of all extremities. The distraught family asks if the paralysis is permanent. The nurse's best response would be:
1. "Yes. In all likelihood, the paralysis is probably permanent." 2. "No. There should be marked recovery of function in a few days." 3. "It is too early to tell. When spinal shock subsides, we will know more." 4. "You should talk to your doctor about things of that nature."
The nurse is assessing an unconscious patient for placement of an oropharyngeal airway. In addition to a present gag reflex, what other conditions would make the use of the airway con-traindicated? (Select all that apply.)
a. A semi-conscious patient b. A patient with a loose tooth c. A patient who had facial trauma d. A patient who has had oral surgery e. A patient with copious secretions
A child weighing 21 pounds is prescribed diphenhydramine by mouth to prevent nausea associated with receiving immunizations. The recommended safe dose for diphenhydramine is 5 mg/kg/day in 4 divided doses. This child's individual dose should not exceed:
a. 12 mg/dose. c. 20 mg/dose. b. 48 mg/day. d. 12 mg/kg.=