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Management of Stroke Rehab

Introduction

1. The primary goal of rehabilitation is to:

A. Prevent complications B. Minimize impairments C. Maximize function D. All of the above

2. All of the following indicators should be measured at three months following the acute stroke episode, except for:

A. Functional status B. Quality of life C. Rehospitalizations D. Community dwelling status

Annotations

3. Following the "acute" phase of stroke care, the focus of care turns to recovery of physical and cognitive deficits, as well as compensation for residual impairment.

A. True B. False

Annotation A. Patient with Stroke During the Acute Phase

4. Better clinical outcomes are achieved when patients with acute stroke are treated in a setting that provides coordinated, multidisciplinary stroke-related evaluation and services.

A. True B. False

Annotation B. Initial Assessment of Complications, Impairment, and Rehabilitation Needs

5. Patients with high risk for aspiration show which of the following characteristics?

A. They are able to talk. B. They are able to cough voluntarily. C. They have a history of swallowing problems, aspiration, or dysphagia. D. They are cooperative.

Annotation F. Assessment and Prevention of Complications

6. For patients with swallowing problems and/or aspiration risk, food and fluid intake should be monitored:

A. Every 12 hours B. Daily C. Every 48 hours D. Weekly

7. For patients at risk for malnutrition and dehydration, feeding by a feeding gastrostomy may be necessary if intake is not maintained.

A. True B. False

8. Risk factors for deep vein thrombosis include which of the following?

A. Congestive heart failure B. Obesity C. Long bone fracture D. All of the above

9. A structured assessment of bladder function in acute stroke patients should include all of the following, except for:

A. Performance of a urine specific gravity test. B. Assessment of urinary retention through the use of a bladder scanner or an in-and-out catheterization. C. Measurement of urinary frequency, volume, and control. D. Presence of dysuria.

10. Early mobilization and movement of the paretic limbs will increase the risk of bone fracture after stroke.

A. True B. False

11. It is recommended to monitor blood glucose levels for a minimum of _____ hours post-stroke.

A. 24 B. 48 C. 72 D. 96

Annotation G. Determine Nature and Extent of Impairments and Disabilities

12. Which of the following components should be considered in assessment of motor function?

A. Muscle strength for all muscle groups. B. Active and passive range of motion available. C. Ability to isolate the movement of one joint from another. D. All of the above.

Annotation J. Are Early Supportive Discharge Rehabilitation Services Appropriate?

13. It is recommended that patients remain in an inpatient setting for their rehabilitation care if they are in need of:

A. Daily professional nursing services. B. Intensive physician care. C. Multiple therapeutic interventions. D. Any of the above.

Annotation P. Reassess Progress, Future Needs, and Risks. Refer/Consult Rehabilitation Team

14. Psychosocial status and community integration needs should be re-assessed, particularly for patients who have experienced a functional decline or reached a plateau.

A. True B. False

Annotation Q. Is Patient Ready for Community Living?

15. It is recommended that all patients planning to return to independent community living should be assessed for all of the following prior to discharge, except:

A. Mobility B. Suicidal ideation C. ADL D. IADL

16. Caregivers should be screened for all of the following except:

A. Physical capability B. High levels of burden C. Depressive symptoms D. Caregivers should be screened for all of the above

17. Individuals with stroke and their caregivers should be provided with a list of resources for engaging in aerobic and leisure activities in the community prior to discharge.

A. True B. False

Annotation K. Discharge Patient from Rehabilitation

18. Not all patients are recommended to participate in a secondary prevention program.

A. True B. False

Annotation L. Arrange for Medical Follow-up

19. Ongoing monitoring of which of the following are lifelong needs of patients after stroke?

A. Anticoagulant or antiplatelet therapy B. Treatment of hypertension and hypercholesterolemia C. Secondary prevention strategies D. All of the above

Rehabilitation Interventions

20. It is recommended that patients be given cognitive re-training if any of the following conditions are present, except for:

A. Attention deficits B. Visual neglect C. Auditory hallucinations D. Memory deficits

21. Use of amphetamines are recommended to enhance motor recovery following stroke.

A. True B. False

22. Nursing and therapy sessions need to be modified to cue attention to the impaired side in patients with impaired spatial awareness.

A. True B. False

23. Maximum restoration of the impaired communication ability should initially be considered for all of the following, except:

A. Dysphagia B. Dysarthria C. Aphasia D. Dementia

24. Which of the following should be used specifically for chronic stroke patients?

A. Tizanidine B. Diazepam C. Benzodiazepines D. Baclofen

25. Repetitive practice of movements should be used in rehabilitation of upper extremities.

A. True B. False

26. The use of hyperbaric oxygen therapy is recommended as an adjunctive treatment.

A. True B. False

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