Certified Rehabilitation Registered Nurse MCQ Flashcards

As opposed to bilevel positive airway pressure (BPAP), which of the following conditions is typically treated with continuous positive airway pressure (CPAP)?

Answer: Obstructive sleep apnea.

Continuous Positive Airway Pressure (CPAP) is the most common and effective treatment for Obstructive Sleep Apnea (OSA). CPAP machines deliver a constant stream of air pressure to keep the airway open during sleep, preventing the collapses that characterize OSA. Bilevel positive airway pressure (BPAP) is typically reserved for more complex respiratory conditions.

Which test is used primarily to determine a patient's risk of falling while the CRRN is evaluating their functional ability?

Answer: Timed Up and Go (TUG).

The Timed Up and Go (TUG) test is a widely used and validated clinical test for assessing mobility, balance, and fall risk in older adults and individuals with various conditions. It measures the time it takes for a person to stand up from a chair, walk three meters, turn around, walk back to the chair, and sit down. This provides a quick and reliable indicator of functional ability related to falling.

When reporting on a patient's capacity to operate independently using the Functional Independence Measure (FIM) guidelines, a task that the patient can complete with the aid of an assistive device or that requires more time than usual would be categorized as:

Answer: Modified independence.

According to the Functional Independence Measure (FIM) guidelines, 'Modified independence' is scored when a patient requires an assistive device to complete a task or takes more than a reasonable amount of time. They perform the activity independently, but with some modification or inefficiency, distinguishing it from complete independence (no device, normal time) or requiring physical assistance.

Which of the patient's demands must be satisfied FIRST, according to Maslow's hierarchy of requirements?

Answer: Physiological.

Maslow's hierarchy of needs posits that basic physiological needs, such as air, water, food, shelter, and sleep, must be satisfied before individuals can attend to higher-level needs. These are fundamental for survival and well-being, making them the absolute priority in patient care. Addressing these foundational needs is essential for overall health and progress.

The patient exhibits signs of extreme anxiety throughout the initial interview and health history, including fidgeting, licking lips, and shaking. What is the BEST reaction out of the following?

Answer: “You are trembling. Can you tell me how you are feeling?”

Acknowledging the patient's non-verbal cues and directly but gently inquiring about their feelings is the most empathetic and therapeutic response. This approach validates their experience, opens a channel for communication, and allows the patient to express their anxiety. Building trust and addressing their immediate emotional state is crucial for a productive interview.

A patient's laryngeal and pharyngeal weakness on the left side is accompanied by dysphagia. Which positioning approach among the following is MOST suitable to lower the risk of aspiration?

Answer: Head turn (to left).

For dysphagia caused by unilateral pharyngeal weakness, turning the head towards the weaker side (in this case, the left) helps to close off the weaker side of the pharynx. This maneuver directs the food bolus down the stronger, unaffected side, thereby reducing the risk of aspiration. This compensatory strategy improves swallowing safety.

The management of a long-term board and care facility has refused to move a patient with disabilities' verbally abusive roommate to another room, despite the patient's claims that the roommate is abusive. Which agency is MOST suited to handle the patient's worries?

Answer: Long-Term Care Ombudsman Program.

The Long-Term Care Ombudsman Program is specifically designed to advocate for the rights of residents in nursing homes, assisted living facilities, and other long-term care settings. They investigate and resolve complaints made by or on behalf of residents, including issues like abuse, neglect, and violations of resident rights. This makes them the most appropriate agency to address the patient's concerns.