Certified Rehabilitation Registered Nurse Flashcards

Which of the following methods of massage therapy typically uses broad, rhythmic strokes that start out gently and get stronger as they relax the recipient and reveal any tightness or pain?

Answer: Effleurage.

Effleurage is a massage technique characterized by long, gliding strokes that are typically performed at the beginning and end of a massage. These strokes are designed to warm up the tissues, spread oil, and help the therapist assess underlying muscle tension, starting gently and gradually increasing pressure. It promotes relaxation and prepares the tissues for deeper work.

What does the term "reliability" mean when analyzing data and results?

Answer: Results are reproducible.

In data analysis and research, 'reliability' refers to the consistency of a measure. If a measurement is reliable, it will produce the same results under the same conditions when repeated. This means that the results are reproducible, indicating the trustworthiness and consistency of the data collection method rather than just the source or evaluation.

A 35-year-old MS patient experiences chronic constipation but only infrequent fecal incontinence. What intervention is MOST appropriate from the list below?

Answer: Bowel training (timed defecation, high fiber, adequate liquids, and stool softeners).

For a patient with chronic constipation and infrequent fecal incontinence due to MS, a comprehensive bowel training program is most appropriate. This approach addresses the underlying constipation through lifestyle modifications (fiber, liquids) and aids (stool softeners), while timed defecation helps establish a regular bowel pattern. This holistic strategy prevents both constipation and incontinence effectively.

A four-year-old girl who was born with a ventriculoperitoneal shunt and myelomeningocele at L3 underwent postnatal surgery to close the lesion on her back. The MOST suitable objective for a physical therapy program is which of the following?

Answer: Functional ambulation with orthotics, crutches.

A child with myelomeningocele at L3 typically has significant motor weakness in the lower extremities, making normal unassisted ambulation unlikely. However, functional ambulation with assistive devices like orthotics and crutches is a realistic and appropriate goal. This allows for mobility and independence within their physical capabilities, promoting participation in daily activities.

Mr. Miller must keep a sleep journal prior to his polysomnogram, which is planned. What one of the following is evaluated using a sleep log?

Answer: Mood before sleep and on awakening and estimate of time of onset of sleep and number of arousals.

A sleep journal (or log) is used to gather subjective information about a patient's sleep patterns and related factors over a period. It typically records details like bedtime, wake time, estimated sleep onset latency, number and duration of awakenings, and subjective feelings or mood before sleep and upon waking. This provides a comprehensive picture for polysomnogram interpretation and diagnosis.

When speaking, a patient with a Middle Eastern background stands uncomfortably close to the CRRN (about two feet away). What does this likely imply?

Answer: The patient and the CRRN have different concepts of personal space.

Personal space is a culturally influenced concept, with different cultures having varying norms for comfortable proximity during conversation. A patient from a Middle Eastern background might have a smaller personal space bubble than someone from a Western background, making two feet feel normal to them but uncomfortably close to the CRRN. This is a cultural difference, not an intentional act of intimidation or dislike.

What are the three PRIMARY variables that should be taken into account while conducting a pretransfer assessment?

Answer: Physical, cognitive, and emotional status.

When conducting a pre-transfer assessment, it's crucial to evaluate the patient's holistic capacity to participate safely and effectively. This includes their physical strength, balance, and mobility; their cognitive ability to understand and follow instructions; and their emotional state, which can significantly impact cooperation and safety during the transfer. All three variables are interdependent and vital for a successful transfer.