SCRN Post-acute Care 2

Question 1

A stroke patient in inpatient rehabilitation is experiencing learned non-use of the affected arm. Which intervention best addresses this?

Accepted Answer

Constraint-induced movement therapy (CIMT)

Answer

CIMT restrains the unaffected limb to force use of the affected arm, directly counteracting learned non-use.

Question 2

Which FIM (Functional Independence Measure) score indicates complete independence requiring no helper?

Accepted Answer

Score of 7

Answer

A FIM score of 7 indicates complete independence — the patient performs the activity safely without any helper or assistive device concerns.

Question 3

A post-stroke patient in a skilled nursing facility develops a DVT in the paretic leg. Which action takes priority?

Accepted Answer

Initiate anticoagulation therapy per provider order

Answer

Confirmed DVT requires prompt anticoagulation to prevent pulmonary embolism; compression and massage are contraindicated on an active thrombus.

Question 4

A stroke survivor is being discharged to home with dysphagia. Which instruction is most important for the caregiver?

Accepted Answer

Position the patient upright at 90° during all meals

Answer

An upright 90° position during meals uses gravity to assist safe swallowing and minimizes aspiration risk.

Question 5

Post-stroke depression affects approximately what percentage of stroke survivors?

Accepted Answer

30–40%

Answer

Post-stroke depression occurs in approximately 30–40% of stroke survivors and significantly impairs rehabilitation outcomes.

(SCRN) Stroke Certified Registered Nurse Practice Test