certification exam
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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|---|---|---|---|---|---|
| FIM ** What does it stand for? | show 🗑
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| Wee FIM ** | show 🗑
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| FIM: ** How many questions? | show 🗑
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| Patient Evaluation and Conference System (PECS) | show 🗑
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| show | Global Measure
P: physical condition, U: upper extremity, L: lower extremity, S: Sensory, E: excretory function, S: social and mental status
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| show | Global measure
*Adjunct to FIM for Brain Injury
cognitive, behavioral, communication, & community functioning
12 questions (1-7),
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| Barthel Index ** | show 🗑
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| show | ADL measure
6 Domains: transfers, bed activity, feeding, peronal hygiene, dressing, locomotion
17 activities scored on basis of observation
0-4; 4=total independence
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| show | ADL measure
Bathing,
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| show | ADL measure
Laundry, shopping, preparing meals, using a phone, managing finances
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| CIQ: Community Integration Quest | show 🗑
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| Craig Handicap Assessment Reporting Technique (CHART) | show 🗑
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| show | Assess reintegration for persons with Spinal Cord Injury
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| show | Quality of child care
45 items
Identifies risk of developmental delay due to lack of environmental support in home, actual observation in the home.
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| show | 45 key functional areas:
5 Domains: self-care, motor, communication, cognition, socialization
196 items
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| show | Outpatient Tool, examines physical function, pain, affective well-being, and cognitive functioning
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| FOTO: Focus on Therapeutic Outcomes | show 🗑
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| show | assesses overall well-being and perception of self reported health
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| show | Home environmental Tool: measures Adult outcomes in Home
mandated by HCFA (state)
-medicare is based on OASIS
14 care areas: e.g ambulation, med mgt.,phsych & emotional behavior, living arrangement
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| MDS: Minimum Data Set | show 🗑
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| Is rehab nursing viewed as a specialty practice? | show 🗑
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| Goal of Case MGT? | show 🗑
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| show | First offered by ARN in 1984
Requires 2 years of Rehab nursing experience
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| show | 1993 by Commission for Case Manager Certification
Requires licensure in professional healthcare and 2 years CM experience
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| Case Management(CM) Certification ANCC | show 🗑
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| CM Accreditation and Regulation: Joint Commission | show 🗑
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| CM Accreditation and Regulation: CARF: Commission of Accreditation of Rehabilitation Facilities | show 🗑
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| show | 1998
accredit CM programs that promote innovation and best practices in industry
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| show | 1981 introduced to rehab and legal lit.
*plan for current & future needs w/ assoc. costs ($$) for ppl who have sustained cat injury or have chronic healthcare needs
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| Multidisciplinary Teams | show 🗑
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| Interdisciplinary Teams | show 🗑
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| Transdisciplinary Teams | show 🗑
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| show | Process of aligning and developing the capacity of team to create desired results.
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| show | 1. Holistic: address med , social, & functional needs
2. Comprehensive in their analysis of cases
3. Diverse in experience, cultural bkgrnd, skills, & perspectives
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| show | Federal Program:
for elderly (65+) or ppl who are permanently disabled or residing in a long-term care facility.
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| Madicaid | show 🗑
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| Workers Comp | show 🗑
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| show | Health Maintenance Organization
HMO-controlled organization
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| show | Preferred Provider Organization
-purchased health care services from a select group
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| PPS-Prospective Payment System | show 🗑
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| Per Diem | show 🗑
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| Medicare Payment systems for SNF's | show 🗑
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| show | 3h of therapy/5day/week
75% rule-1 of 13 medical conditions
-adjusts payment for outliers
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| LTCH: Long Term Care Hospitals | show 🗑
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| show | prohibits group insurance plans from exclusionary criteria, I.e. disability, pre-history
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| COBRA: Consolidated Omnibus Budget Reconciliation Act | show 🗑
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| show | Primary: supporting or protecting the health and well being of society
2ndary: refers to efforts directed to high risk pop.
Tert: effort to max function and min the sequela of an injury or illness.
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| show | -must be restricted to their home
-payment based on OASIS (outcome and assessment info set)(Home environmental Tool: measures Adult outcomes in Home
mandated by HCFA (state))
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| DRG: Diagnosis Related Groups | show 🗑
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| 75% Rule | show 🗑
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| show | improve the quality of life & help pt reach teh fullest potential, team approach,places family and client at center.
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| show | WWI, WwII, Korean, Vietnam
Howard Rusk
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| Rehab Act of 1973 | show 🗑
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| What year was ARN formed? | show 🗑
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| show | free education to school age child
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| show | -public buildings & transportation made accessible to all (disabled)
-prevent discrimination in workplace
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| show | *developed the International Classification of Impairment, Disability and Handicap
**WHO is the directing and coordinating authority for health within the United Nations system.
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| show | A loss or abnormality of a psychological phsyiological, or anatomical structure and funcion
-organ level
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| WHO: define Disability | show 🗑
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| show | A disadvantage for a given person resulting from impairment or disability that limits or prevents fulfillment of a role that is normal to that person.
-societal level
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| Medical Model | show 🗑
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| show | -pyramid-like shape
-physician on top
-communication more vertical
-good with unstable team
-professionals work in parallel (each works on a goal)
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| Interdisciplinary Model | show 🗑
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| Transdisciplinary Model | show 🗑
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| show | type of client (pediatric, geriatric, spinal cord, BI, etc)
-serve specialized pop.
-providers gain expertise in specialty
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| Setting-centered Care | show 🗑
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| Provider Centered Care | show 🗑
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| Code of Ethics for Nurses (ANA) American Nurses Association | show 🗑
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| Nursing Social Policy Statement | show 🗑
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| show | 1. Human worth transcends disability
2. rights to decision making
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| ARN definition of Rehab Nursing | show 🗑
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| ARN's mission for Rehab nursing | show 🗑
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| show | Loeb Center: MD's were consultants
Nursing Models
*Interlocking circles: 1. Core (person), 2. Care (the body), 3. Cure (disease)
*Set Goals with the client
*learning creates max. potential
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| Lydia Hall (Nursing Models) 1.Acute Care 2. Rehab | show 🗑
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| show | Goal Attainment
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| show | 1. Personal System (an individual)
2. Interpersonal system (2 or more personal systems
3. Social system (social forces)
*person and nurse function in all 3 systems
*goals reached thru communication btn rn & client
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| show | to interact puposefully w/ clients to mutually establish goals & a means to achieve them.
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| show | -perceptual congruency
-Role congruence
-communication
*Interpersonal communication btn nurse and client to decide on mutual goals and produce transactions and ***Goal Attainment
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| show | Theory of Self Care deficit
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| Theory of Self Care Deficit | show 🗑
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| show | Goal Attainment
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| show | open system
social, rational, sentient being,
concepts: perception, self, growth, and development, body image, time, and space
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| show | *universal; basic physiological
*developmental
* health deviation; changes in health status
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| D. Orem (Self Care) Example self care limitations | show 🗑
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| show | Dorothea Orem: Self Care
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| show | Adult learning: adults need to know why and will take responsibility
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| Doothea Orem: Interventions: self Care | show 🗑
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| Martha Rogers: unitary | show 🗑
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| How does Lydia Hall see Person? | show 🗑
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| How does King see the person? | show 🗑
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| show | A unity, functioning biologically, symbolically, and socially, who values self-care
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| How does Rogers see the person? | show 🗑
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| show | right or wrong doesn't depend on the consequences; it is inherent to act
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| show | no universal laws;
allows the person to choose
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| Ethical Theories: Intuitionist | show 🗑
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| Ethical Theories: Utilitarian | show 🗑
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| Autonomy | show 🗑
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| show | Do no harm
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| show | generous, doing good
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| advocacy | show 🗑
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| Veracity | show 🗑
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| Client Fiduciary | show 🗑
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| Primary Nursing | show 🗑
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| show | limit disability, early identification and prompt treatment
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| Tertiary Nursing | show 🗑
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| show | Intrapsychic Theory
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| Intrapsychic theory: Freud Oral phase | show 🗑
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| Intrapsychic theory: Freud Anal phase | show 🗑
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| show | *Phallic Phase (3-6): individuality, gender roles, societies standards
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| Intrapsychic theory: Freud Latent/genital Phase | show 🗑
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| Interpersonal Theory Sullivan | show 🗑
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| show | 1.Infancy
2. Childhood
3. Juvenille
4. Preadolescence
5. Early aAdolescence
6. Late Adolescence
7. Adulthood
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| show | interaction btn parent and child is essential to psychological growth
* stages of development; master 1 stage before you can move to the next
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| show | 1. Trust vs. Mistrust (inf.)
2. Autonomy vs.Shame & Doubt (tod.)
3. Initiative vs.Guilt (pre-s)
4. Industry vs. Inferiority (sch)
5. Identity vs. Role Confusion (teen)
6. Intimacy vs. Isolation
7. Generativity vs. Stagnation
8. Integrity vs. Despa
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| show | Piaget
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| show | Sensorimotor (0-2)
Pre-operational (2-7)
Concrete (7-11)
Formal Operational (11-15)
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| show | Pavlov & Skinner
🗑
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| show | Classical Conditioning or Pavlovian Conditioning:
*induce emotion to a neutral stimulus
*internal responses: dog&treat
🗑
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| B.F. Skinner's theory | show 🗑
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| Who developed the Interactional Model? | show 🗑
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| Interaction Model What are the basic concepts | show 🗑
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| Kohlberg | show 🗑
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| Moral Theories-Kohlberg Stage 1 | show 🗑
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| Moral Theories-Kohlberg Stage 2 | show 🗑
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| Moral Theories-Kohlberg Stage 3 | show 🗑
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| Moral Theories-Kohlberg Stage 4 | show 🗑
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| show | Adult age: social contract-legalistic Orientation
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| Moral Theories-Kohlberg Stage 6 | show 🗑
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| Moral Theory-Gilligan | show 🗑
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| Gilligan's basic elements of moral judgement | show 🗑
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| Duvall What was his theory? | show 🗑
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| Duvall What are the 8 basic tasks of families? | show 🗑
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| show | 1. Marriage
2. Infants
3. Pre-school
4. School Age
5. Teenage
6. Families as launching
7. Families of middle years
8. Families in retirement
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| show | 4 stages of family development are based on the couple's relationship over time
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| Name the 4 stages of Stevenson's family development | show 🗑
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| Cranial Nerve 1 | show 🗑
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| show | Optic_sense of sight
🗑
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| show | Oculomotor-pupil constriction, dialation
🗑
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| CN4 | show 🗑
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| CN5 | show 🗑
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| show | Abducens-eye movement
🗑
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| CN7 | show 🗑
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| show | Acoustic-hearing & balance (weber & rinne)
🗑
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| show | Glossopharyngeal-taste &swallowing
🗑
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| show | Vagus-gag-sense and motor, autonomic functions of the viscera
🗑
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| CN11 | show 🗑
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| show | Hypoglossal-tongue movement
🗑
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| Glascow Coma Scale | show 🗑
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| show | LOC <20 minutes
Mild
🗑
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| show | LOC >20 min.
Moderate
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| GCS <8 | show 🗑
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| show | Inability to name an object
(Parietal lobe)
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| Agraphia | show 🗑
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| show | problems reading
(Parietal lobe)
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| Agnosia | show 🗑
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| Prosopagnosia | show 🗑
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| Wernicke's Aphasia | show 🗑
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| show | Expressive Aphasia (Frontal Lobe)
🗑
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| show | lack of awareness of disability (Parietal Lobe)
🗑
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| Normal Swallow Name the steps | show 🗑
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| show | bolu formation
🗑
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| show | Oral to pharynx (push to back of throat)
🗑
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| Pharyngeal Phase of swallowing | show 🗑
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| Esophageal Phase of swallowing | show 🗑
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| show | Reversible Ischemic Neurological Deficit
-takes days to clear (TIA is 24h)
🗑
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| Maslow's Hierarchy of needs: 5 basic needs that motivate human behavior | show 🗑
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| Stroke: Left Hemispheric Damage | show 🗑
|
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| show | L paresis
visual/spatial deficits
unaware of deficit
misjudges impulsive
cheerful or euphoric
short attn span
gets lost, spills things
🗑
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| Decorticate posturing | show 🗑
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| Decerebrate posturing | show 🗑
|
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| show | traumatic insult to the Spinal Cord resulting in alterations of normal motor, sensory, and autonomic function.
🗑
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| Tetraplegia | show 🗑
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| Paraplegia | show 🗑
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| show | Cervical (7)
Thoracic (12)
Lumbar (5)
Sacral (5)
🗑
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| What are the leading causes of death for a SCI? | show 🗑
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| show | C4-5
🗑
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| describe Spinal Shock | show 🗑
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| show | -hypotension
-bradycardia
-hypothermia
-common in injuries above T6
-need to differentiate between spinal and hypovolemic shock
🗑
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| Autonomic Dysreflexia or Hyperreflexia | show 🗑
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| Upper Motor Neuron (UMN) | show 🗑
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| show | Injury below T12-L1, conus medullaris, cauda equina)
-no reflex arc (babinski)
-flaccid paralysis
-LMNs branch off from spinal cord
-
🗑
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| show | damage to the conus and lumbar nerve roots
areflexia (flaccidity)in B&B, and lower limbs
🗑
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| show | Damage below conus to lumbar (sacral nerve roots)
-areflexia in B&B, and lower limbs
🗑
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| Central Cord Syndrome | show 🗑
|
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| Brown-Sequard Syndrome | show 🗑
|
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| show | damage to the anterior artery
-affects anterior 2/3rds of cord
-paralysis and loss of pain/temp. below the lesion
-preservation of position sense
🗑
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| Skeletal level of injury | show 🗑
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| Neurological level of injury | show 🗑
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| show | an absence of motor and sensory function in the lowest sacral segment
🗑
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| show | partial preservation of sense & motor below the neurologic level
-includes sacral sensation
-
🗑
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| ASIA Impairment Scale (1996) | show 🗑
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| show | Complete: no sensory or motor function preserved in S4-S5
🗑
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| ASIA B | show 🗑
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| show | Incomplete: motor function preserved below the neurological level
-muscles are grade 3 or lower`
🗑
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| show | Incomplete: motor function preserved below the neurological level
-muscles are grade 3 or higher
🗑
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| show | normal: normal sensory and motor function
🗑
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| show | 0=absent
1=impaired
2=normal
NT= not tested
🗑
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| Other tests for SCI | show 🗑
|
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| Spinal Cord Anatomy: Begins? | show 🗑
|
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| Spinal Cord Anatomy: Exits? | show 🗑
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| show | L1 & L2
🗑
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| show | (T10-T12)
🗑
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| show | peripheral spinal nerves
🗑
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| Muscle grade | show 🗑
|
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| UMN or LMN? damage above conus medullaris? | show 🗑
|
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| show | LMN
🗑
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| UMN or LMN? flaccid paralysis | show 🗑
|
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| UMN or LMN? muscle tone | show 🗑
|
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| show | UMN
🗑
|
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| UMN or LMN? absent reflexes | show 🗑
|
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| show | LMN
🗑
|
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| show | UMN
🗑
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| List UMN signs (lie within the cord) | show 🗑
|
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| List LMN signs (branch off from the Spinal Cord) | show 🗑
|
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| Respiratory Evaluation r/t SCI C1-3 C4-C8 | show 🗑
|
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| show | Reflexic or UMN bowel
positive BCR
normal function
slow paristalis
🗑
|
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| show | Areflexic or LMN bowel
neg. BCR
slow paristalis
flaccid bowel
🗑
|
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| Neurogenic Bladder: Spastic bladder or Reflexic bladder | show 🗑
|
||||
| show | LMN
IC
caution for over filling bladder
🗑
|
||||
| Joint Commission coin term | show 🗑
|
||||
| show | Rehab facility accreditation
conformance
🗑
|
||||
| tracemaker | show 🗑
|
||||
| World Health Organization (2001) International Classification of Functioning CIF | show 🗑
|
||||
| IFPAI Inpatient Rehabilitation Facility Patient Assessment Instrument | show 🗑
|
||||
| Pediatric Evaluation of Disability Inventory | show 🗑
|
||||
| show | ANA & ARN
🗑
|
||||
| Performance Indicators | show 🗑
|
||||
| show | Reliability: reproducibility of an instrument's findings
Validity: ability of the tool to measure what it was designed or intended to measure.
🗑
|
||||
| show | team members create as many creative ideas as possible
🗑
|
||||
| show | Fishbone Diagram
🗑
|
||||
| Affinity diagram | show 🗑
|
||||
| show | teams record and collect data from various sources so that patterns and trends are identified.
🗑
|
||||
| run chart | show 🗑
|
||||
| show | reviews the amount of variation within the process
🗑
|
||||
| show | used to study the possible cause and effect relationship between 2 variables
🗑
|
||||
| show | used to monitor, control , and improve variances
similar to run chart but w/ statistical upper and lower
🗑
|
||||
| flowchart | show 🗑
|
||||
| Force Field analysis | show 🗑
|
||||
| Pareto Chart | show 🗑
|
||||
| What did ANA develop in 1973? | show 🗑
|
||||
| What did ANA develop in 1974? | show 🗑
|
||||
| JC's Plan Do Check Act | show 🗑
|
||||
| Sister Callista Roy's Adaptation Model | show 🗑
|
||||
| show | Americans with Disabilities Act of 1990
-public buildings & transportation made accessible to all (disabled)
-prevent discrimination in workplace
🗑
|
||||
| show | Scale for wound risk.
Assess on admission, quarterly, p/ chg, & return home
🗑
|
||||
| show | Center for Medicaid/Medicare Services
*(MDS)Minimum Data Set
*(OASIS) Outcomes and Assessment Information Set
*PPS (Prospective Payment System)
🗑
|
||||
| show | is the main federal agency charged with the enforcement of safety and health legislation
🗑
|
||||
| SSA (Social Security Administration) | show 🗑
|
||||
| workers Comp | show 🗑
|
||||
| Autonomy | show 🗑
|
||||
| nonmaleficience | show 🗑
|
||||
| show | doing good
🗑
|
||||
| show | standing form client (loyalty)
🗑
|
||||
| show | recognize cost to client when provided or do not provide treatments
🗑
|
||||
| show | the practice of changing things for one's benefit
*develop one's talents, integrity- to be true to oneself, impartial, consistent, having respect for client's goals
🗑
|
||||
| Fidelity | show 🗑
|
||||
| Estate Planning | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
laurenmick