Chapter.3 Special Environments Exam Questions

Chapter 3: Special Environments

Multiple Choice

1. Which of the following clinician behaviors is MOST likely to help a patient cope with the challenges of the intensive care unit (ICU) environment?
   1. Performing therapy as passively as possible to avoid disturbing the patient
   2. Keeping the lights on all the time to reduce the patient’s fear
   3. Placing familiar objects within the patient’s line of sight
   4. Rotating the therapists treating the patient to prevent patient boredom
2. For some patients, the psychological stresses brought on by the ICU environment can be intense enough that they result in symptoms similar to which of the following conditions?
   1. Bipolar disorder
   2. Hypochondria
   3. Posttraumatic stress disorder
   4. Long-term dementia
3. Which of the following tasks is MOST important to attend to when working with a patient in the cardiac care unit?
   1. Silencing any audible alarms on the machines and monitors
   2. Keeping closely to the timed treatment schedule
   3. Preventing any lines or tubes from becoming pinched or detached
   4. Monitoring the responses of family members in the room during the treatment
4. Which statement regarding patient positioning and tube feedings is true?
   1. Adults who receive nasogastric tube feedings must wait 30 minutes before lying flat.
   2. Patients who receive percutaneous endoscopic gastrostomy tube feedings should lie flat during feeding.
   3. Patients who receive tube feedings of any kind must never lie flat.
   4. Pediatric patients who receive nasogastric tube feedings must lie flat for 1 hour after feeding.
5. Dislodging which of the following devices can be a life-threatening emergency?
   1. Nasogastric feeding tube
   2. Intravenous line
   3. Arterial line
   4. Indwelling urinary catheter
6. Which statement BEST reflects the current condition of individuals who are experiencing homelessness in the United States?
   1. Most persons who are experiencing homelessness are unwilling to seek steady employment.
   2. Persons sleeping in publicly supervised residences are considered homeless.
   3. Persons who are homeless generally do not have children.
   4. The majority of persons experiencing homelessness are over the age of 65.
7. Which of the following represents the MOST appropriate mobility goal for a patient in the ICU who has a mobility level 3 ( able to engage in bed mobility exercises, seated activities, and standing activities)?
   1. No physical or occupational therapy involvement
   2. Passive range of motion (PROM) performed by physical therapy
   3. Skilled physical and/or occupational therapy interventions in bed mobility, grooming, and standing
   4. Gait training in the hallway
8. A patient in the ICU, who participated in therapy without difficulty yesterday, has become confused, restless, and agitated and is having trouble participating in today’s session. Which of the following is MOST likely the cause?
   1. Delirium
   2. Dementia
   3. Alzheimer’s disease
   4. Depression
9. Which of the following devices is used for individuals who are unable to breathe on their own?
   1. Nebulizer
   2. Ventilator
   3. Nasal cannula
   4. Nonrebreather mask
10. To prevent an increase in intracranial pressure, a patient with an intracranial pressure monitor should avoid all of the following EXCEPT ____________________.
    1. Coughing
    2. Sit-to-stand transfers
    3. Valsalva maneuvers
    4. Trendelenburg position