Test Bank Docx Burns Across the Continuum of Care Ch28

Chapter 28: Burns Across the Continuum of Care

Multiple Choice

1. When an individual sustains a burn to the epidermis, what factor could cause issues in the future?

a. Inability to produce new skin cells

b. Difficulty with ROM

c. Significant scarring

d. Lack of sensation

OBJ: 28.1

2. An OTA is working with an individual who has sustained a burn that goes into the dermis layer of the skin. What issue will this individual most likely deal with?

a. Embarrassment from the scarring

b. Inability to produce new skin cells

c. Discoloration due to lack of pigment

d. Issues with ROM

OBJ: 28.1

3. An individual sustains a superficial partial-thickness burn from boiling water spilling on her arm as she was cooking. How long can she anticipate the recovery to be?

a. Up to 21 days

b. 21 to 30 days

c. 5 to 10 days

d. 3 to 6 months

OBJ: 28.2

4. An OTA is working with a client who sustained a severe electrical burn while at work. The client presents with skin that is slightly moist and will blanch when touched, but the capillary refill is rather slow. The individual states that he has very little pain. Which type of burn has this individual experienced?

a. Deep partial-thickness

b. Superficial partial-thickness

c. Full-thickness

d. Superficial

OBJ: 28.2

5. A physician has determined that an individual’s partial-thickness burn will be able to heal on its own and recommends a homograft to cover the burn and promote healing. What should the OTA be aware of when working with a client who had this procedure?

a. This type of graft may cause contractures.

b. The client’s body will eventually reject the homograft.

c. The homograft is a permanent graft if it takes.

d. The homograft can hide significant infections.

OBJ: 28.3

6. A client had a deep partial-thickness burn to the top of her hand and arm and will be receiving a skin graft. The physician would like a graft that will not cause excess contracture because it will be placed on the hand. Which type of skin graft will she most likely be receiving?

a. Full-thickness sheet graft

b. Meshed graft

c. Split-thickness sheet graft

d. Cultured epithelial autograft

OBJ: 28.3

7. A client is currently in the acute phase of recovery in a burn center. The client is currently not moving his hand due to experiencing intense pain. The OT practitioner has constructed an orthosis to place on his hand in the intrinsic plus position. What would be the purpose of an orthosis at this point?

a. Protect the joints

b. Prevent contractures

c. Promote tissue mobilization

d. Encourage circulation

OBJ: 28.4

8. An OT practitioner is constructing an orthosis in the operating room for a client who is receiving a skin graft for a deep partial-thickness burn. What would be the valued outcome from the construction of this orthosis?

a. To position the client in an antideformity position

b. To help protect the graft site from dirt and debris

c. To help provide functional movement of the joint

d. To position the client in a comfortable position

OBJ: 28.4

9. An OTA is working with a client who sustained a superficial partial-thickness burn to her upper extremity. She is reluctant to participate in therapy due to increased pain. What should the OTA do to best meet the client’s needs?

a. Educate the client on healing issues and joint ROM techniques.

b. Provide PROM only to the client during therapy.

c. Refer the client to the physician for pain medication.

d. Create an orthosis to support the upper extremity.

OBJ: 28.5

10. An OTA would like a client who has experienced a severe burn to strengthen so that he can build up endurance for future activities. What can the OTA suggest to best promote the strengthening and well-being of this client?

a. Create an exercise program for nursing staff to carry out.

b. Provide the client with weights for resistive activities.

c. Encourage mobility out of bed for all meals and activities.

d. Perform all upper extremity activities in supine to protect the healing skin.

OBJ: 28.5

Objective 28.6

11. An OTA is working with a client on ROM exercises during the healing phase of the burn. The client is complaining of pain and is not moving through the full arc of motion. What technique can the OTA use to help the client increase movement?

a. Schedule ROM during pain-free time.

b. Use counting during the stretch component.

c. Focus intervention on PROM.

d. Push through the pain to gain ROM.

OBJ: 28.6

12. As a client reaches full ROM, what should the OTA incorporate into the intervention to prevent the scar from adhering and to prevent deformity?

a. Strengthening exercises

b. Performance of ADLs only, not extra strengthening

c. Fabrication of an orthosis to stabilize the joint

d. Continued stretching and ROM only

OBJ: 28.6

13. An OT practitioner notes that a client is not carrying out her home exercise program. When asked about this, she states that her family prefers to do all of her tasks for her so that she can just rest and heal. How should the OT practitioner respond to this information?

a. Notify the physician of noncompliance.

b. Allow the caregivers to continue assisting the client because it provides meaning to them.

c. Focus on intense strengthening techniques while at therapy so that the client can rest while at home.

d. Provide education to the client and caregiver about the importance of the home exercise program and full ADL participation to assist with healing.

OBJ: 28.7

14. A client has reported that he is unable to follow the home exercise program for managing his burn. When asked why, the client states that he is rather overwhelmed by the directions. What should the OT practitioner do in response to this information?

a. Use only picture-based handouts.

b. Encourage the client to try the program again.

c. Educate the client on the importance of the program.

d. Adjust the complexity of the program for increased health literacy.

OBJ: 28.7

15. A client has been prescribed pressure garments to assist with scar management. How long should these garments be worn each day?

a. 23 hours

b. 20 hours

c. 15 hours

d. 5 hours

OBJ: 28.8

16. A client is in the outpatient treatment phase of his burn rehabilitation. In which area can the OTA provide education to the client and his caregivers as he goes about his daily life?

a. Sun protection during outside activities

b. Continued scar massage five or six times a day

c. Clothing choices for hot and cold weather

d. Education to not use the stove to prevent further burns

OBJ: 28.8

17. A client who has experienced a severe burn refuses to go back to the location where she received her burn. The client also states that she has nightmares about receiving the burn. Which psychosocial factor is the client most likely experiencing?

a. Anger

b. Depression

c. Posttraumatic stress disorder

d. Denial

OBJ: 28.9

18. A client who has experienced a burn causing disfigurement to half of his face and amputation of his right arm feels out of place when attending social gatherings. He mentions that all of his old friends act differently toward him. The client states that he would rather just sit at home. What is the client most likely experiencing?

a. Anxiety

b. Social death

c. Depression

d. Introversion

OBJ: 28.9