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1. The primary goal of rehabilitation is to prevent complications, ____________________, and maximize function.
A. Manage risk factors
B. Enhance social-adjustment
C. Minimize impairments
D. Promote stabilization
2. The initial brief stroke assessment should include assessment of complications as well as prior and current impairment.
A. True
B. False
3. Following the “acute†phase of stroke care, the focus of care turns to encouraging resumption of self-care activities as well as provision of emotional support to the patient and family.
A. True
B. False
4. Patients who are cooperative, able to talk, voluntary cough, swallow saliva and pass a simple swallowing screening test are generally at low risk for aspiration following a stroke.
A. True
B. False
5. It is strongly recommend that the National Institutes of Health Stroke Scale (NIHSS) be used at the time of presentation/hospital admission or at least within the first _____ hours following presentation.
A. 8
B. 12
C. 18
D. 24
6. All patients should receive evaluation of nutrition and hydration status as soon as possible after admission, and then food and fluid intake should be monitored weekly and body weight determined regularly.
A. True
B. False
7. Which of the following is NOT one of the factors that should be considered in a structured assessment of bladder function in acute stroke patient?
A. A complete urodynamic assessment
B. Assessment of urinary retention through the use of bladder scanner or an in-and-out catheterization
C. Measurement of urinary frequency, volume, and control
D. Presence of dysuria
8. When practical, a behavioral health provider should be utilized to address psychological aspects of pain and to improve adherence to the pain treatment plan.
A. True
B. False
9. Brivaracetam and methazolamide are the first-line anticonvulsants for post-stroke seizure and epilepsy in elderly patients or in younger patients requiring anticoagulants.
A. True
B. False
10. Following a stroke, patients exhibiting extreme emotional lability such as pathological crying or tearfulness should be given a trial of an SSRI antidepressant as long as no contraindication exits.
A. True
B. False
11. An example of a sensory/motor based communication problem is:
A. Aphasia
B. Dysarthria
C. Dementia
D. All of the above
12. Sufficient evidence recommends the use of the Emotional Functioning Measure (EFM) to assess psychological adjustment following stroke.
A. True
B. False
13. Which of the following is NOT one of the items that should be documented as part of the treatment plan.
A. Etiology of stroke
B. Patient's strengths, impairments and current level of functioning
C. Psychological resources and needs, including caregiver capacity and availability
D. Goals and strategies for achieving these goals
14. Sexual issues should be discussed during rehabilitation and addressed again after transition to the community when the post-stroke patient and partner are ready.
A. True
B. False
15. Prior to discharge, patient and family should be educated regarding pertinent risk for stroke and should receive all necessary equipment and training.
A. True
B. False
16. Experts recommend that patients be given cognitive re-training if __________________ is present.
A. Attention or memory deficits
B. Visual neglect
C. Executive function and problem-solving difficulties
D. All of the above
17. For aphasia and other impairments of language, treatment can include models designed to improve comprehension and/or ______________ of language.
A. Articulation
B. Fluency
C. Expression
D. Resonance
18. Partial body weight support for treadmill training (up to 60% of individual's weight) in conjunction with other exercise training techniques is recommended for individuals with gait impairments post stroke.
A. True
B. False
19. Scanning training and visual field stimulation should be used as compensatory intervention strategies for patients with eye motility impairments after stroke.
A. True
B. False
20. Experts recommend that patient and caregiver education be provided in both interactive and written formats, using a variety of methods.
A. True
B. False
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