MIDTERM

Question 1

The _____ portion of the program covers topics that are both useful and necessary to the patient.

Answer 1

educational

Question 2

Introduction and welcome; program orientation

Answer 2

Session (week) 1
-Program administrator or rehabilitation team

Question 3

Respiratory structure, function, and pathology

Answer 3

Session week 2
-Physician or RT

Question 4

Breathing control methods

Answer 4

3 PT or RT

Question 5

Relaxation and stress
management

Answer 5

4 Clinical psychologist

Question 6

Proper exercise techniques
and personal routines

Answer 6

5 PT or RT

Question 7

Methods to aid secretion
clearance (bronchial hygiene)

Answer 7

6 PT or RT

Question 8

Home oxygen and aerosol
therapy

Answer 8

7 RT

Question 9

Medications—their use and
abuse

Answer 9

8 Pharmacist, physician, or nurse practitioner

Question 10

Medications—use of MDIs and
spacers

Answer 10

9 RT

Question 11

Dietary guidelines and good
nutrition

Answer 11

10 Dietitian or nutritionist

Question 12

Recreation and vocational
counseling

Answer 12

11 Occupational therapist

Question 13

Activities of daily living
Follow-up planning and
program evaluation Graduation

Answer 13

12 Rehabilitation team

Question 14

These topics should be presented in an_____, ____ using supplementary _____ and _____ where appropriate.

Answer 14

orderly, coherent fashion / audiovisual tools and demonstrations,

Question 15

______ should allocate sufficient time both for the class sessions themselves and for setup and breakdown of equipment.

Answer 15

Team members

Question 16

The _____ or leader must ensure that sessions begin on time and encourage maximum participation by each patient.

Answer 16

program facilitator

Question 17

If available, health care professionals such as ______ should be invited to present their respective topics and discuss the subject matter with the group.

Answer 17

dietitians, occupational therapists, physical therapists, and psychologists

Question 18

If available, health care professionals such as dietitians, occupational therapists, physical therapists, and psychologists should be invited to present their respective topics and discuss the subject matter with the group. However, this may add to the overall operating costs of the ______

Answer 18

pulmonary rehabilitation program.

Question 19

In addition to technical knowledge, session leaders must possess ____ and _____to participate both in class and at home and to adhere to program guidelines.

Answer 19

group facilitation skills and be able to motivate patients

Question 20

This task is not an easy one, but it can be accomplished with ____ and ____

Answer 20

patience and persistence.

Question 21

The desired end result is to _____

Answer 21

help patients lead more productive lives with decreased hospitalizations.

Question 22

This presentation lays the groundwork for the program and gives each patient some basic information about the cardiorespiratory system and related dis- orders. The causes of shortness of breath are presented.

Answer 22

Respiratory Structure, Function, and Pathology, Includ- ing a Discussion of Dyspnea.

Question 23

This presentation serves as the cornerstone for the physical reconditioning effort.

Answer 23

Breathing Control Methods.

Question 24

Patients must learn how to control their breathing efforts to ensure maximum result (ventilation) at a minimum of effort (energy expenditure).

Answer 24

Breathing Control Methods.

Question 25

Diaphragmatic breathing with____ helps to accomplish this, but this technique requires daily practice on the part of the patient and continued reinforcement throughout the entire program by the group facilitator.

Answer 25

pursed lips

Question 26

Patients must learn to avoid aggravation and upsetting circumstances and to adopt a more relaxed attitude about their particular life circumstances.

Answer 26

Methods of Relaxation and Stress Management.

Question 27

This attitude can help to reduce unnecessary O2 use, conserve energy, and avoid undesirable cardiovascular and nervous responses to stress.

Answer 27

relaxed attitude

Question 28

The ratio- nale for and value of exercise should be discussed with sugges- tions for the adoption of personal exercise routines after the rehabilitation program is over.

Answer 28

Exercise Techniques and Personal Routines.

Question 29

This topic is especially helpful to patients who have secretion clearance problems associated with chronic bronchitis and bronchiectasis.

Answer 29

Secretion Clearance and Bronchial Hygiene Techniques.

Question 30

Family members and friends may be invited to attend this session to acquire basic skills with these procedures.

Answer 30

Secretion Clearance and Bronchial Hygiene Techniques.

Question 31

An RT with home care experience should provide this session. The focus should be on the care and use of home care equipment and self- administration of therapy.

Answer 31

Home Oxygen and Aerosol Therapy.

Question 32

Patients who have not yet been pre- scribed this type of therapeutic regimen may have questions or fears and be unreceptive to the concept. Presenting the modali- ties available and having patients discuss their positive experi- ences with respiratory home care personnel can help alleviate the fears and anxieties of others.

Answer 32

Home Oxygen and Aerosol Therapy.

Question 33

This is another topic about which patients have numerous questions and concerns. Content should emphasize proper use of ____, along with possible abuses and adverse effects.

Answer 33

medications

Question 34

Participants’ current prescriptions should dictate which specific drugs to cover. Common categories include _____

Answer 34

beta-adrenergic agents, anticholinergic agents, steroids, diuretics, and methylxanthines.

Question 35

The session leader should dem- onstrate proper use of metered dose inhalers including ___

Answer 35

spacers or holding chambers, dry powder inhalers and hand-held nebulizers.

Question 36

Sufficient time should be provided for ___ and ____

Answer 36

questions and answers.

Question 37

Two sessions should be allotted for this topic.

Answer 37

Medications

Question 38

This subject focuses on weight man- agement and good nutrition as it relates to cardiopulmonary health.

Answer 38

Dietary Guidelines.

Question 39

Emphasis should be on the importance of a sound _____

Answer 39

high- protein, low-carbohydrate diet.

Question 40

The ____ also should cover proper eating habits, methods of gaining and losing weight, foods to avoid, ways to increase appetite, adequate hydration, and daily menu planning.

Answer 40

facilitator

Question 41

This session can stimulate patients to eat better and supply their bodies with the necessary fuel for increased energy production.

Answer 41

Dietary Guidelines.

Question 42

This session should motivate participants to participate in recreational activities and, according to ability, return to work.

Answer 42

Recreational and Vocational Counseling.

Question 43

This topic is often presented at the end of the program when patients have increased their physical endurance and are preparing for a more active and productive lifestyle.

Answer 43

Recreational and Vocational Counseling.

Question 44

The class may brainstorm ideas for recreational or physical activities, from which members can generate action plans.

Answer 44

Recreational and Vocational Counseling.

Question 45

_____ and ____ is a common problem for patients with moderate to severe chronic lung disease.

Answer 45

Psychological and emotional stress

Question 46

_____ can bring in experts to implement ___ and ____ therapies that provide patients with the opportunity to learn coping strategies.

Answer 46

Pulmonary rehabilitation programs / psychosocial and behavioral

Question 47

This compo- nent is most useful for patients with anxiety or depression or both.

Answer 47

Psychosocial and Behavioral Components

Question 48

In___ , the___ and the ______ jointly conducted the first national survey of pulmonary rehabilitation programs.

Answer 48

1987 AARC and AACVPR

Question 49

This National Pulmonary Rehabilitation Survey was published in ____ and showed the variation existing in rehabilitation program _____ throughout the United States.

Answer 49

1988 / structure, content, staffing, and cost

Question 50

In ___ , the_____, in conjunction with the AACVPR, released new evidence-based guidelines pertaining to the design and implementation of pulmonary rehabilitation programs.

Answer 50

2006 ACCP

Question 51

Pulmonary rehabilitation is a______

Answer 51

multidisciplinary endeavor.

Question 52

___ is enhanced by involving various health care professionals in the ____ and ____components of the program

Answer 52

Team care / planning, implementation, and evaluation

Question 53

It is recommended that any staff conducting pulmonary rehabilitation program sessions be certified in ___ or ____ through the______.

Answer 53

basic life support or advanced cardiac life support / American Heart Association

Question 54

In addition to professional involvement, _____ are needed to provide feedback and ensure that instructions and the exer- cise prescription are carried out at home.

Answer 54

family members

Question 55

Location and quality of ___ can directly affect patient attendance.

Answer 55

facilities

Question 56

____ are less likely to attend programs that are inaccessible to public transportation, have poor parking arrangements, or are physically difficult to reach.

Answer 56

Patients

Question 57

The facility must be _____ accessible.

Answer 57

wheelchair

Question 58

For elderly patients who do not drive, arrangements can be made with _____ to provide transportation to and from the program.

Answer 58

community organizations

Question 59

Ideally, the ____ should provide two separate rooms for the program—one room for ____ and one room for ____

Answer 59

facility / educational activities / physical reconditioning.

Question 60

Rooms should be ___ and ___ with adequate _____

Answer 60

spacious and comfortable / lighting, ventilation, and temperature control.

Question 61

____ should be comfortable with good back support.

Answer 61

Chairs

Question 62

Restroom facilities need to be _____

Answer 62

readily accessible.

Question 63

A room for _____ is helpful, but any private office would suffice.

Answer 63

individual counseling

Question 64

It is also preferable to have _____ and _____ capabilities on site.

Answer 64

pulmonary function testing and blood gas analysis

Question 65

If this space is used by other departments for other functions, _____ of rehabilitation sessions needs to be considered.

Answer 65

proper scheduling

Question 66

various health care professionals Pulmonary Rehabilitation Team

Answer 66

Nurse Practitioner Social Worker Respiratory Therapist Physical/Occupational Therapists Medical Director Clinical Psychologist Clinical Nutritionist Exercise Physiologist

Question 67

Another aspect of program implementation involves timely ____ of the rehabilitation sessions.

Answer 67

scheduling

Question 68

Most sessions are scheduled______, with programs running _____

Answer 68

one to three times per week for 1 to 2 hours / 8 to 16 weeks.

Question 69

The length of the program often depends on _____ and ____ for sessions attended.

Answer 69

insurance coverage and expected reimbursement

Question 70

Class times need to be_____ when the largest number of patients can attend.

Answer 70

scheduled

Question 71

_____ and _____ are concerns that need to be addressed.

Answer 71

Traffic patterns, bus schedules, and availability of rides

Question 72

Sessions can be conducted in the_____ and on____ if necessary.

Answer 72

morning, afternoon, or evening / weekends

Question 73

_____ helps to encourage participation and removes potential stumbling blocks, which could undermine the rehabilitation process.

Answer 73

Proper scheduling