Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

Which condition can significantly interfere with a patient's participation in rehabilitation?

1. Depressive disorders

2. Gastroesophageal reflux disease

3. Hypothyroidism

4. Cold intolerance

The correct answer is: Depressive disorders

Depressive disorders can significantly interfere with a patient's participation in rehabilitation due to their profound impact on both physical and mental well-being. When a patient is experiencing depression, they may exhibit symptoms such as fatigue, lack of motivation, feelings of hopelessness, and diminished energy levels. These symptoms can lead to reduced engagement in rehabilitation activities, adherence to treatment plans, and overall participation in their recovery process. In contrast, while gastroesophageal reflux disease, hypothyroidism, and cold intolerance can present challenges and discomfort for patients, they do not typically affect motivation or emotional well-being to the same extent. For example, gastroesophageal reflux disease might cause physical discomfort but does not inherently influence a patient’s mental state or willingness to engage in rehabilitation exercises. Hypothyroidism, although it can cause fatigue and cognitive slowing, is often manageable with medication, allowing for better participation in rehabilitation. Meanwhile, cold intolerance might be a physical issue, but again, it does not directly affect the psychological aspects of a patient’s motivation and engagement in their recovery journey. Therefore, depressive disorders stand out as a condition that can severely inhibit a patient's active participation in their rehabilitation program by affecting their mental and emotional health, which are crucial for motivation and effort in therapeutic activities.