Neurological System NCLEX Questions

Neurological System NCLEX Questions Related

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A medical-surgical nurse works with a patient diagnosed with a somatic system disorder. Care planning is facilitated by understanding that the patient will probably:

  • A. readily seek psychiatric counseling.
  • B. be resistant to accepting psychiatric help.
  • C. attend psychotherapy sessions without encouragement.
  • D. be eager to discover the true reasons for physical symptoms.
Correct Answer: B

Rationale: The correct answer is B because individuals with somatic symptom disorders often resist psychiatric help due to their strong belief that their physical symptoms have a medical, not psychological, cause. This resistance can stem from fear of being labeled as "crazy" or of not being taken seriously. Therefore, the nurse should be aware of this resistance and approach the patient with empathy and understanding.

A: This is incorrect because individuals with somatic symptom disorders often do not readily seek psychiatric counseling due to their belief that their symptoms are purely physical.
C: This is incorrect because individuals with somatic symptom disorders may not attend psychotherapy sessions without encouragement due to their resistance to psychiatric help.
D: This is incorrect because individuals with somatic symptom disorders may not be eager to discover the true reasons for physical symptoms as they strongly believe in the medical cause.

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The effect of calcium ions on neurotransmitter release at synapses include:

  • A. vesicular fusion
  • B. tonic depolarization of the presynaptic neurone
  • C. post-tetanic potentiation
  • D. all above
Correct Answer: D

Rationale: Calcium ions trigger vesicular fusion, contribute to post-tetanic potentiation, and can cause tonic depolarization in the presynaptic neuron. These effects are essential for synaptic plasticity and neurotransmission.

In teaching a community group the appropriate first aid care of burns, you show them a picture of a wound which is red, has several intact large blisters, one broken blister, and a lot of moisture present. You would expect them to recognize the depth of this burn as

  • A. partial-thickness
  • B. first-degree
  • C. full-thickness
  • D. third-degree
Correct Answer: A

Rationale: Partial-thickness burns involve the epidermis and part of the dermis, often presenting with blisters and moisture.

When an individual has a disruption of the ability to speak is known generally as

  • A. Wernicke's aphasia
  • B. Broca's aphasia
  • C. Beidecker's aphasia
  • D. Warnick's aphasia
Correct Answer: B

Rationale: Broca's aphasia is a language disorder that disrupts the ability to speak fluently. Individuals with this condition often experience difficulty in forming complete sentences, finding the right words, and articulating speech. This condition is caused by damage to Broca's area, located in the frontal lobe of the brain, which plays a critical role in speech production and language processing.

After a car accident, Rhodri had a lot of difficulty planning his day. This is most likely the result of damage to which lobe?

  • A. temporal
  • B. parietal
  • C. frontal
  • D. occipital
Correct Answer: C

Rationale: The frontal lobe is responsible for executive functions, such as planning, decision-making, and problem-solving. Damage to the frontal lobe, as might occur in a car accident, can impair these abilities, making it difficult for individuals to organize tasks, set goals, or manage time. The frontal lobe also plays a role in personality, social behavior, and motor control, highlighting its importance in complex cognitive processes.

The patient has lateral angulation of the large toe toward the second toe. The nurse knows that treatment will include what?

  • A. Metatarsal arch support
  • B. Trimming with a scalpel after softening
  • C. Surgery to remove the bursal sac and bony enlargement
  • D. Intraarticular corticosteroids and passive manual stretching
Correct Answer: C

Rationale: Surgery addresses structural deformities.

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