Nokea
A Neurological disorder that is characterised by impairments in motor performance and coordination are known as
- A. Dyspraxia
- B. Apraxia
- C. Anapraxia
- D. Amotoria
Correct Answer: B
Rationale: Apraxia is a neurological disorder that affects the ability to perform purposeful movements, despite having the physical ability and desire to do so. Individuals with apraxia may struggle with tasks like dressing, cooking, or using tools. This condition is often caused by damage to the parietal lobe or other areas of the brain involved in motor planning and execution.
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To assess cranial nerve VIII (Vestibulocochlear nerve), the nurse should:
- A. Perform a hearing test and assess balance.
- B. Evaluate the patient's ability to swallow.
- C. Inspect the patient's throat.
- D. Palpate the patient's neck.
Correct Answer: A
Rationale: Cranial nerve VIII (Vestibulocochlear nerve) is responsible for hearing and balance. A hearing test and balance assessment evaluate its function. Swallowing, throat inspection, and neck palpation are unrelated.
When assessing a patient for signs of increased intracranial pressure (ICP), the nurse should look for:
- A. Changes in level of consciousness, headache, and vomiting.
- B. Normal pupil size and reaction.
- C. Absence of nausea or vomiting.
- D. Clear and coordinated movements.
Correct Answer: A
Rationale: Increased intracranial pressure (ICP) is associated with changes in consciousness, headache, and vomiting. Normal pupil size, absence of nausea, and clear movements are not indicative of ICP.
Which intervention should you delegate to the nursing assistant for a patient with carpal tunnel syndrome preparing for surgery?
- A. Initiate placement of a splint for immobilization during the day.
- B. Assess the patient's wrist and hand for discoloration and brittle nails.
- C. Assist the patient with daily self-care measures such as bathing and eating.
- D. Test the patient for painful tingling in the four digits of the hand.
Correct Answer: C
Rationale: Daily self-care assistance is a suitable task for a nursing assistant.
What is a nursing intervention that is indicated for the patient with hemiplegia?
- A. The use of a footboard to prevent plantar flexion
- B. Immobilization of the affected arm against the chest with a sling
- C. Positioning the patient in bed with each joint lower than the joint proximal to it
- D. Having the patient perform passive range of motion (ROM) of the affected limb with the unaffected limb
Correct Answer: A
Rationale: Using a footboard helps prevent contractures and deformities in patients with hemiplegia
A nurse counseling a patient diagnosed with dissociative identity disorder (DID) should understand that the assessment of highest priority is:
- A. risk for self-harm
- B. cognitive functioning
- C. identification of drug abuse
- D. readiness to reestablish identity or memory
Correct Answer: A
Rationale: The correct answer is A: risk for self-harm. In patients with DID, the primary concern is ensuring their safety due to the high risk of self-harm or suicide. Assessing this risk is crucial for immediate intervention to prevent harm. Choice B, cognitive functioning, may be important but is secondary to ensuring patient safety. Choice C, identification of drug abuse, is relevant but not as urgent as addressing the risk for self-harm. Choice D, readiness to reestablish identity or memory, is important but not as critical as ensuring the patient's safety. Therefore, assessing the risk for self-harm takes precedence in the care of a patient with DID.