Health Assessment Neurological System Questions

Health Assessment Neurological System Questions Related

Review Health Assessment Neurological System Questions related questions and content

A patient diagnosed with somatic symptom disorder says, I have pain from an undiagnosed injury. I can't take care of myself. I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much. It is important for the nurse to assess:

  • A. mood.
  • B. cognitive style.
  • C. secondary gains.
  • D. identity and memory.
Correct Answer: C

Rationale: The correct answer is C: secondary gains. In this scenario, the patient's focus on pain and dependency suggests potential secondary gains, such as attention or avoidance of responsibilities. Assessing secondary gains helps in understanding the underlying motivations for the symptoms. Mood (choice A) may be important but doesn't directly address the patient's behavior. Cognitive style (choice B) and identity/memory (choice D) are not as relevant in this context as secondary gains in somatic symptom disorder.

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The poison curare is a(n) ________ for the neurotransmitter acetylcholine.

  • A. antagonist
  • B. protagonist
  • C. agonist
  • D. cure
Correct Answer: A

Rationale: Curare is an antagonist for the neurotransmitter acetylcholine, meaning it blocks acetylcholine receptors at the neuromuscular junction. This prevents acetylcholine from binding to its receptors and initiating muscle contraction, leading to paralysis. Curare has been used historically as a poison and in medical procedures to induce muscle relaxation. Its action highlights the importance of acetylcholine in muscle function and the effects of receptor blockade.

The affection of cerebellar may produce any of the following EXCEPT:

  • A. nystagmus
  • B. ataxia
  • C. dysmetria
  • D. dyspraxia
Correct Answer: D

Rationale: Dyspraxia is the correct answer because it is a disorder of motor planning and execution, typically associated with damage to the frontal or parietal lobes, rather than the cerebellum. The cerebellum is responsible for coordination, balance, and fine motor control, so its dysfunction results in ataxia, dysmetria, and nystagmus.

The nurse is caring for an individual with a head injury and notes unequal pupils. Which term should the nurse use to document this finding?

  • A. Aphasia
  • B. Nystagmus
  • C. Anisocoria
  • D. Ophthalmoplegia
Correct Answer: C

Rationale: Anisocoria refers to unequal pupil size, which can indicate neurological dysfunction. Aphasia is a language disorder, nystagmus is involuntary eye movement, and ophthalmoplegia is the inability to move the eyes. Documenting anisocoria accurately is important for assessing potential brain injury.

As the manager in a long-term-care (LTC) facility, you are in charge of developing a standard plan of care for residents with Alzheimer's disease. Which of these nursing tasks is best to delegate to the LPN team leaders working in the facility?

  • A. Check for improvement in resident memory after medication therapy is initiated.
  • B. Use the Mini-Mental State Examination to assess residents every 6 months.
  • C. Assist residents to toilet every 2 hours to decrease risk for urinary incontinence.
  • D. Develop individualized activity plans after consulting with residents and family.
Correct Answer: C

Rationale: Toileting assistance is a routine task that can be effectively managed by LPNs.

A client diagnosed with multiple sclerosis has an acute onset of visual changes, fatigue, and leg weakness. The client says that the last time this happened, recovery occurred in a few weeks. Which classification of multiple sclerosis is the client experiencing?

  • A. Progressive-relapsing
  • B. Secondary-progressive
  • C. Relapsing-remitting
  • D. Primary-progressive
Correct Answer: C

Rationale: Relapsing-remitting MS is characterized by periods of exacerbation followed by partial or complete recovery. This pattern matches the client's description of their symptoms.

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