Nokea
A patient who has experienced a stroke has expressive aphasia. Which abnormal manner of communication does the patient display?
- A. Has difficulty comprehending spoken and written communication.
- B. Cannot make any vocal sounds
- C. Has total loss and understanding of language.
- D. Can understand the spoken word, but cannot speak.
Correct Answer: D
Rationale: The patient with expressive aphasia has difficulty articulating words but can understand the written and spoken word.
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Which question is likely to elicit the most valid response from the patient who is being interviewed about a neurologic problem?
- A. Do you have any sensations of pins and needles in your feet?'
- B. Does the pain radiate from your back into your legs?'
- C. Can you describe the sensations you are having?'
- D. Do you ever have any nausea or dizziness?'
Correct Answer: C
Rationale: For patients with suspected neurologic conditions, the presence of many symptoms or subjective data may be significant. Offering leading questions is not beneficial and may allow the patient to give misinformation. Questions should be specific about symptoms.
Which issue is the basic problem that prompts most of the early signs of Alzheimer's disease (AD)?
- A. Changes in mood
- B. Misplacing things
- C. Memory loss that disrupts daily life
- D. Problems with words in speaking
Correct Answer: C
Rationale: Memory loss that disrupts daily life is the basic problem that prompts most of the early signs of AD.
The waxy substance that covers the neuron fibers and increases the rate of transmission of impulses is the ___
Correct Answer: myelin
Rationale: Myelin is the waxy substance that covers the neuron fibers (axons and dendrites) and increases the rate of transmission of impulses.
Which action will the nurse take when caring for a child recently diagnosed with bacterial meningitis?
- A. Arrange for humidified oxygen per mask.
- B. Place the child in respiratory isolation.
- C. Inquire about drug allergy.
- D. Hold NPO until orders arrive.
Correct Answer: B
Rationale: Persons with bacterial meningitis are placed in respiratory isolation until the pathogen can no longer be cultured, usually 24 hours.
Which food should the person who experiences migraine headaches avoid?
- A. Yogurt
- B. Caffeine
- C. Beef
- D. Pears
- E. Marinated foods
- F. Milk
Correct Answer: A,B,E
Rationale: Some foods may cause or worsen headaches. Foods that may provoke headaches include vinegar, chocolate, yogurt, alcohol, fermented or marinated foods, ripened cheese, cured sandwich meat, caffeine, and pork.