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.
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The nurse is preparing to discharge a patient with chronic low back pain. Which statement by the patient indicates that additional teaching is necessary?
- A. I will avoid exercise because the pain gets worse.
- B. I will use heat or ice to help control the pain.
- C. I will not wear high-heeled shoes at home or work.
- D. I will purchase a firm mattress to replace my old one.
Correct Answer: A
Rationale: Avoiding exercise can lead to muscle weakness and worsening of back pain; exercise is often recommended as part of the treatment plan.
The clinical diagnosis of parkinsonism is based on the presence of bradykinesia and at least one of three other features: muscular rigidity, resting tremor, and:
- A. Dystonia
- B. Nystagmus
- C. Postural instability
- D. Seizures
Correct Answer: C
Rationale: Postural instability is a key feature of parkinsonism, along with bradykinesia, rigidity, and resting tremor. It contributes to the risk of falls and mobility issues.
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.
A nurse is assessing a client who has returned from a cerebral arteriogram. The left carotid site was punctured. Which of the following indicates complications?
- A. Difficulty swallowing (hematoma develops and pushes on the trachea)
- B. Puncture site is dry and red
- C. BP 120/82, HR 86, RR 22
- D. No swelling or hematoma at the site
Correct Answer: A
Rationale: Difficulty swallowing after a cerebral arteriogram may indicate a hematoma at the puncture site, which can compress the trachea and cause respiratory distress. This is a serious complication requiring immediate intervention to prevent airway obstruction and further complications.
One focus of collaborative care of patients with AD is
- A. Replacement of deficient acetylcholine in the brain
- B. Drug therapy for cognitive problems and undesirable behaviors
- C. The use of memory-enhancing techniques to delay disease progression
- D. Prevention of other chronic diseases that hasten the progression of AD
Correct Answer: B
Rationale: Drug therapy addresses cognitive and behavioral issues in AD