Any of the following syndromes is the involuntary movement EXCEPT:
- A. chorea
- B. tic
- C. tremor
- D. paresis
Correct Answer: D
Rationale: Paresis is the correct answer because it refers to weakness or partial paralysis, which is not an involuntary movement. In contrast, chorea, tics, and tremor are all types of hyperkinetic movements that occur without voluntary control and are associated with various neurological disorders.
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A patient diagnosed with somatic symptom disorder has been in treatment for 4 weeks. The patient says, Although I'm still having pain, I notice it less and am able to perform more activities. The nurse should evaluate the treatment plan as:
- A. unsuccessful.
- B. minimally successful.
- C. partially successful.
- D. totally achieved.
Correct Answer: C
Rationale: The correct answer is C: partially successful. This is because the patient is showing improvement in symptoms and functioning, indicating some progress in treatment effectiveness. It is not considered unsuccessful (A) as there is improvement noted. It is not minimally successful (B) as the patient is experiencing noticeable improvement in pain and activity levels. It is also not totally achieved (D) as the patient still has some pain despite improvement in functioning. Overall, option C best reflects the patient's progress at this stage of treatment.
In taking a health history in a patient with periarteritis nodosa, it would be most important to ask questions related to dysfunction of which system?
- A. Cardiovascular
- B. Renal
- C. Visual
- D. Immunologic
Correct Answer: A
Rationale: Periarteritis nodosa primarily affects blood vessels, impacting cardiovascular function.
KL is a 34-year-old male admitted to the hospital (large trauma center) after suffering a traumatic brain injury (TBI) secondary to a serious motor vehicle accident. He was in excellent health prior to the accident. HT: 6'2" WT: 190 pounds (86 kg) What is likely the best way to feed KL while he is in the hospital?
- A. nasogastric tube
- B. nasoenteric tube
- C. parenteral nutrients
- D. baby food orally
Correct Answer: B
Rationale: A nasoenteric tube is often the preferred method for feeding patients with traumatic brain injury (TBI) who cannot safely swallow. It allows for enteral nutrition delivery directly into the small intestine, reducing the risk of aspiration compared to a nasogastric tube.
Mr. Singer has been placed on a regimen of bed rest and is scheduled for a hip replacement because of severe rheumatoid arthritis. Which of the following would be most important to include in the nursing care plan preoperatively?
- A. Adequate periods of rest
- B. Active and passive range-of-motion exercises
- C. Maintenance of adequate fluid and food
- D. Frequent turning and repositioning
Correct Answer: B
Rationale: Range-of-motion exercises help maintain joint function and reduce stiffness.
What is the most important method of diagnosing functional headaches?
- A. CT scan
- B. Electromyography (EMG)
- C. Cerebral blood flow studies
- D. Thorough history of the headache
Correct Answer: D
Rationale: A thorough history is critical for diagnosing functional headaches