Nokea
As the result of a stroke, a patient has difficulty discerning the position of his body without looking at it. In the nurse's documentation, which term would best describe the patient's inability to assess spatial position of his body?
- A. Agnosia
- B. Loss of proprioception
- C. Apraxia
- D. Sensation
Correct Answer: B
Rationale: Patients may experience a loss of proprioception with a stroke. This may include apraxia and agnosia (a total or partial loss of the ability to recognize familiar objects or people).
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The nurse explains to a patient and family that the triad of signs of Parkinson disease is: ___, rigidity, and bradykinesia.
Correct Answer: tremor
Rationale: Tremor, rigidity, and bradykinesia are the triad that make up the signs of Parkinson disease.
Which activity is the reticular activating system (RAS) essential to?
- A. Concentration
- B. Wakefulness
- C. Speech
- D. Attention
- E. Memory
- F. Introspection
Correct Answer: A,B,D,F
Rationale: The RAS, located on the brainstem, is essential to wakefulness, attention, concentration, and introspection.
In which way will a nurse record the behavior when a patient with Alzheimer's disease attempts to eat using a napkin rather than a fork?
- A. Apraxia
- B. Agnosia
- C. Aphasia
- D. Dysphagia
Correct Answer: B
Rationale: Agnosia is a total or partial loss of the ability to recognize familiar objects or people through sensory stimuli as a result of organic brain damage.
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.
Which technique is necessary for safely feeding a patient with hemiplegia?
- A. Mixing liquids and solid foods together
- B. Taking the patient's dentures out to prevent choking
- C. Checking the affected side of mouth for food accumulation
- D. Offering small bites of food
- E. Elevating the patient to no more than 30 degrees
- F. Adding a thickening agent to liquids
Correct Answer: C,D,F
Rationale: Important nursing measures include avoiding foods that cause choking, checking the affected side of the mouth for accumulation of food and resultant poor hygiene, not mixing liquids and solid foods, and encouraging the patient to take small bites.