Review of Systems Neurological Questions

Review of Systems Neurological Questions Related

Review Review of Systems Neurological Questions related questions and content

Early symptoms of variant Creutzfeldt-Jakob Disease (vCJD) include changes in mood, temperament and behaviour followed by impairments in memory and concentration, and confused thinking. The infectious agent in vCJD is thought to be which of the following?

  • A. MRSA.
  • B. Prion.
  • C. Ion.
  • D. Hemaglobin.
Correct Answer: B

Rationale: Prions are abnormal, infectious proteins that cause neurodegenerative diseases like variant Creutzfeldt-Jakob Disease (vCJD). These proteins induce the misfolding of normal cellular proteins in the brain, leading to brain damage and the characteristic symptoms of vCJD, such as mood changes, memory loss, and cognitive decline. Prion diseases are incurable and ultimately fatal, making early detection and prevention critical.

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In the spinal cord:

  • A. Hemisection of the cord (Brown-Sequard Syndrome) results in paralysis and loss of touch and proprioception on the same side and loss of pain and temperature sensation on opposite side
  • B. The cord ends at L3
  • C. The lateral corticospinal tract is an important motor tract
  • D. The blood supply at each level is in danger because of poor anastomoses
Correct Answer: A

Rationale: Brown-Sequard Syndrome involves ipsilateral motor and proprioceptive loss and contralateral pain/temperature loss due to hemisection of the spinal cord. This is due to the decussation of sensory pathways.

A patient has blindness related to a functional neurological (conversion) disorder but is unconcerned about this problem. Which understanding should guide the nurse's planning for this patient? The patient is:

  • A. suppressing accurate feelings regarding the problem.
  • B. relieving anxiety through the physical symptom.
  • C. meeting needs through hospitalization.
  • D. refusing to disclose genuine fears.
Correct Answer: B

Rationale: The correct answer is B because the patient is unconcerned about the blindness, indicating that the symptom is relieving anxiety. This is characteristic of conversion disorder where physical symptoms alleviate psychological distress. Other choices are incorrect because the patient is not necessarily suppressing feelings (A), not meeting needs through hospitalization (C), and not refusing to disclose fears (D).

What should the nurse include in the teaching plan for the patient with SLE?

  • A. Ways to avoid exposure to sunlight
  • B. Increasing dietary protein and carbohydrate intake
  • C. The necessity of genetic counseling before planning a family
  • D. The use of nonpharmacologic pain interventions instead of analgesics
Correct Answer: A

Rationale: Sun avoidance minimizes flare-ups.

What could the nurse delegate to unlicensed assistive personnel (UAP)?

  • A. Complete the admission assessment.
  • B. Explain the call system to the patient.
  • C. Obtain the suction equipment from the supply cabinet.
  • D. Place a padded tongue blade on the wall above the patient's bed.
Correct Answer: C

Rationale: Obtaining equipment is a task that can be delegated to UAP

A 26 year-old man was in a motor vehicle accident and suffered a complete spinal cord injury to L3. The nurse assesses the patient for loss of motor function in the:

  • A. Legs
  • B. Abdomen
  • C. Chest
  • D. Arms
Correct Answer: A

Rationale: A spinal cord injury at the L3 level affects motor function in the legs. The abdomen, chest, and arms are controlled by higher spinal cord levels (thoracic and cervical). Loss of motor function in the legs is consistent with an L3 injury.

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