Nokea
In counseling patients with spinal cord lesions regarding sexual function, how should the nurse advise a male patient with a complete lower motor neuron lesion?
- A. He is most likely to have reflexogenic erections and may experience orgasm if ejaculation occurs
- B. He may have uncontrolled reflex erections but orgasm and ejaculation are usually not possible
- C. He has a lesion with the greatest possibility of successful psychogenic erection with ejaculation and orgasm
- D. He will probably be unable to have either psychogenic or reflexogenic erections and no ejaculation or orgasm
Correct Answer: B
Rationale: Lower motor neuron lesions result in uncontrolled reflex erections.
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Vasodilators produced by the endothelium include:
- A. endothelium-derived relaxing factor (EDRF)
- B. nitric oxide (NO)
- C. prostacyclin (PGL2)
- D. all above
Correct Answer: D
Rationale: The endothelium produces vasodilators such as EDRF (which includes NO) and prostacyclin (PGL2). These substances help regulate vascular tone and blood flow.
What kind of loss does the nurse recognize this to be?
- A. Delirium
- B. Memory loss in AD
- C. Normal forgetfulness
- D. Memory loss in mild cognitive impairment
Correct Answer: C
Rationale: Forgetting names and birthdays is typical of normal forgetfulness
A 49-year-old patient is diagnosed with Huntington's disease. He thought he saw symptoms of the disease in his 15-year-old son. What is the best response?
- A. Your son probably has the early symptoms of the disease.
- B. Huntington's disease is genetically transmitted.
Correct Answer: B
Rationale: Huntington's disease is inherited in an autosomal dominant pattern, meaning there is a 50% chance the child will inherit it if one parent has the condition.
A client is admitted to the floor with Systemic Lupus Erythematosus (SLE). Which of the following teaching points does the nurse stress to the client with SLE?
- A. Apply ice as instructed
- B. Avoid sunlight and ultraviolet radiation
- C. Use assistive devices appropriately
- D. Change dressing as prescribed
Correct Answer: B
Rationale: Sunlight can exacerbate lupus symptoms.
A patient diagnosed with depersonalization disorder tells the nurse, It's starting again. I feel as though I'm going to float away. The nurse should help the patient by:
- A. encouraging meditation.
- B. administering an anxiolytic medication.
- C. helping the patient visualize a pleasant scene.
- D. helping the patient focus on the here and now.
Correct Answer: D
Rationale: The correct answer is D: helping the patient focus on the here and now. This is appropriate for depersonalization disorder as it helps the patient ground themselves in reality and reduce dissociative symptoms. Encouraging meditation (A) may exacerbate dissociation by further disconnecting the patient from reality. Administering an anxiolytic medication (B) may provide temporary relief but does not address the underlying issue. Helping the patient visualize a pleasant scene (C) may be soothing but may not be effective in addressing the dissociative symptoms.