Nokea
In the 2000 film 'Memento' the lead character, Leonard is unable to form new memories as a result of an earlier head injury caused by an assailant. This is known as:
- A. Retrograde memory dysfunction
- B. Postevent memory dysfunction
- C. Anterograde memory dysfunction
- D. Antenatal memory dysfunction
Correct Answer: C
Rationale: Anterograde memory dysfunction is characterized by the inability to form new memories after a traumatic event or injury, as depicted in the film 'Memento.' This condition is often linked to damage in the hippocampus or surrounding medial temporal lobe structures, which are essential for encoding and storing new information. Individuals with this dysfunction can recall past memories but struggle to create new ones, leading to significant challenges in daily functioning.
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The patient with apraxia cannot:
- A. name his fingers
- B. carry out an imagined act
- C. draw simple diagrams
- D. speak fluently
Correct Answer: B
Rationale: Carry out an imagined act is the correct answer because apraxia is a motor disorder characterized by the inability to perform purposeful movements, despite having the physical ability and desire to do so. This condition results from damage to the parietal lobe or other areas involved in motor planning.
Which assessment question will the nurse practitioner ask a patient with a history of migraines currently prescribed oral sumatriptan (Imitrex) for treatment?
- A. “Does this medication provide relief of migraine symptoms?â€
- B. “Has the sumatriptan helped you sleep better during the migraine?â€
- C. “Does the medication help decrease your anxiety during a migraine?â€
- D. “Has the medication prevented you from getting any more migraines?â€
Correct Answer: A
Rationale: The correct answer is A: "Does this medication provide relief of migraine symptoms?" This question directly assesses the effectiveness of sumatriptan in treating migraines, which is crucial for evaluating the medication's efficacy. Asking about symptom relief is essential in determining if the medication is working as intended.
Choices B, C, and D are incorrect because they do not directly assess the primary purpose of sumatriptan, which is to provide relief from migraine symptoms. B focuses on sleep improvement, C on anxiety reduction, and D on migraine prevention, none of which are the primary goal of sumatriptan therapy. To ensure optimal care, the focus should be on assessing the medication's effectiveness in managing the migraines.
How can the nurse assist the patient and family in coping with the long-term effects of a stroke?
- A. Informing family members that the patient will need assistance with almost all ADLs
- B. Explaining that the patient's prestroke behavior will return as improvement progresses
- C. Encouraging the patient and family members to seek assistance from family therapy or stroke support groups
- D. Helping the patient and family to understand the significance of residual stroke damage to promote problem solving and planning
Correct Answer: C
Rationale: Support groups and understanding residual damage aid in long-term adaptation to stroke effects
To attain the goal of ambulation for the patient who is hemiplegic the initial care plan needs to be structured to first attain
- A. acceptance of his altered body image
- B. balance training
- C. adequate energy level
- D. ability to transfer from bed to chair
Correct Answer: D
Rationale: Transferring skills are foundational for ambulation.
How is leprosy primarily transmitted from person to person?
- A. contaminated toilet seats
- B. shaking hands
- C. blowing nose
- D. sexual intercourse
Correct Answer: C
Rationale: The correct answer is C: blowing nose. Leprosy is primarily transmitted through respiratory droplets when an infected person coughs or sneezes. This is because the bacteria that cause leprosy are mainly spread through respiratory secretions. The other choices (A: contaminated toilet seats, B: shaking hands, D: sexual intercourse) are not common modes of transmission for leprosy. Toilet seats do not play a significant role in transmission, shaking hands is unlikely to transmit the bacteria, and leprosy is not a sexually transmitted disease. Overall, the correct answer aligns with the known mode of transmission of leprosy through respiratory droplets.