Nokea
Involuntary rhythmic movement of the eyes, with oscillations that may be horizontal, vertical, or mixed movements, is called ___
Correct Answer: nystagmus
Rationale: Nystagmus is a rhythmic movement of the eyes, which may be horizontal, vertical, or mixed in directional movement. The eye movement cannot be controlled by the patient.
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A patient who has experienced a stroke has expressive aphasia. Which abnormal manner of communication does the patient display?
- A. Has difficulty comprehending spoken and written communication.
- B. Cannot make any vocal sounds
- C. Has total loss and understanding of language.
- D. Can understand the spoken word, but cannot speak.
Correct Answer: D
Rationale: The patient with expressive aphasia has difficulty articulating words but can understand the written and spoken word.
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.
An 83-year-old patient has had a stroke. The patient is right handed and has a history of hypertension and 'little' strokes. The patient presents with right hemiplegia. To afford the patient the best visual field, the nurse will approach the patient in which manner?
- A. from the right side.
- B. from the left side.
- C. from the center.
- D. from either side.
Correct Answer: B
Rationale: Another perceptual problem is hemianopia, which is characterized by defective vision or blindness in half of the visual field. If the patient has hemianopia, which is common, the patient should be approached from the nonparalyzed side for care.
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.
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).