One indication that a paraplegic patient is beginning to accept his disability would be that he
- A. sits and looks out the window
- B. practices push-up exercises
- C. discusses his preinjury state
- D. drinks plenty of milk
Correct Answer: B
Rationale: Engaging in physical activities indicates acceptance and adaptation.
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What is the term for the body of a neuron?
- A. dendrite
- B. axon
- C. filament
- D. soma
Correct Answer: D
Rationale: The soma, or cell body, of a neuron contains the nucleus and other organelles necessary for cellular functions. It is responsible for maintaining the cell's metabolic activities and integrating incoming signals from dendrites.
Which is the only current medicinal treatment for ALS, which appears to affect the release of the neurotransmitter glutamate?
- A. riluzole
- B. benserazide
- C. carbidopa
- D. levodopa
Correct Answer: A
Rationale: Riluzole is the only FDA-approved medication for ALS. It works by reducing the release of glutamate, a neurotransmitter that can cause excitotoxicity and damage neurons when present in excessive amounts.
After a car accident, Rhodri had a lot of difficulty planning his day. This is most likely the result of damage to which lobe?
- A. temporal
- B. parietal
- C. frontal
- D. occipital
Correct Answer: C
Rationale: The frontal lobe is responsible for executive functions, such as planning, decision-making, and problem-solving. Damage to the frontal lobe, as might occur in a car accident, can impair these abilities, making it difficult for individuals to organize tasks, set goals, or manage time. The frontal lobe also plays a role in personality, social behavior, and motor control, highlighting its importance in complex cognitive processes.
Parkinsonism includes combination of the following:
- A. tremor, bradykinesia & muscles rigidity
- B. paresis, anesthesia & muscles spasticity
- C. chorea & muscles hypotonia
- D. tremor, ataxia & muscles hypotonia
Correct Answer: A
Rationale: Tremor, bradykinesia, and muscle rigidity are the correct answers because these are the cardinal features of Parkinsonism. Bradykinesia refers to slowness of movement, rigidity refers to increased muscle tone, and tremor is often present at rest. These symptoms result from the degeneration of dopaminergic neurons in the substantia nigra.
In response to the 66-year-old woman with Parkinson's Disease who is experiencing difficulty walking, the charge nurse could offer a supportive and appropriate suggestion to aid in her mobility. The nurse might say:
- A. Using a cane might provide you with the additional support you need while walking.'
- B. If walking becomes too challenging, it's important not to push yourself too hard.'
- C. I can arrange for a wheelchair to help ensure your safety and comfort.'
- D. Focus on walking at a steady, comfortable pace to maintain your mobility.'
Correct Answer: A
Rationale: Using a cane can provide additional support and stability for PD patients experiencing difficulty walking, reducing the risk of falls.