Nokea
The 45-year-old client is diagnosed with primary progressive multiple sclerosis and the nurse writes the nursing diagnosis 'anticipatory grieving related to progressive loss.' Which intervention should be implemented?
- A. Consult the physical therapist for assistive devices for mobility.
- B. Determine if the client has a legal power of attorney.
- C. Ask if the client would like to talk to the hospital chaplain.
- D. Discuss the client's wishes regarding end-of-life care.
Correct Answer: D
Rationale: Discussing end-of-life care is crucial for clients with progressive diseases like MS, as it helps them plan for the future and express their wishes.
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The motor nuclei of the facial nerve are situated in the
- A. Floor of the third ventricle
- B. Cerebellum
- C. Midbrain
- D. Pons
Correct Answer: D
Rationale: The motor nuclei of the facial nerve are located in the pons. These nuclei control the muscles of facial expression.
The patient who has right homonymous hemianopia and right hemiparesthesia would indicate his awareness of his safety self-promotion by
- A. keeping frequently used objects on his left side
- B. asking his visitors to approach him from his affected side
- C. frequently checking the position of the affected extremities in space
- D. adhering to one-handed activities
Correct Answer: A
Rationale: Placing objects on the unaffected side ensures visibility.
The trigeminal nerve
- A. Has five divisions
- B. Mandibular division is purely sensory
- C. Has its motor nucleus in the upper pons
- D. Exits the skull entirely through the foramen ovale
Correct Answer: C
Rationale: The trigeminal nerve has three divisions (ophthalmic, maxillary, mandibular) and a motor nucleus in the upper pons. The mandibular division carries both sensory and motor fibers.
A neuron with a cell body located in the CNS whose primary function is connecting other neurons is called a(n):
- A. efferent neuron
- B. afferent neuron
- C. interneuron
- D. glial cell
Correct Answer: C
Rationale: Interneurons are neurons located entirely within the CNS that connect other neurons. Efferent neurons transmit signals from the CNS to effectors, afferent neurons transmit signals from receptors to the CNS, and glial cells and satellite cells are supportive cells. Thus, C is the correct answer.
Which cranial nerve lies in the junction between pons and medilla?
- A. abducent nerve (VI)
- B. facial nerve (VII)
- C. vestibulocochlear nerve (VIII)
- D. glossopharyngeal nerve (IX)
Correct Answer: A
Rationale: The abducent nerve (VI) emerges at the junction between the pons and medulla. It controls the lateral rectus muscle, which abducts the eye.