Nokea
A patient has blindness related to a functional neurological (conversion) disorder but is unconcerned about this problem. Which understanding should guide the nurse's planning for this patient? The patient is:
- A. suppressing accurate feelings regarding the problem.
- B. relieving anxiety through the physical symptom.
- C. meeting needs through hospitalization.
- D. refusing to disclose genuine fears.
Correct Answer: B
Rationale: The correct answer is B because the patient is unconcerned about the blindness, indicating that the symptom is relieving anxiety. This is characteristic of conversion disorder where physical symptoms alleviate psychological distress. Other choices are incorrect because the patient is not necessarily suppressing feelings (A), not meeting needs through hospitalization (C), and not refusing to disclose fears (D).
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A graphic designer, who spends hours working on the computer, complains of a slight pain in her right hand. The client describes the pain to be more prominent at night and early in the morning. The condition is not yet serious. Which of the following measures should the nurse suggest to the designer to help alleviate the pain?
- A. Flexing the affected wrist
- B. Shaking the affected hand
- C. Using surgical intervention
- D. Applying physical therapy
Correct Answer: A
Rationale: Flexing the wrist can help relieve pressure on the median nerve, alleviating pain.
In assessing Bob, which of the following complaints would indicate radial nerve injury?
- A. Pain at the fracture site
- B. Inability to extend the wrist
- C. Inability to flex the elbow
- D. Paralysis of the hand and forearm
Correct Answer: B
Rationale: The radial nerve primarily controls wrist extension; inability to extend the wrist indicates radial nerve damage.
What is the outermost membrane surrounding the brain called?
- A. pia mater
- B. arachnoid mater
- C. dura mater
- D. alma mater
Correct Answer: C
Rationale: The correct answer is C, dura mater. The dura mater is the outermost membrane surrounding the brain, providing a tough protective layer. Pia mater (A) is the innermost layer, while arachnoid mater (B) is the middle layer. Choice D, alma mater, is a term referring to one's former school or college and is not related to brain anatomy. In summary, dura mater is the correct answer as it is the outermost protective membrane surrounding the brain, while the other choices refer to inner layers or are unrelated terms.
The nurse is preparing a patient for an electroencephalogram (EEG). What information should be given to the patient?
- A. Little needles will be stuck into the scalp.
- B. The hair must be clean and dry before the test.
- C. The hair at the temporal area will have to be shaved.
- D. The patient must withhold fluids and food for 12 hours before the test.
Correct Answer: B
Rationale: For an EEG, the patient's hair must be clean and dry to ensure proper electrode adhesion. Needles are not used, shaving is not required, and fasting is unnecessary. Clear instructions help the patient prepare for the test.
What could the nurse delegate to unlicensed assistive personnel (UAP)?
- A. Complete the admission assessment.
- B. Explain the call system to the patient.
- C. Obtain the suction equipment from the supply cabinet.
- D. Place a padded tongue blade on the wall above the patient's bed.
Correct Answer: C
Rationale: Obtaining equipment is a task that can be delegated to UAP