Review System for Neurological Questions

Review System for Neurological Questions Related

Review Review System for Neurological Questions related questions and content

What is the primary difference between somatic system disorders and dissociative disorders?

  • A. Somatic system disorders are under voluntary control, whereas dissociative disorders are unconscious and automatic.
  • B. Dissociative disorders are precipitated by psychological factors, whereas somatic system disorders are related to stress.
  • C. Dissociative disorders are individually determined and related to childhood sexual abuse, whereas somatic system disorders are culture bound.
  • D. Dissociative disorders entail stress-related disruptions of memory, consciousness, or identity, whereas somatic system disorders involve the expression of psychological stress through somatic symptoms.
Correct Answer: D

Rationale: Step 1: Define somatic system disorders (SSD) as physical symptoms caused by psychological distress.
Step 2: Define dissociative disorders as disruptions in memory, consciousness, or identity due to stress.
Step 3: Identify that the primary difference is how stress manifests: SSD through physical symptoms and dissociative disorders through disruptions in memory, consciousness, or identity.
Step 4: Choose D as the correct answer as it accurately distinguishes between the two types of disorders.
Summary:
A: Incorrect, as it inaccurately describes the nature of somatic system and dissociative disorders.
B: Incorrect, as it oversimplifies the triggers for each type of disorder.
C: Incorrect, as it generalizes the causes of dissociative disorders and somatic system disorders.

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Following administration of 1.5 g of methocarbamol (Robaxin), which of the following statements by Mrs. Iris would inform the nurse that the medication was effective?

  • A. I was thirsty after that medication.
  • B. I have been urinating a lot today.
  • C. Those awful muscle spasms have let up.
  • D. The swelling in my leg seems to have gone down.
Correct Answer: C

Rationale: Methocarbamol is a muscle relaxant; relief from muscle spasms indicates effectiveness.

Which amino acids are needed in higher amounts in patients with pressure ulcers?

  • A. lysine and tyrosine
  • B. tyrosine and valine
  • C. arginine and glutamine
  • D. valine and cysteine
Correct Answer: C

Rationale: Arginine and glutamine are essential amino acids that play a critical role in wound healing. Arginine promotes collagen synthesis and immune function, while glutamine supports cell proliferation and tissue repair, making them vital for patients with pressure ulcers.

If a nurse observes a sudden change in a client's vital signs, what immediate step should the nurse take?

  • A. Inform the physician
  • B. Change the environmental settings of the client
  • C. Alter the diet intake of the client
  • D. Decrease the physical activity of the client
Correct Answer: A

Rationale: Immediate medical attention is necessary for significant changes in vital signs.

The nurse is assisting as a neurosurgeon examines a patient who has a positive Babinski reflex. What assessment finding should the nurse expect to observe?

  • A. The leg flexes when the patellar tendon is struck.
  • B. The leg extends when the patellar tendon is struck.
  • C. The big toe extends when the sole of the foot is stroked.
  • D. Toes curl downward when the sole of the foot is stroked.
Correct Answer: C

Rationale: A positive Babinski reflex, indicative of neurological dysfunction, involves extension of the big toe and fanning of the other toes when the sole of the foot is stroked. Flexion or extension of the leg is associated with other reflexes. Recognizing a positive Babinski reflex is important for assessing upper motor neuron lesions.

The patient with osteoporosis had a spontaneous hip fracture. How should the nurse document this before the x-ray results return?

  • A. Open fracture
  • B. Oblique fracture
  • C. Pathologic fracture
  • D. Greenstick fracture
Correct Answer: C

Rationale: Pathologic fractures occur due to weakened bone structure, such as in osteoporosis.

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