Nokea
What should the nurse do when providing care for a patient with an acute attack of trigeminal neuralgia?
- A. Carry out all hygiene and oral care for the patient.
- B. Use conversation to distract the patient from pain.
- C. Maintain a quiet, comfortable, draft-free environment.
- D. Have the patient examine the mouth after each meal for residual food.
Correct Answer: C
Rationale: A calm environment minimizes triggers and helps manage pain.
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Which of the following is the correct sequence in a typical reflex arc:
- A. effector, afferent neuron, integration centre, efferent neuron, receptor
- B. receptor, afferent neuron, integration centre, efferent neuron, effector
- C. effector, efferent neuron, integration centre, afferent neuron, receptor
- D. receptor, efferent neuron, integration centre, afferent neuron, effector
Correct Answer: B
Rationale: The correct sequence in a reflex arc is: receptor detects the stimulus, afferent neuron transmits the signal to the integration center, efferent neuron carries the response signal, and effector produces the response. Therefore, B is the correct answer.
Before his discharge the nurse should assess Mr. Hall's home situation to determine possible hazards. Of the following items in Mr. Hall's home, which poses the greatest danger to him while he is still on crutches?
- A. Stairs
- B. Doors
- C. Scatter rugs
- D. Easy chairs
Correct Answer: C
Rationale: Scatter rugs can cause tripping hazards.
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).
Which lobe is most closely associated with visual processing?
- A. frontal
- B. temporal
- C. parietal
- D. occipital
Correct Answer: D
Rationale: The occipital lobe is the primary area of the brain responsible for visual processing. It contains the visual cortex, which processes information from the eyes and interprets it as images. Damage to the occipital lobe can result in visual impairments, such as blindness or difficulty recognizing objects. The occipital lobe works in conjunction with other brain regions to integrate visual information with other sensory inputs.
Mary frequently has an increase in seizures before her menstrual period. An intervention that may help to decrease Mary's seizures is
- A. increasing exercise during the week before her period
- B. avoiding any cold or chilling during this time
- C. taking frequent rest periods
- D. decreasing fluid and salt intake
Correct Answer: D
Rationale: Decreasing fluid and salt intake can reduce seizure frequency in some individuals.