Nokea
When an individual displays a deficit in the comprehension of speech involving difficulties in recognising spoken words and converting thoughts into words is known as
- A. Wernicke's aphasia
- B. Broca's aphasia
- C. Beidecker's aphasia
- D. Warnick's aphasia
Correct Answer: A
Rationale: Wernicke's aphasia is a language disorder characterized by difficulties in understanding spoken language and converting thoughts into coherent speech. Individuals with this condition may produce fluent but nonsensical speech and struggle to recognize spoken words. This condition results from damage to Wernicke's area, a region in the temporal lobe responsible for language comprehension.
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The patient's spinal cord injury is at T4. What is the highest-level goal of rehabilitation that is realistic for this patient to have?
- A. Indoor mobility in manual wheelchair
- B. Ambulate with crutches and leg braces
- C. Be independent in self-care and wheelchair use
- D. Completely independent ambulation with short leg braces and canes
Correct Answer: C
Rationale: Independence in self-care and wheelchair use is realistic for T4 injuries.
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.
When assessing a patient's orientation, the nurse should:
- A. Ask the patient questions about their name, location, and the date.
- B. Measure the patient's temperature.
- C. Inspect the patient's skin color.
- D. Check the patient's pulse rate.
Correct Answer: A
Rationale: Orientation is assessed by asking the patient about their name, location, and the date. Temperature, skin color, and pulse rate are unrelated to orientation.
The presence of Bell's palsy suggests damage to the following cranial nerve:
- A. facial
- B. optic
- C. olfactory
- D. vestibular
Correct Answer: A
Rationale: Facial nerve is the correct answer because Bell's palsy is a condition characterized by the sudden weakness or paralysis of the facial muscles on one side of the face due to inflammation or damage to the facial nerve (cranial nerve VII). This results in symptoms such as drooping of the mouth, inability to close the eye, and loss of facial expression.
What is different when a lesion occurs in a lower motor neuron compared to in an upper motor neuron?
- A. Causes hyporeflexia and flaccidity
- B. Affects motor control of the lower body
- C. Arises in structures above the spinal cord
- D. Interferes with reflex arcs in the spinal cord
Correct Answer: A
Rationale: Lower motor neuron lesions typically result in hyporeflexia and flaccidity due to direct involvement of motor neurons.