Nokea
Which of the following measures should the nurse strongly recommend to a client recovering from a ruptured Achilles tendon to help regain mobility, strength, and the full range of motion?
- A. Regular use of NSAIDs
- B. Vigorous exercise
- C. Physical therapy
- D. Non-medical interventions, such as yoga
Correct Answer: C
Rationale: Physical therapy is essential for restoring function after tendon injuries.
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You are preparing a nursing care plan for the patient with SCI including the nursing diagnoses Impaired Physical Mobility and Self-Care Deficit. The patient tells you, 'I don't know why we're doing all this. My life's over.' What additional nursing diagnosis takes priority based on this statement?
- A. Risk for Injury related to altered mobility
- B. Imbalanced Nutrition, Less Than Body Requirements
- C. Impaired Adjustment to Spinal Cord Injury
- D. Poor Body Image related to immobilization
Correct Answer: C
Rationale: This statement reflects a need for psychological support and adjustment to the injury.
Regarding the speech centres
- A. Broca's area is on the left side in most left-handed people
- B. Broca's area is posterior
- C. Wernicke's area controls motor response
- D. Damage to Broca's area produces motor aphasia
Correct Answer: D
Rationale: Broca's area, located in the frontal lobe, is responsible for speech production. Damage to this area results in motor (expressive) aphasia, where patients understand language but cannot produce coherent speech.
The first stage of Alzheimer's disease is characterized by:
- A. depression and anger
- B. hand tremors and confusion
- C. headaches and depression
- D. memory loss and confusion
Correct Answer: D
Rationale: The first stage of Alzheimer's disease is typically marked by memory loss and confusion, particularly with recent events. As the disease progresses, more severe cognitive and functional impairments develop.
A patient diagnosed with somatic symptom disorder says, I have pain from an undiagnosed injury. I can't take care of myself. I need pain medicine six or seven times a day. I feel like a baby because my family has to help me so much. It is important for the nurse to assess:
- A. mood.
- B. cognitive style.
- C. secondary gains.
- D. identity and memory.
Correct Answer: C
Rationale: The correct answer is C: secondary gains. In this scenario, the patient's focus on pain and dependency suggests potential secondary gains, such as attention or avoidance of responsibilities. Assessing secondary gains helps in understanding the underlying motivations for the symptoms. Mood (choice A) may be important but doesn't directly address the patient's behavior. Cognitive style (choice B) and identity/memory (choice D) are not as relevant in this context as secondary gains in somatic symptom disorder.
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.