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A client with Bell's palsy tells the nurse that she is very depressed about having the disease.
The most informative response from the nurse would be
a. "Bell's palsy can be treated successfully with medication."
b. "I understand how you feel; it is difficult to live with a chronic disease."
c. "Surgery has been very successful in improving the problem."
d. "The symptoms are likely to disappear or get better within a few weeks." -
ANSWER d. "The symptoms are likely to disappear or get better within a few
weeks."
The nurse would question a client with suspected trigeminal neuralgia about facial pain that
is
a. characterized by intermittent episodes of severe pain with gradual onset.
b. characterized by intermittent episodes of severe pain with sudden onset.
c. constant and aching or burning in nature.
d. constant, severe, and sharp in nature. - ANSWER b. characterized by intermittent
episodes of severe pain with sudden onset.
When the spouse of a client who has had a CVA as a result of a cerebral hemorrhage asks
the nurse about the client's chances for recovery, the nurse should base a reply on
knowledge that with this type of CVA
a. improvement generally occurs over several days.
b. rapid improvement often occurs.
c. recovery is slow and less complete.
d. there is no way to know for sure. - ANSWER c. recovery is slow and less complete.
1
,The nurse assesses agnosia in a client who had a CVA. An example of this disturbance would
be an inability to
a. read and comprehend writing.
b. recognize eating utensils.
c. see past the midline.
d. use the limbs purposefully. - ANSWER b. recognize eating utensils.
A client has a history of experiencing focal neurologic deficits, such as slurred speech and
facial weakness, that last for a few hours at a time. The nurse then assesses this client for
other possible manifestations of
a. embolic stroke.
b. encephalopathy.
c. intracranial hemorrhage.
d. transient ischemic attacks (TIAs) - ANSWER d. transient ischemic attacks (TIAs)
To best help the client who has the nursing diagnosis Ineffective Coping after a stroke, the
nurse would
a. break a long-term goal into smaller pieces.
b. listen to the client carefully and try to understand.
c. place familiar items, such as photos, near the bed.
d. redirect the client when inappropriate behavior occurs. - ANSWER a. break a long-
term goal into smaller pieces.
The assessment the nurse documents that supports the finding of apraxia would be the
client's inability to
a. get dressed independently.
b. recognize a pencil.
c. see far objects.
2
, d. understand the spoken word. - ANSWER a. get dressed independently.
Safety precautions the nurse instructs the client with homonymous hemianopsia to use
include
a. getting evaluated for prescription lenses.
b. turning the head to scan the visual field.
c. using artificial tears to keep the eyes moist.
d. wearing an eye patch on alternating eyes. - ANSWER b. turning the head to scan
the visual field.
A client who experienced a stroke that left residual left hemiplegia will not wash the left side
or use her good limbs on the right to move or adjust the limbs on the left. The most
appropriate diagnosis for this client is
a. Altered Physical Mobility.
b. Ineffective Coping.
c. Self-Care Deficit.
d. Unilateral Neglect - ANSWER d. Unilateral Neglect
A client had a stroke. A nurse has arranged a consultation with an occupational therapist in
order to enhance the client's ability to
a. acquire job skills.
b. feed himself.
c. swallow.
d. use a walker. - ANSWER b. feed himself.
A client who has left hemiparesis as a result of stroke is getting out of bed to the chair for
the first time. The nurse should position the chair a. at a right angle to the client's left side.
b. at a right angle to the client's right side.
c. facing away from the side of the bed.
3
A client with Bell's palsy tells the nurse that she is very depressed about having the disease.
The most informative response from the nurse would be
a. "Bell's palsy can be treated successfully with medication."
b. "I understand how you feel; it is difficult to live with a chronic disease."
c. "Surgery has been very successful in improving the problem."
d. "The symptoms are likely to disappear or get better within a few weeks." -
ANSWER d. "The symptoms are likely to disappear or get better within a few
weeks."
The nurse would question a client with suspected trigeminal neuralgia about facial pain that
is
a. characterized by intermittent episodes of severe pain with gradual onset.
b. characterized by intermittent episodes of severe pain with sudden onset.
c. constant and aching or burning in nature.
d. constant, severe, and sharp in nature. - ANSWER b. characterized by intermittent
episodes of severe pain with sudden onset.
When the spouse of a client who has had a CVA as a result of a cerebral hemorrhage asks
the nurse about the client's chances for recovery, the nurse should base a reply on
knowledge that with this type of CVA
a. improvement generally occurs over several days.
b. rapid improvement often occurs.
c. recovery is slow and less complete.
d. there is no way to know for sure. - ANSWER c. recovery is slow and less complete.
1
,The nurse assesses agnosia in a client who had a CVA. An example of this disturbance would
be an inability to
a. read and comprehend writing.
b. recognize eating utensils.
c. see past the midline.
d. use the limbs purposefully. - ANSWER b. recognize eating utensils.
A client has a history of experiencing focal neurologic deficits, such as slurred speech and
facial weakness, that last for a few hours at a time. The nurse then assesses this client for
other possible manifestations of
a. embolic stroke.
b. encephalopathy.
c. intracranial hemorrhage.
d. transient ischemic attacks (TIAs) - ANSWER d. transient ischemic attacks (TIAs)
To best help the client who has the nursing diagnosis Ineffective Coping after a stroke, the
nurse would
a. break a long-term goal into smaller pieces.
b. listen to the client carefully and try to understand.
c. place familiar items, such as photos, near the bed.
d. redirect the client when inappropriate behavior occurs. - ANSWER a. break a long-
term goal into smaller pieces.
The assessment the nurse documents that supports the finding of apraxia would be the
client's inability to
a. get dressed independently.
b. recognize a pencil.
c. see far objects.
2
, d. understand the spoken word. - ANSWER a. get dressed independently.
Safety precautions the nurse instructs the client with homonymous hemianopsia to use
include
a. getting evaluated for prescription lenses.
b. turning the head to scan the visual field.
c. using artificial tears to keep the eyes moist.
d. wearing an eye patch on alternating eyes. - ANSWER b. turning the head to scan
the visual field.
A client who experienced a stroke that left residual left hemiplegia will not wash the left side
or use her good limbs on the right to move or adjust the limbs on the left. The most
appropriate diagnosis for this client is
a. Altered Physical Mobility.
b. Ineffective Coping.
c. Self-Care Deficit.
d. Unilateral Neglect - ANSWER d. Unilateral Neglect
A client had a stroke. A nurse has arranged a consultation with an occupational therapist in
order to enhance the client's ability to
a. acquire job skills.
b. feed himself.
c. swallow.
d. use a walker. - ANSWER b. feed himself.
A client who has left hemiparesis as a result of stroke is getting out of bed to the chair for
the first time. The nurse should position the chair a. at a right angle to the client's left side.
b. at a right angle to the client's right side.
c. facing away from the side of the bed.
3
