Questions and Answers | Grade A |
100% Correct (Verified Solutions)
Question:
A nurse is communicating with a client who has aphasia after having a stroke.
Which action should the nurse take?
a. Use one long sentence to say everything that needs to be said.
b. Keep the television on while she speaks.
c. Talk in a louder than normal voice.
d. Face the client and establish eye contact.
Answer:
d. Face the client and establish eye contact.
,Question:
Name two more "tips' in communicating with a patient with Aphasia:
Answer:
2. Face the patient and establish eye contact.
3. Speak in a clear, unhurried manner, and normal tone of voice.
4. Use short phrases, and pause between phrases to allow the patient time to
understand what is being said.
5. Limit conversation to practical and concrete matters.
6. Use gestures, pictures, objects, and writing.
7. As the patient uses and handles an object, say what the object is. It helps to
match the words with the object or action.
8. Be consistent in using the same words and gestures each time you give
instructions or ask a question.
9. Keep extraneous noises and sounds to a minimum. Too much background
noise can distract the patient or make it difficult to sort out the message being
spoken.
,Question:
A client who has experienced an initial transient ischemic attack (TIA) states:
"I'm glad it wasn't anything serious." Which is the best nursing response to
this statement?
a. "I sense that you are happy it was not a stroke".
b. "People who experience a TIA will develop a stroke".
c. "TIA symptoms are short-lived and resolve within 24 hours".
d. "TIA is a warning sign. Let's talk about lowering your risks."
Answer:
d. "TIA is a warning sign. Let's talk about lowering your risks."
Question:
How long does the typical neurological deficit last with a TIA?
Answer:
less than 24 hrs, lasting 1-2 hrs
, Question:
When caring for a patient who had a hemorrhagic stroke, close monitoring of
vital signs and neurologic changes is imperative. What is the earliest sign of
deterioration in a patient with a hemorrhagic stroke of which the nurse
should be aware?
a. Generalized pain
b. Alteration in level of consciousness (LOC)
c. Tonic-clonic seizures
d. Shortness of breath
Answer:
b. Alteration in level of consciousness (LOC)
Question:
What will alteration in level of consciousness (LOC) look like for this patient?
Name two symptoms.
Answer:
Drowsiness
slight slurring of speech
sluggish pupillary reaction