©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
Chapter 61: Nursing Management: Chronic
Neurological Problems Lewis et al.: Medical-
Surgical Nursing in Canada. Exam Questions
And Answers |Latest 2025 | Guaranteed Pass.
1. A patient with a headache describes it as affecting both sides of his head with a moderate
intensity that becomes worse when he is physically active. The nurse knows that the patient's
clinical manifestations are characteristic of which of the following disorders?
a. Cluster headaches
b. Migraine headaches
c. Tension-type headaches
d. Headaches associated with trigeminal neuralgia - Answer✔ANS: C
The International Headache Society (2004) classification system defines tension-type headache
as involving at least two of the following characteristics: pressure or tightness sensation, mild to
moderate severity, bilateral location, or worsening with physical activity.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1701, Table 61-1
OBJ: 1 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
2. A 20-year-old woman is seen at the health clinic with a severe migraine headache. The
headaches began 3 months ago, and she has had four headaches since that time. During
assessment, the patient tells the nurse she is afraid to make social plans because she never
knows when she will be incapacitated with the pain. What is the most appropriate nursing
intervention in response to the patient's comments?
a. Refer the patient for counselling to assist her with conflict resolution and stress reduction.
b. Suggest that the patient keep a diary of headache episodes to identify precipitating factors.
1
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
c. Encourage the patient to learn the holistic techniques of meditation and biofeedback to
minimize the pain.
d. Reassure the patient that the headaches are not serious and the pain can be controlled with
a variety of drugs. - Answer✔ANS: B
The initial nursing action should be further assessment of the precipitating causes of the
headaches, quality and location of pain, and so on, which can be accomplished by the patient
keeping a diary of the headache episodes.
PTS: 1 DIF: Cognitive Level: Application REF: page 1705
OBJ: 1 TOP: Nursing Process: Implementation MSC: CRNE: CH-2
3. When teaching a patient about management of her migraine headaches, the nurse
determines that teaching has been effective when the patient gives which of the following
responses?
a. "I will take the topiramate as soon as any headaches start."
b. "The sumatriptan will help increase the blood flow to my brain."
c. "I will try to lie down someplace dark and quiet when the headaches begin."
d. "A glass of wine might help me relax and prevent headaches from developing." -
Answer✔ANS: C
It is recommended that the patient with a migraine rest in a dimly lit, quiet area.
PTS: 1 DIF: Cognitive Level: Application REF: page 1702
OBJ: 1 TOP: Nursing Process: Evaluation MSC: CRNE: NCP-14
4. What is the most important nursing tool in diagnosing a cluster headache?
a. Magnetic resonance imaging (MRI) of the brain
b. Electromyography
c. The patient history
d. Computed tomography (CT) imaging of the brain - Answer✔ANS: C
Diagnosis of cluster headache is made primarily on the basis of the patient's symptoms;
therefore, a thorough patient history is required.
2
Chapter 61: Nursing Management: Chronic
Neurological Problems Lewis et al.: Medical-
Surgical Nursing in Canada. Exam Questions
And Answers |Latest 2025 | Guaranteed Pass.
1. A patient with a headache describes it as affecting both sides of his head with a moderate
intensity that becomes worse when he is physically active. The nurse knows that the patient's
clinical manifestations are characteristic of which of the following disorders?
a. Cluster headaches
b. Migraine headaches
c. Tension-type headaches
d. Headaches associated with trigeminal neuralgia - Answer✔ANS: C
The International Headache Society (2004) classification system defines tension-type headache
as involving at least two of the following characteristics: pressure or tightness sensation, mild to
moderate severity, bilateral location, or worsening with physical activity.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1701, Table 61-1
OBJ: 1 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
2. A 20-year-old woman is seen at the health clinic with a severe migraine headache. The
headaches began 3 months ago, and she has had four headaches since that time. During
assessment, the patient tells the nurse she is afraid to make social plans because she never
knows when she will be incapacitated with the pain. What is the most appropriate nursing
intervention in response to the patient's comments?
a. Refer the patient for counselling to assist her with conflict resolution and stress reduction.
b. Suggest that the patient keep a diary of headache episodes to identify precipitating factors.
1
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
c. Encourage the patient to learn the holistic techniques of meditation and biofeedback to
minimize the pain.
d. Reassure the patient that the headaches are not serious and the pain can be controlled with
a variety of drugs. - Answer✔ANS: B
The initial nursing action should be further assessment of the precipitating causes of the
headaches, quality and location of pain, and so on, which can be accomplished by the patient
keeping a diary of the headache episodes.
PTS: 1 DIF: Cognitive Level: Application REF: page 1705
OBJ: 1 TOP: Nursing Process: Implementation MSC: CRNE: CH-2
3. When teaching a patient about management of her migraine headaches, the nurse
determines that teaching has been effective when the patient gives which of the following
responses?
a. "I will take the topiramate as soon as any headaches start."
b. "The sumatriptan will help increase the blood flow to my brain."
c. "I will try to lie down someplace dark and quiet when the headaches begin."
d. "A glass of wine might help me relax and prevent headaches from developing." -
Answer✔ANS: C
It is recommended that the patient with a migraine rest in a dimly lit, quiet area.
PTS: 1 DIF: Cognitive Level: Application REF: page 1702
OBJ: 1 TOP: Nursing Process: Evaluation MSC: CRNE: NCP-14
4. What is the most important nursing tool in diagnosing a cluster headache?
a. Magnetic resonance imaging (MRI) of the brain
b. Electromyography
c. The patient history
d. Computed tomography (CT) imaging of the brain - Answer✔ANS: C
Diagnosis of cluster headache is made primarily on the basis of the patient's symptoms;
therefore, a thorough patient history is required.
2
