Deck 34: Disorders Affecting Motor Function

Question 1

Which of the following would the nurse consider focal seizure disorders?

A) Simple partial and complex partial seizures
B) Absence seizures
C) Tonic-clonic seizures
D) Status epilepticus

Answer 1

Simple partial and complex partial seizures

Question 2

Which findings would the nurse expect when assessing a patient with parkinsonism?

A) Chorea, tics, seizures
B) Hyperreflexia, hoarse voice, poor balance
C) Tremors, bradykinesia, rigidity
D) Bradypnea, poor balance, chorea

Answer 2

Tremors, bradykinesia, rigidity

Question 3

Which patient statement indicates an understanding about the risk factors associated with Parkinson disease?

A) "Aluminum exposure does not increase the risk for Parkinson disease."
B) "The risk for Parkinson disease declines with age."
C) "Women are at greater risk for Parkinson disease than men."
D) "My high caffeine intake has a protective effect against Parkinson disease."

Answer 3

"My high caffeine intake has a protective effect against Parkinson disease."

Question 4

When assessing a patient for Parkinson disease, which is the earliest sign the nurse may observe?

A) Shuffling gait
B) Pill rolling resting tremor
C) Lack of affect
D) Rigidity

Question 5

Which information about tremors should the nurse give to a patient newly diagnosed with Parkinson disease?

A) The tremor disappears with sleep.
B) The tremor worsens with action
C) The tremor gets milder with walking.
D) The tremor goes away with excitement.

Question 6

When observing a patient with Parkinson disease walk, which gait is the nurse likely to observe?

A) A shuffling gait with short steps
B) A wide-based staggering gait
C) A stiff gait with thighs overlapping with each step
D) A toe-dragging gait

Question 7

When teaching about the process of diagnosing Parkinson disease, the nurse tells the patient that a diagnosis is based on:

A) three specific symptoms of Parkinson disease that must all be present.
B) a positive CT scan.
C) findings on the medical history and neurologic examination.
D) only the presence of bradykinesia.

Question 8

A patient with Parkinson disease is exhibiting rigidity, bradykinesia, and a limited ability to walk. The nurse explains to the patient that he is now in which Hoehn and Yahr stage of Parkinson disease?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Question 9

When taking a healthy history from a patient newly diagnosed with multiple sclerosis, which of the following is the nurse most likely to find?

A) The patient is 60 years of age.
B) The patient lives in the southern United States.
C) The patient is of northern European descent.
D) The patient is male.

Question 10

Which patient statement indicates that more teaching about multiple sclerosis is needed?

A) "Tai chi can help my sense of balance."
B) "I can expect remissions mixed with relapses since I have relapsing-remitting MS."
C) "A warm bath will help relieve muscular aches."
D) "I need to include fiber in my diet."

Question 11

Which finding indicates to the nurse that a patient with multiple sclerosis is experiencing Uhthoff sign?

A) A worsening of symptoms and blurred vision when the weather is hot and humid.
B) An elevated body temperature with no change in symptom severity.
C) A progressive worsening of symptoms over time.
D) A temporary improvement in symptoms.

Question 12

Which statement by a patient with multiple sclerosis (MS) indicates that more teaching is needed about immunomodulatory therapy (IMT)?

A) "IMT can reduce the severity of my symptoms."
B) "IMT can completely cure MS."
C) "IMT can slow the progression of MS."
D) "IMT can slow the development of plaque."

Question 13

What recommendation should the nurse give to a patient with multiple sclerosis regarding vaccinations?

A) Inactivated vaccines are never safe for people with MS.
B) Live attenuated virus vaccines are safe for people with MS receiving IMT therapy.
C) People with MS should avoid live attenuated virus vaccines.
D) All vaccinations should be avoided.

Question 14

What response should the nurse give when a patient diagnosed with amyotrophic lateral sclerosis (ALS) asks about the disease course?

A) "The disease is progressive."
B) "The disease is marked by periods of remission and exacerbation."
C) "The disease worsens over time, but is marked by a series of plateaus."
D) "The disease will gradually worsen with periodic relapses."

Question 15

The children of a man diagnosed with amyotrophic lateral sclerosis ask if they are at risk for developing this disorder. How should the nurse respond?

A) "No, this is not an inherited disorder."
B) "You may be at risk but genetic testing will help to answer this question."
C) "You have the same risk as the rest of the population."
D) "Yes, you will get this disorder."

Question 16

The nurse should expect to assess which finding in a patient with ALS who is experiencing bulbar involvement?

A) Choking
B) Hyperreflexia
C) Fasciculations
D) Slow movements

Question 17

Which response by the nurse is best when a patient with the Huntington gene asks at what age he can expect symptoms to start?

A) "If you are lucky, symptoms won't appear until after age 70."
B) "Some people with the Huntington gene never develop symptoms."
C) "Typically, symptoms can be detected as early as 10 years old."
D) "The age on onset of symptoms is variable, but generally between 35 to 44 years old."

Question 18

When assessing an older adult for seizures, the nurse should be alert for:

A) a blank stare and brief unresponsiveness.
B) muscular rigidity and loss of consciousness.
C) muscular contraction and relaxation.
D) extremities rigid and extended.

Question 19

What is the priority nursing intervention in a patient with status epilepticus?

A) Pad the bed frame to protect from injury.
B) Document characteristics of the seizure.
C) Administer 50% glucose.
D) Establish and maintain an open airway.

Question 20

The nurse is counseling a woman with the Huntington gene who wants to become pregnant. What teaching would be most appropriate?

A) Advise the woman not to become pregnant.
B) Recommend genetic testing of fertilized eggs with in vitro fertilization.
C) Advise the woman to become pregnant and have amniocentesis at 14 to 18 weeks.
D) Recommend use of a donor egg.