Deck 20: Neurological Disorders

Question 1

Which of the following statements is true about Parkinson disease (PD)?

A) Drinking large amounts of alcohol can relieve symptoms of essential tremor.
B) Motor tremors and slow movement accompany severe cognitive impairment.
C) Lewy body dementia (LBD) is the most common form of dementia.
D) Older adults taking rasagiline (Azilect) must avoid eating foods containing tyramine.

Answer 1

Older adults taking rasagiline (Azilect) must avoid eating foods containing tyramine.

Question 2

_______________ __________________ is a motor speech disorder that affects the ability to plan and sequence voluntary muscle movements.

Answer 2

Verbal apraxia
The muscles of speech are not paralyzed; rather,a disruption occurs in the brain's transmission of signals to the muscles.When thinking about what to say,the person may be unable to speak at all or may struggle to say any words.In contrast,the person may be able to say many words or sentences correctly when not thinking about the words.Apraxia frequently occurs with aphasia.

Question 3

The nurse is caring for a patient who has had a stroke.The nurse is concerned the patient will develop contractures.Which intervention should the nurse implement?

A) Use tennis shoes while in bed.
B) Turn the patient onto the affected side, resting on the shoulder.
C) Use paraffin wax for hand soaks.
D) Conduct passive range-of-motion movements to the affected extremities.

Answer 3

Conduct passive range-of-motion movements to the affected extremities.

Question 4

An older adult arrives at the emergency department with a probable diagnosis of a hemorrhagic stroke.The nurse understands,based on the patient's age,that the most likely cause is which one of the following?

A) Intracranial hemorrhage
B) Decreased cardiac output
C) Thrombosis
D) Uncontrolled hypertension

Question 5

The nurse in a rehabilitation center is caring for a patient who has new-onset stroke with right-side hemiparesis.Which intervention should the nurse implement when caring for this patient?

A) Orders a two-person assist with a transfer.
B) May need to incorporate repetition.
C) Gives the patient a dry erase board.
D) Raises all four side rails.

Question 6

After completing an admission assessment on a patient who recently suffered a stroke,the nurse should choose which of the following nursing diagnoses as a priority?

A) Risk for inury
B) Altered thought process
C) Altered cerebral perfusion
D) Decreased mobility

Question 7

The nurse is caring for a patient diagnosed with PD.Which tool should the nurse use to gather information from the patient's perspective?

A) The Geriatric Depression Tool
B) The Sickness Impact Profile (SIP)
C) The Mini-Mental State Examination-2nd edition (MMSE-2)
D) The Montreal Cognitive Assessment Tool

Question 8

Persons with _____________ _______________ usually understand others but speak very slowly and use a minimal number of words.

Question 9

Which of the following behavior modifications should the nurse instruct a patient to accomplish to help reduce the risk factors for an occurrence of a stroke.

A) Increase the intake of green, leafy vegetables.
B) Stop smoking.
C) Control blood pressure.
D) Increase physical activity.

Question 10

A new nurse in a long-term care facility is caring for a patient with PD.The nurse should note which one of the following actions related to PD that is observed during the assessment?

A) Tremors during sleep
B) Cogwheel rigidity
C) Frequent blinking
D) Fast movements

Question 11

_____________ _____________ is the result of a lesion in the part of the brain adjacent to the primary auditory cortex (Wernicke area).

Question 12

An older man comes to the emergency department after falling at home,and he reports that he cannot walk without losing his balance.Which steps should the nurse implement for this patient?

A) Arrange to transfer him immediately to the radiology department.
B) Determine symptom onset or when he fell at home.
C) Organize the reperfusion tissue plasminogen activator (tPA) infusion.
D) Perform a comprehensive neurologic assessment.

Question 13

Which of the following statements is true about dysarthria?

A) Does not affect intelligence.
B) Stems from severe rheumatoid arthritis.
C) Physical therapy can be beneficial.
D) Can affect the balance.

Question 14

Which of the following are common side effects of PD and the medications used to treat it?

A) Skin irritation
B) Dyskinesias
C) Dystonia
D) Nausea

Question 15

A home health nurse is completing an admission on a patient who recently experienced a transient ischemic attack (TIA).During the assessment,the patient begins to complain of a severe headache and numbness in his left arm.Which action should the nurse take next?

A) Instruct the patient to take Tylenol.
B) Ask whether patient suffers from migraine headaches.
C) Reschedule the visit.
D) Call 9-1-1.