Chronic Neurologic Problems Assignment

Chronic Neurologic Problems Assignment
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. A 50-year-old man complains of recurring headaches. He describes
these as sharp, stabbing, and located around his left eye. He also
reports that his left eye seems to swell and get teary when these
headaches occur. Based on this history, you suspect that he has
a. cluster headaches.
b. tension headaches.
c. migraine headaches.
d. medication overuse headaches.
2. A 65-year-old woman was just diagnosed with Parkinson’s disease.
The priority nursing intervention is
a. searching the Internet for educational videos.
b. evaluating the home for environmental safety.
c. promoting physical exercise and a well-balanced diet.
d. designing an exercise program to strengthen and stretch specific
muscles.
3. The nurse finds that an 87-year-old woman with Alzheimer’s
disease is continually rubbing, flexing, and kicking out her legs
throughout the day. The night shift reports that this same behavior
escalates at night, preventing her from obtaining her required sleep.
The next step the nurse should take is to
a. ask the physician for a daytime sedative for the patient.
b. request soft restraints to prevent her from falling out of her bed.
c. ask the physician for a nighttime sleep medication for the
patient.
d. assess the patient more closely, suspecting a disorder such as
restless legs syndrome.
4. Social effects of a chronic neurologic disease include (select all that
apply)
a. divorce.
b. job loss.
c. depression.
d. role changes.
e. loss of self-esteem.
5. The nurse is reinforcing teaching with a newly diagnosed patient
with amyotrophic lateral sclerosis. Which statement would be
appropriate to include in the teaching?
a. “ALS results from an excess chemical in the brain, and the symptoms can be controlled with medication.”
b. “Even though the symptoms you are experiencing are severe,
most people recover with treatment.”
c. “You need to consider advance directives now, since you will lose
cognitive function as the disease progresses.”
d. “This is a progressing disease that eventually results in permanent paralysis, though you will not lose any cognitive function.”