A 27-year-old woman presents to the nurse practitioner with unilateral facial paralysis that had a rapid onset. Which of the following is NOT true about Bell's palsy?
Even without treatment, 70% of patients will have complete resolution.
Risk factors include diabetes, pregnancy, preeclampsia, obesity, and hypertension.
Most cases occur before age 18 years.
Bell's palsy has no sex or racial preference, and it can occur at any age.
The Correct Answer is C
Choice A reason: It is true that Bell’s palsy often resolves spontaneously in many patients, with approximately 70% recovering fully without intervention. This highlights the typically self-limiting nature of the disorder.
Choice B reason: Diabetes, pregnancy, preeclampsia, obesity, and hypertension are recognized risk factors for Bell’s palsy. These conditions may contribute to microvascular changes or immune responses that trigger the facial nerve dysfunction.
Choice C reason: Most cases of Bell’s palsy occur in adults between the ages of 15 and 60, not predominantly before 18 years. This statement is incorrect and therefore the correct choice for this question.
Choice D reason: Bell’s palsy can affect anyone regardless of sex or race, and it may occur at any age, supporting its classification as a non-discriminatory neurological disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Major depressive disorder may involve sadness, anhedonia, and fatigue, but it does not fully explain recurrent nightmares, flashbacks, avoidance, and detachment after a trauma, making this diagnosis inappropriate here.
Choice B reason: Generalized anxiety disorder is characterized by excessive, generalized worry and tension over multiple domains. It does not explain trauma-specific flashbacks or avoidance behaviors following a specific event, so it is not appropriate.
Choice C reason: Acute stress disorder occurs within 3 days to 4 weeks after a traumatic event. Since the symptoms persisted beyond 2 months, the time frame exceeds that of acute stress disorder.
Choice D reason: Posttraumatic stress disorder is characterized by intrusive memories, nightmares, flashbacks, avoidance, negative mood, and hyperarousal following trauma. The PMHNP's persistent and trauma-specific symptoms months after exposure are consistent with PTSD.
Correct Answer is C
Explanation
Choice A reason: Hyperhidrosis is a known dose-dependent side effect of SSRIs, particularly paroxetine, making this statement correct.
Choice B reason: Age-related changes in drug metabolism and hormone levels may reduce SSRI efficacy in women over 50, making this statement accurate.
Choice C reason: This statement is not correct. While escitalopram may have a slightly lower risk of hyperhidrosis, switching without first evaluating dose adjustment or other interventions is not the standard first approach. The focus should be on managing side effects while maintaining therapeutic efficacy.
Choice D reason: Reducing the dose and considering adjunctive therapies while evaluating hormonal status is an appropriate, evidence-based approach to managing SSRI-induced hyperhidrosis in this patient population.
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