A client had a traumatic brain injury from a bicycle accident 3 months ago. The client's partner states "Every few days I use a different approach to help them remember things but nothing seems to stick. The nurse's best reply is:
Have you tried videos or flash cards? People learn in different ways."
It is important to reinforce one consistent method due to the injury
Does he have a favorite type of music? Background music helps with memory
Maybe he is depressed due to the injury, Depression alters concentration”
The Correct Answer is B
A. Have you tried videos or flash cards? People learn in different ways.: While videos or flashcards might be helpful tools for some, this response doesn't address the primary concern, which is consistency in the approach for memory recall. Reinforcing one method consistently is crucial for individuals with traumatic brain injuries (TBI) to help improve memory retention.
B. It is important to reinforce one consistent method due to the injury.: This is the best response. Individuals with brain injuries, especially those affecting memory, benefit from consistent, structured methods of learning and remembering. Changing the approach frequently can confuse the patient and hinder their progress. Reinforcing one method consistently will provide the brain with a routine to help it form connections and improve memory.
C. Does he have a favorite type of music? Background music helps with memory.: While music can sometimes be used in memory therapies, the suggestion of using music as background for memory enhancement is not a reliable or consistent approach. It doesn't address the need for a structured, consistent method that would be most beneficial in this case.
D. Maybe he is depressed due to the injury, Depression alters concentration.: While depression can affect cognitive functions such as concentration and memory, there is no direct indication in the partner’s statement that depression is the primary concern here. Focusing on consistent memory strategies is more appropriate as a first step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The pH is normal but leaning toward alkalosis (7.44).
The PaCO₂ is low (30 mmHg), indicating respiratory alkalosis.
The HCO₃⁻ is also low (18 mEq/L), showing metabolic compensation.
Since pH is within normal limits and both respiratory and metabolic components are abnormal, full compensation has occurred.
B. This is incorrect
C. This is incorrect
D. This is incorrect
Correct Answer is A
Explanation
A. Muscle rigidity, flat affect, and bradykinesia: The hallmark symptoms of PD include:
Muscle rigidity: Stiffness or inflexibility in the muscles, often felt as resistance when the patient’s limbs are moved.
Flat affect: A reduced facial expression or lack of emotional expression, which is common in PD due to the difficulty in controlling facial muscles.
Bradykinesia: Slowness of movement, which makes initiating and completing voluntary movements more difficult. This is a major characteristic of PD.
B. Generalized weakness and fatigue: While weakness and fatigue can occur in PD, they are not considered the primary hallmark symptoms. The primary issues in PD are related to movement abnormalities, including tremor, rigidity, and bradykinesia. Fatigue can be secondary to the motor difficulties.
C. Ascending weakness starting in the legs: This is more characteristic of conditions like Guillain-Barré syndrome or other neurological disorders that cause progressive weakness, rather than PD. In PD, motor symptoms are typically bilateral and affect both sides of the body more symmetrically over time, not starting in the legs.
D. Increasing dementia and involuntary movements: While dementia can occur later in the course of PD, it is not a primary early symptom. Involuntary movements, such as tremors, can be a feature of PD but are not typically described as the same type of "involuntary movements" seen in conditions like Huntington's disease.
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