A client is scheduled for an electroencephalogram (EEG). When the nurse caring for the client is preparing them for the test, the client states that during childhood they were mildly electrocuted but miraculously lived.

Therefore, they are quite afraid of going through an EEG.

In what ways can the nurse help dispel the client's fear regarding the test?

Encourage adequate water intake by the client.

Distract the client's attention from the test.

Inform the client that they will not experience any electrical shock.

Inform the client that they will experience only mild electrical shock.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Encouraging adequate water intake is important for overall health, but it does not directly address the client’s fear of undergoing an EEG. Adequate hydration can ensure better conduction of electrical signals, but it has no bearing on the client's anxiety related to a past electrocution incident. Therefore, it would not be effective in alleviating the client's specific fear regarding the EEG procedure.

Choice B rationale

Distracting the client’s attention from the test may temporarily reduce anxiety, but it does not address the underlying fear. The client’s fear stems from a misunderstanding of the EEG procedure, and distraction will not resolve this. It is more effective to provide factual information to dispel the fear.

Choice C rationale

Informing the client that they will not experience any electrical shock is a crucial step in alleviating their fear. An EEG records brain activity through electrodes placed on the scalp; it does not involve sending electrical currents into the body. Clarifying this fact helps address the root cause of the client’s fear, providing reassurance and reducing anxiety.

Choice D rationale

Informing the client that they will experience only mild electrical shock is incorrect and misleading. An EEG does not deliver any electrical shock to the client. Providing inaccurate information could increase the client’s anxiety and distrust. Proper education about the procedure's safety is essential for alleviating the client’s fear.

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Correct Answer is A

Explanation

Choice A rationale

The frontal lobe is responsible for various high-level cognitive functions, including the regulation of emotions and affect. It plays a crucial role in personality expression, decision-making, and moderating social behavior. Damage or dysfunction in the frontal lobe can lead to changes in personality and affect, including a flat affect.

Choice B rationale

The occipital lobe is primarily responsible for processing visual information. It is located at the back of the brain and is not involved in regulating emotions or affect. Therefore, it does not play a role in the client’s flat affect.

Choice C rationale

The parietal lobe is involved in processing sensory information such as touch, temperature, and pain. It also plays a role in spatial orientation and motor control. However, it is not directly involved in regulating emotions or affect. Thus, it does not contribute to the client’s flat affect.

Choice D rationale

The temporal lobe is involved in processing auditory information and is critical for memory and language comprehension. While it plays a role in emotion processing, it is not the primary lobe responsible for affect. The frontal lobe has a more direct impact on emotional regulation and affect.

A. Wound size. B. Wound bed. C. Periwound skin. D. Pattern of eruption.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Documenting wound size includes measuring the length, width, and depth of the wound to track the healing process and plan appropriate interventions.

Choice B rationale

The wound bed should be assessed for tissue type (granulation, slough, or eschar), color, and the presence of any exudate or infection.

Choice C rationale

The periwound skin is the area around the wound which should be assessed for color, temperature, swelling, and signs of maceration or excoriation.

Choice D rationale

Pattern of eruption is more relevant to dermatological conditions such as rashes or lesions, and not a primary focus for documenting acute open wounds.

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Naxlex Comprehensive Predictor Exams

A nurse is performing a neurological assessment on a client at home. During the assessment, the nurse notices that the client has a flat affect. Which lobe of the brain is responsible for a person's affect?

Correct Answer is A

Explanation

The nurse documenting an acute open wound should include which characteristics? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

A client is being tested for a gag reflex. When the nurse places the tongue blade to the back of the throat, there is no response elicited. What dysfunction does the nurse determine the client has?

When performing a postoperative assessment on a client who has undergone surgery to manage increased intracranial pressure (ICP), a nurse notes an ICP reading of 0 mm Hg. Which action should the nurse perform first?

The nurse is educating a group of people newly diagnosed with migraine headaches. What information should the nurse include in the educational session?

The nurse is preparing a client for a neurological examination by the health care provider and explains tests the health care provider will be doing, including the Romberg test. The client asks the purpose of this particular test. The correct reply by the nurse is which of the following?

A nurse caring for a client with head trauma will be monitoring the client for Cushing's triad. What will the nurse recognize as the symptoms associated with Cushing's triad? Select all that apply.

Which lobe of the brain is responsible for spatial relationships?

A nurse is caring for a client with a diagnosis of trigeminal neuralgia. Which activity is altered as a result of this diagnosis?

Which occurs when reflexes are hyperactive when the foot is abruptly dorsiflexed?