A nurse is caring for a client who is sleeping for abnormally long periods of time. This condition may be caused by injury to which body structure?
Thyroid
Pancreas
Spinal cord
Hypothalamus
The Correct Answer is D
A. Thyroid: The thyroid regulates metabolism and energy but does not typically cause excessive sleep. While thyroid disorders may result in fatigue or other symptoms, they are not directly linked to abnormal sleep patterns.
B. Pancreas: The pancreas produces insulin and aids digestion but does not directly regulate sleep. Pancreatic dysfunction, such as in diabetes, can cause fatigue, but it does not lead to long periods of sleep.
C. Spinal cord: Spinal cord injuries cause sensory or motor deficits but do not directly affect sleep regulation. Sleep disturbances may arise due to pain or discomfort from the injury but are not a result of spinal cord damage.
D. Hypothalamus: The hypothalamus is responsible for regulating the sleep-wake cycle, so damage to this area can disrupt sleep patterns. Injury to the hypothalamus can result in excessive sleep, making it the most likely cause of abnormal sleep duration in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Measures to maximize independence: Health promotion involves enabling individuals to increase control over and improve their health. Teaching strategies that encourage self-care, mobility, nutrition, and personal responsibility support long-term wellness and independence.
B. Etiology and symptoms of an illness: This topic falls under illness prevention or disease education, focusing more on understanding and managing illness rather than promoting general health and wellness.
C. Hygiene and development issues: While important, this topic is more relevant to basic care or developmental guidance, and may align more with health maintenance or prevention depending on the context, rather than a primary focus on health promotion.
D. Introduction to parts of the healthcare team: This is oriented toward healthcare system navigation or orientation rather than actively promoting individual health behaviors and wellness practices.
Correct Answer is A
Explanation
A. Return demonstration: The nurse demonstrates the procedure to the client and then asks the client to perform the same procedure. This allows the nurse to assess the client’s ability to correctly execute the skill and provides an opportunity for feedback and correction.
B. Role play: Role play involves the client pretending to be in a certain situation or assuming a particular role, often to practice communication or problem-solving skills. In this case, the focus is on teaching the client a physical task, not engaging in a simulated scenario.
C. Discussion: Discussion is a verbal exchange where the nurse provides information and clarifies any doubts the client may have. While this is an important strategy for knowledge transfer, it does not involve the client physically practicing the procedure.
D. Questions and answer: A question-and-answer format helps to assess understanding and clarify misconceptions. However, it does not provide the client with the opportunity to demonstrate their ability to perform the task.
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