A nurse is reinforcing teaching to a group of nursing students about possible psychosocial changes a client might have after sustaining a neurologic injury such as increased intracranial pressure. Which of the following psychosocial changes should the nurse include in the teaching?
Changes to social cognition and challenges to inhibitory control
Improved mood stability and improved temper control
Improved rehabilitation outcomes and temporary behavior changes
Sense of purpose, improved motivation, and stable relationships
The Correct Answer is A
A. Changes to social cognition and challenges to inhibitory control: Neurologic injuries such as increased intracranial pressure can lead to changes in social cognition, including difficulties in understanding social cues, interpreting emotions, and maintaining appropriate social interactions. Additionally, inhibitory control may be impaired, leading to impulsivity and disinhibition in behavior.
B. Improved mood stability and improved temper control: Neurologic injuries are more likely to result in mood instability and difficulties with temper control rather than improvement in these areas. Changes in mood, including irritability, anxiety, depression, and emotional lability, are common psychosocial consequences of neurologic injuries.
C. Improved rehabilitation outcomes and temporary behavior changes: While rehabilitation efforts may lead to improvement in functional abilities over time, neurologic injuries often result in persistent psychosocial challenges rather than improved outcomes. Temporary behavior changes may occur during the recovery process, but individuals may continue to experience long-term psychosocial sequelae.
D. Sense of purpose, improved motivation, and stable relationships: Neurologic injuries can significantly impact an individual's sense of purpose, motivation, and relationships. Clients may struggle to find meaning and motivation in their lives following a neurologic injury, and relationships may be strained due to changes in behavior, cognition, and communication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Vision changes occur when blood vessels leak fluid or blood under a portion of the retina": This statement describes a symptom of diabetic retinopathy, not open-angle glaucoma. In open-angle glaucoma, vision changes primarily result from increased intraocular pressure (IOP) due to impaired drainage of aqueous humor, not leakage of fluid or blood under the retina.
B. "Vision changes occur when the cloudy lens alters the passage of light through the eye": This statement describes a symptom of cataracts, not open-angle glaucoma. Cataracts involve clouding of the lens inside the eye, which affects the passage of light and leads to visual disturbances. Open-angle glaucoma, however, primarily affects the optic nerve and visual field due to increased intraocular pressure.
C. "Vision changes occur when retinal tissue pulls away from the blood vessels in the eye": This statement describes a symptom of retinal detachment, not open-angle glaucoma. Retinal detachment occurs when the retina detaches from the underlying layers of the eye, leading to vision changes and potentially vision loss. Open-angle glaucoma, on the other hand, primarily involves increased intraocular pressure and optic nerve damage.
D. "Vision changes occur when pressure in the eye is increased due to a decrease of aqueous humor": This statement is accurate. In open-angle glaucoma, vision changes occur due to increased intraocular pressure resulting from inadequate drainage of aqueous humor from the eye. This increased pressure can lead to damage of the optic nerve, resulting in peripheral vision loss and potentially blindness if left untreated.
Correct Answer is ["B","C","E"]
Explanation
Answer: B, C, E
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