The nurse is caring for a patient diagnosed with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?

Patient will communicate nonverbally.

Patient will recover full use of speech vocabulary in 1 day.

Patient will carry a pen and a pad of paper around for communication.

Patient will thicken drinks to prevent aspiration.

Answer and Explanation

The Correct Answer is A

Choice A reason: Expressive aphasia impairs speech production due to brain injury, but patients can often use nonverbal methods like gestures or facial expressions. Including a goal for nonverbal communication is realistic, promoting effective interaction while speech therapy progresses. This aligns with the patient’s current abilities and supports functional communication.

Choice B reason: Recovering full speech vocabulary in one day is unrealistic for expressive aphasia, which requires prolonged speech therapy due to neurological damage. This goal sets false expectations, ignoring the chronic nature of traumatic brain injury recovery, and is not appropriate for the care plan.

Choice C reason: Carrying a pen and pad may help some patients, but expressive aphasia does not guarantee writing ability, as written language can also be impaired. This goal is less broadly applicable than nonverbal communication, which leverages intact motor and emotional expression, making it a less suitable choice.

Choice D reason: Thickening drinks prevents aspiration in dysphagia, not aphasia. Expressive aphasia affects speech, not swallowing. This goal is irrelevant to the patient’s condition, as there is no indication of swallowing difficulty, making it an incorrect focus for the care plan.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Agnosticism is the belief that the existence of ultimate reality or God is unknown or unknowable. The nurse should consider this when planning care, respecting the patient’s uncertainty about spiritual matters and avoiding assumptions about religious practices, ensuring care aligns with their belief system.

Choice B reason: Assuming the patient is devoid of spirituality is incorrect, as agnosticism does not preclude spiritual beliefs or practices. Agnostics may find meaning in non-religious spirituality. This assumption risks alienating the patient, making it an inappropriate consideration for care planning.

Choice C reason: Agnosticism does not imply finding no meaning in relationships. Patients may value human connections despite uncertainty about ultimate reality. This assumption misrepresents the patient’s beliefs and could lead to insensitive care, making it incorrect for planning based on their agnosticism.

Choice D reason: Agnostics are uncertain about God’s existence, not certain of its absence, which aligns with atheism. This misinterpretation of agnosticism could lead to inappropriate care assumptions, dismissing potential spiritual needs. The nurse should focus on the patient’s uncertainty, making this incorrect.

A. Place the patient in the room farthest from the nurses’ station. B. Ask the patient “Would you like a newspaper to read?” C. Offer the patient a back rub. D. Hang a “Do not disturb” sign on patient’s door.

Correct Answer is B

Explanation

Choice A reason: Placing the patient farthest from the nurses’ station increases isolation, worsening sensory deprivation. Bed rest already limits stimuli, and distance reduces interaction with staff, exacerbating disorientation or loneliness. This action contradicts the need to provide sensory stimulation, making it an incorrect choice.

Choice B reason: Asking if the patient wants a newspaper provides visual and cognitive stimulation, counteracting sensory deprivation from bed rest. Reading engages the mind, reducing boredom and disorientation. This action aligns with promoting sensory input, making it an appropriate intervention to maintain mental engagement and well-being.

Choice C reason: Offering a back rub provides tactile stimulation, which is beneficial, but sensory deprivation primarily affects cognitive and perceptual functions. Reading a newspaper better addresses visual and intellectual needs, more directly countering the effects of limited environmental stimuli, making this a less optimal choice.

Choice D reason: Hanging a “Do not disturb” sign reduces interactions, increasing sensory deprivation. Bed rest patients need regular engagement to prevent disorientation or depression. This action isolates the patient further, contradicting the goal of providing sensory stimulation, making it an incorrect intervention.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a patient diagnosed with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who professes to being an agnostic. Which information should the nurse consider when planning care for this patient’s belief system?

Correct Answer is A

Explanation

A nurse is caring for an older-adult patient on bed rest with potential sensory deprivation. Which action will the nurse take?

Correct Answer is B

Explanation

The nurse is caring for a patient and is focusing on modifiable factors that contribute to pain. Which areas does the nurse focus on with this patient?

A veteran is hospitalized after surgical amputation of both lower extremities owing to injuries sustained during military service. Which type of loss will the nurse focus the plan of care on for this patient?

A trauma survivor is requesting sleep medication because of "bad dreams." The nurse is concerned that the patient may be experiencing posttraumatic stress disorder (PTSD). Which question is a priority for the nurse to ask the patient?

The nurse is completing an assessment on an older-adult patient who is having difficulty falling asleep. Which condition will the nurse further assess for in this patient?

In caring for the patient’s spiritual needs, the nurse asks 20 questions to assess the patient’s relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?

A nurse teaches the patient about the gate control theory. Which statement made by a patient reflects a correct understanding about the relationship between the gate control theory of pain and the use of meditation to relieve pain?

Which action indicates the nurse is meeting a primary goal of culturally competent care for marginalized patients?

A nurse is using Watson’s model to provide care to patients. Which carative factor will the nurse use?