The nurse is caring for a patient who is having difficulty understanding the written and spoken word. Which type of aphasia will the nurse report to the oncoming shift?

Expressive.

Motor.

Receptive.

Global.

Answer and Explanation

The Correct Answer is C

Choice A reason: Expressive aphasia involves difficulty producing speech or writing, not understanding language, as seen here. The patient’s issue is comprehending spoken and written words, indicating receptive aphasia. Reporting expressive aphasia risks misdiagnosis, delaying targeted speech therapy critical for addressing comprehension deficits and improving communication in affected patients.

Choice B reason: Motor aphasia is not a standard term; it may confuse with expressive aphasia, which affects speech output, not comprehension. The patient’s difficulty understanding language points to receptive aphasia. Misreporting as motor risks incorrect treatment, delaying interventions like language therapy needed to support comprehension and functional communication recovery.

Choice C reason: Receptive aphasia, or Wernicke’s aphasia, involves impaired comprehension of spoken and written language due to temporal lobe damage, matching the patient’s symptoms. Reporting this ensures accurate communication to the next shift, guiding targeted speech therapy and care planning to improve language processing and patient interaction in clinical settings.

Choice D reason: Global aphasia involves severe deficits in both expression and comprehension, unlike the patient’s specific difficulty understanding language. Reporting global aphasia overstates the impairment, risking inappropriate interventions. Accurate identification of receptive aphasia ensures focused therapy, addressing comprehension deficits critical for effective communication and patient care.

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Correct Answer is D

Explanation

Choice A reason: Narcolepsy causes sudden sleep attacks and cataplexy but does not typically disrupt breathing patterns during sleep. It affects sleep-wake regulation, not airway mechanics. This condition is unlikely to cause ineffective breathing, as it lacks the respiratory obstruction linked to the nursing diagnosis.

Choice B reason: Sleep deprivation results from insufficient sleep, leading to fatigue and cognitive issues, but it does not directly cause ineffective breathing patterns. It may exacerbate other conditions, but without airway obstruction, it is not the primary cause of the respiratory diagnosis, making this choice incorrect.

Choice C reason: Insomnia involves difficulty falling or staying asleep, causing fatigue and irritability, but it does not typically affect breathing mechanics. It lacks the airway obstruction or hypoventilation associated with ineffective breathing patterns, making it an unlikely cause for the nursing diagnosis.

Choice D reason: Obstructive sleep apnea causes repeated airway collapse during sleep, leading to hypopnea, apnea, and ineffective breathing patterns. This disrupts oxygenation and ventilation, aligning with the nursing diagnosis. The nurse likely identified symptoms like snoring or pauses in breathing, making this the correct condition to monitor.

A. Family relocation B. Prolonged poverty C. Childhood obesity D. Loss of stamina

Correct Answer is B

Explanation

Choice A reason: Family relocation can cause stress or adjustment issues but is not a primary driver of developmental problems. It may temporarily affect social or academic progress, but its impact is less consistent than prolonged poverty, which has broader, long-term effects on development, making this an incorrect choice.

Choice B reason: Prolonged poverty is strongly linked to developmental problems, as it limits access to nutrition, healthcare, and education, impacting cognitive, physical, and emotional growth. Chronic socioeconomic stress can lead to developmental delays or behavioral issues, making this a critical sociocultural finding for the nurse to assess.

Choice C reason: Childhood obesity may indicate health issues like poor diet or inactivity, but its link to developmental problems is less direct than poverty. It can affect self-esteem or physical mobility but is not a primary sociocultural driver of broad developmental delays, making this a less critical finding.

Choice D reason: Loss of stamina is a vague symptom, often age-related or due to medical conditions, not a sociocultural factor. It does not directly indicate developmental problems, especially Dalin children, where poverty has a stronger impact on growth and milestones, making this an incorrect choice.

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The nurse is caring for a patient who is having difficulty understanding the written and spoken word. Which type of aphasia will the nurse report to the oncoming shift?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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