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 A

Explanation

Choice A reason: The FACES scale, using facial expressions, is validated for children aged 4, allowing them to express pain nonverbally when verbal skills are limited. It’s reliable, age-appropriate, and ensures accurate pain assessment, guiding interventions like analgesics to alleviate discomfort, critical for pediatric care and improving child comfort and recovery.

Choice B reason: Checking previous charting provides historical context but doesn’t assess current pain in a 4-year-old, whose pain fluctuates. Direct assessment with tools like the FACES scale is needed for accuracy. Relying on records risks missing present pain, delaying interventions and potentially prolonging discomfort in a young child.

Choice C reason: A 0 to 10 pain scale is too abstract for a 4-year-old, who lacks the cognitive ability to quantify pain numerically. The FACES scale better suits their developmental stage. Using this scale risks inaccurate assessment, leading to under- or overtreatment, compromising pain management in pediatric patients.

Choice D reason: Asking parents about the child’s pain relies on subjective interpretation, not the child’s direct experience. The FACES scale allows the child to communicate pain themselves, ensuring accuracy. Parental input may supplement but not replace child-focused assessment, risking misjudgment of pain severity and delaying appropriate interventions.

A. During NREM sleep, biological functions increase. B. REM sleep decreases cortical activity. C. Restful sleep preserves cardiac function. D. NREM sleep contributes to body tissue restoration. E. Sleep contributes to cognitive restoration.

Correct Answer is ["C","D","E"]

Explanation

Choice A reason: During NREM sleep, biological functions like heart rate and metabolism decrease, not increase, to promote restoration. Increased functions occur in REM sleep or wakefulness. This statement is incorrect, as it misrepresents NREM sleep’s physiological role, making it an inappropriate teaching point.

Choice B reason: REM sleep increases cortical activity, supporting dreaming and memory processing, not decreasing it. This statement is inaccurate, as REM is characterized by high brain activity similar to wakefulness. It does not align with sleep’s benefits, making it incorrect for the teaching session.

Choice C reason: Restful sleep preserves cardiac function by reducing heart rate, blood pressure, and stress hormones, lowering cardiovascular strain. Adequate sleep prevents arrhythmias and hypertension, making this a correct teaching point to highlight sleep’s protective role in heart health for ICU patients.

Choice D reason: NREM sleep, especially deep stages, promotes body tissue restoration by facilitating protein synthesis and growth hormone release, aiding tissue repair. This is a key benefit, particularly for ICU patients recovering from illness, making it a correct point for the nurse’s teaching session.

Choice E reason: Sleep, particularly REM and deep NREM, supports cognitive restoration by consolidating memories and clearing brain metabolites. This enhances alertness and decision-making, critical for ICU patients’ recovery. This is a correct teaching point, emphasizing sleep’s role in mental clarity and function.

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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

The nurse is caring for a 4-year-old child who is demonstrating signs of pain. Which technique will the nurse use to best assess pain in this child?

Correct Answer is A

Explanation

The nurse is caring for a patient in the intensive care unit who is having trouble sleeping. The nurse explains the purpose of sleep and its benefits. Which information will the nurse include in the teaching session? (Select all that apply)

Correct Answer is ["C","D","E"]

Explanation

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?

During a follow-up visit, a female patient is describing new onset of marital discord with her terminally ill spouse to the hospice nurse. Which Kübler-Ross stage of dying is the patient experiencing?

A nurse is called into the supervisor’s office regarding deteriorating work performance since the loss of a spouse 2 years ago. The nurse begins sobbing and says, “I’m falling apart at home as well.” Which type of grief is the nurse experiencing?

Which nursing observation of the patient in intensive care indicates the patient is sleeping comfortably during NREM sleep?

A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?

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

An older-adult patient is visiting the clinic after a fall during the night. The nurse obtains information on what medications the patient takes. Which medication most likely contributed to the patient’s fall?

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?