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 C

Explanation

Choice A reason: Health promotion involves teaching lifestyle changes, not physical touch or emotional support, as seen here. Presence focuses on being with the patient empathetically. Assuming health promotion misaligns with the action, risking neglect of the patient’s emotional and spiritual needs, critical for comfort in terminal illness care settings.

Choice B reason: Offering transcendence involves fostering spiritual meaning, not physical touch or presence. The nurse’s hand-touching establishes emotional connection, not existential exploration. Assuming transcendence overlooks the relational aspect of presence, potentially missing the patient’s immediate need for comfort and connection in the context of terminal illness care.

Choice C reason: Establishing presence involves being physically and emotionally available, as shown by sitting and touching the patient’s hand. This empathetic connection, rooted in Watson’s caring theory, fosters comfort and trust, critical for terminally ill patients. Presence supports emotional well-being, ensuring holistic care and dignity in end-of-life situations.

Choice D reason: Doing for involves performing tasks like bathing, not emotional support through touch. The nurse’s action establishes presence, not task-oriented care. Assuming doing for risks misinterpreting the action, potentially neglecting the patient’s need for empathetic connection, essential for psychological comfort in terminal illness care.

A. Looking at how worry influences the patient's ability to function B. Focusing on finding quick remedies for the anxiety C. Realizing that the patient’s only goal is relief of the anxiety D. Helping the patient realize that there is little hope of relief from anxiety

Correct Answer is A

Explanation

Choice A reason: Holistic care for chronic anxiety involves assessing how worry impacts physical, emotional, and social functioning. This approach considers the patient’s lifestyle, coping mechanisms, and overall well-being, fostering tailored interventions like cognitive-behavioral therapy or relaxation techniques. Understanding functional impairment ensures comprehensive care, addressing root causes and promoting long-term management of anxiety.

Choice B reason: Focusing on quick remedies prioritizes short-term symptom relief over holistic care. Chronic anxiety requires sustained strategies, like therapy or lifestyle changes, rather than temporary fixes like medication alone. This approach neglects emotional and social factors, limiting effectiveness and failing to address the multifaceted nature of the patient’s condition.

Choice C reason: Assuming the patient’s only goal is anxiety relief oversimplifies their needs. Holistic care recognizes diverse goals, such as improving relationships or daily functioning. This narrow focus ignores emotional, spiritual, or social aspects, reducing care quality and failing to align with the comprehensive, patient-centered approach required for chronic anxiety.

Choice D reason: Suggesting little hope for relief is counterproductive and dismissive. Holistic care empowers patients with hope through education, coping strategies, and support. This approach risks worsening anxiety by fostering despair, contradicting the nurse’s role in promoting resilience and well-being, and failing to address the patient’s potential for improvement.

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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 C

Explanation

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Correct Answer is A

Explanation

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