The nurse is providing care for a patient diagnosed with a stroke resulting in language disorder. Which type of disorder does the nurse recognize if the patient raises an arm in response to the nurse's direction to stick out his tongue?
Dysphasia
Dysarthria
Expressive aphasia
Receptive aphasia
The Correct Answer is D
A. Dysphasia is a general term for difficulty with speech and language, which can involve problems with speaking, understanding, reading, or writing. It is not specific to the patient's response of raising an arm instead of sticking out the tongue.
B. Dysarthria refers to difficulty with the physical act of speaking due to weakness or incoordination of the muscles involved in speech. It does not involve comprehension or understanding of language.
C. Expressive aphasia refers to difficulty expressing thoughts verbally or in writing, but the patient typically understands language. This does not match the patient's response to the nurse's command.
D. Receptive aphasia is characterized by difficulty understanding spoken or written language. The patient may not comprehend the nurse's instructions, leading to inappropriate responses, such as raising an arm instead of sticking out the tongue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A positive Romberg sign (difficulty maintaining balance with eyes closed) can indicate a neurological issue, but it is not directly associated with a migraine.
B. A subnormal temperature (low body temperature) is not typically associated with migraines and may indicate another issue, but it is not as concerning as other findings.
C. An ill college roommate might suggest a viral illness, but it is not a direct concern for the student’s migraine. Migraines are not contagious, and other signs of illness would be more concerning.
D. Positive Brudzinski sign, which involves involuntary flexion of the hips and knees when the neck is flexed, is indicative of meningeal irritation, a sign of meningitis. This is a medical emergency and much more concerning than the symptoms of a migraine. The student should be further assessed for signs of meningitis, which requires urgent treatment.
Correct Answer is D
Explanation
A. Dysphasia is a general term for difficulty with speech and language, which can involve problems with speaking, understanding, reading, or writing. It is not specific to the patient's response of raising an arm instead of sticking out the tongue.
B. Dysarthria refers to difficulty with the physical act of speaking due to weakness or incoordination of the muscles involved in speech. It does not involve comprehension or understanding of language.
C. Expressive aphasia refers to difficulty expressing thoughts verbally or in writing, but the patient typically understands language. This does not match the patient's response to the nurse's command.
D. Receptive aphasia is characterized by difficulty understanding spoken or written language. The patient may not comprehend the nurse's instructions, leading to inappropriate responses, such as raising an arm instead of sticking out the tongue.
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