The nurse is providing teaching to a patient newly diagnosed with focal seizure disorder. Which statement by the nurse is most accurate?

"Simple partial seizures may result in an alteration of consciousness."

"Your seizures will typically only affect one side of your body.

"The simple partial seizure may cause motor impairment to begin in all of your extremities.

"Simple partial seizures are not treatable."

Answer and Explanation

The Correct Answer is B

A. Simple partial (focal aware) seizures do not alter consciousness; that is a characteristic of complex partial seizures.
B. Focal (partial) seizures typically affect one hemisphere of the brain and therefore one side of the body.
C. Seizures that begin with motor impairment in all extremities suggest a generalized seizure, not a simple partial seizure.
D. This is inaccurate. Simple partial seizures are treatable with antiepileptic medications and sometimes surgical interventions.

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Correct Answer is C

Explanation

A. Subluxation involves partial dislocation, usually with more diffuse pain and joint instability.
B. Dislocation typically causes severe pain, deformity, and limited movement, often after trauma.
C. Bursitis causes localized pain, often pinpointed to the bursa area, and is common after repetitive motion or sports activities like racquetball.
D. Rotator cuff tear causes shoulder pain and weakness, not typically localized elbow pain.

A. Complex partial B. Myoclonic C. Absence D. Akinetic

Correct Answer is C

Explanation

A. Complex partial seizures involve impaired consciousness with automatisms, not just staring.
B. Myoclonic seizures are characterized by sudden, brief muscle jerks.
C. Absence seizures cause brief episodes of staring and unresponsiveness, often mistaken for daydreaming, and can impact school performance.
D. Akinetic seizures involve sudden loss of muscle tone, leading to collapse, not staring episodes.

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The nurse is providing teaching to a patient newly diagnosed with focal seizure disorder. Which statement by the nurse is most accurate?

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