What best defines Amyotrophic Lateral Sclerosis ALS "Lou Gehrig Disease?"
Loss of motor neurons in the brain
Loss of sensory neurons in the anterior horn of the spinal cord
Loss of motor neurons in the anterior horn of the spinal cord and loss of motor nuclei of the lower brainstem
All of the above
The Correct Answer is C
Choice A: Loss of motor neurons in the brain is not a complete definition of ALS, as it does not include the loss of motor neurons in the spinal cord and brainstem.
Choice B: Loss of sensory neurons in the anterior horn of the spinal cord is not a correct definition of ALS, as it involves sensory neurons, not motor neurons.
Choice C: Loss of motor neurons in the anterior horn of the spinal cord and loss of motor nuclei of the lower brainstem is a correct definition of ALS, as it describes the progressive degeneration and death of both upper and lower motor neurons that control voluntary muscle movements²⁴.
Choice D: All of the above is not correct, as only choice C is a correct definition of ALS.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Referral to counselor, social worker, home health care, support groups is correct because it can help the patient cope with the emotional, social, and practical aspects of living with a brain tumor. It can also provide information, resources, and assistance to the patient and their caregivers.
Choice B: Presence of family, friends, spiritual advisor, and health care personnel may be supportive is correct because it can provide comfort, companionship, and guidance to the patient. It can also help the patient express their feelings, needs, and preferences.
Choice C: Encourage independence for as long as possible is correct because it can enhance the patient's self-esteem, dignity, and quality of life. It can also help the patient maintain their physical and mental abilities and prevent complications such as depression, anxiety, or immobility.
Choice D: All of the above are correct because they are part of the holistic nursing care for the patient with nervous system metastases or primary brain tumor. They can address the physical, psychological, social, and spiritual needs of the patient and their family.
Correct Answer is A
Explanation
Choice A: Progressive weakness and atrophy of muscle is a manifestation of ALS, as it results from the loss of motor
neurons that control voluntary muscle movements²³.
Choice B: Cramps, twitching, and lack of coordination is a manifestation of ALS, as it results from the abnormal activity of motor neurons that are still functioning²³.
Choice C: Spasticity, deep tendon reflexes brisk, and overactive is a manifestation of ALS, as it results from the damage to the upper motor neurons that regulate muscle tone²³.
Choice D: Difficulty speaking, swallowing, breathing is a manifestation of ALS, as it results from the involvement of the muscles in the mouth, throat, and chest²³.
Choice E: All of the above is correct, as all of these manifestations are common in ALS.
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