A nurse is admitting a client who has dementia related to a traumatic brain injury. Which of the following findings should indicate to the nurse that the client's condition is worsening?
Visual field cuts
Decreased CD4 counts
Shuffling gait
Chorea
The Correct Answer is C
C. Dementia related to a traumatic brain injury can result in a variety of cognitive and physical impairments. A shuffling gait, characterized by short steps with feet barely leaving the ground, is often associated with Parkinsonian symptoms, which can occur in advanced stages of dementia or as the condition progresses. Therefore, a shuffling gait would indicate worsening of the client's condition.
A. While visual disturbance can occur in individuals with dementia, visual field cuts alone may not necessarily indicate worsening of the condition unless they are accompanied by other concerning symptoms.
B. CD4 counts are a measure of immune system function, particularly in relation to HIV/AIDS. Decreased CD4 counts are not typically associated with dementia related to traumatic brain injury and would not be a relevant finding in this context.
D. Chorea is not a common feature of dementia related to traumatic brain injury. The presence of chorea may indicate a different underlying neurological condition or complication
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. The affective domain of learning involves the development of attitudes, values, beliefs, and emotions. It encompasses the learner's internalization of values, appreciation, motivation, and the development of a positive attitude towards learning.
A. This refers to the psychomotor domain of learning, which involves the development of physical skills and coordination. It includes actions such as manipulation, coordination, and movement.
B. This relates to motivation and engagement, which can influence the learner's level of involvement and commitment to the learning process.
C. This pertains to the cognitive domain of learning, which involves the acquisition of knowledge, comprehension, application, analysis, synthesis, and evaluation of information. It encompasses intellectual abilities such as understanding, reasoning, problem-solving, and critical thinking.
Correct Answer is C
Explanation
Delusions, hallucinations, and alterations in speech are characteristic symptoms of psychosis, which can occur in various psychiatric disorders such as schizophrenia. Dopamine antagonists, also known as antipsychotic medications, are the primary pharmacological treatment for psychosis.
A Mood stabilizers are primarily used to manage mood swings in conditions like bipolar disorder. While they can help stabilize mood, they are not typically the first-line treatment for psychotic symptoms like delusions and hallucinations.
B. SSRIs are antidepressant medications that primarily target serotonin levels in the brain. They are used to treat conditions such as depression, anxiety, and some other mood disorders.
D. Benzodiazepines are a class of medications primarily used to treat anxiety, insomnia, and seizures.
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