A nurse is caring for a client who has chronic migraine headaches.
The client asks if they had a cerebral aneurysm, which of the following responses should the nurse use?

Choice A rationale
While improved rehabilitation outcomes and temporary behavior changes can occur after a neurological injury, they are not typically considered psychosocial changes. Psychosocial changes often involve alterations in the way individuals perceive, interact with, and navigate their social environments.
Choice B rationale
Improved mood stability and temper control are not typically associated with the aftermath of a neurological injury. In fact, individuals may experience mood swings, irritability, and difficulties with emotional regulation.
Choice C rationale
Changes to social cognition and challenges to inhibitory control are indeed possible psychosocial changes a client might have after sustaining a neurological injury. Social cognition involves understanding and interpreting social cues, which can be affected by brain injury.
Challenges to inhibitory control can lead to impulsive behavior and difficulties in social situations.
Choice D rationale
While a sense of purpose, improved motivation, and stable relationships can be part of a successful recovery process, they are not typically direct outcomes of a neurological injury. In

fact, relationships may be strained and motivation can be affected due to the physical and emotional challenges associated with such an injury.

Choice A rationale
While emotional disorders and acute pain can occur after a traumatic brain injury (TBI), they are not considered secondary conditions. These are more immediate and direct results of the injury.
Choice B rationale
Loss of sensation and cognition difficulties are common secondary conditions that can develop after a TBI. These can be due to damage to specific areas of the brain during the injury.
Choice C rationale
Body dysmorphia and neurofibrillary tangles are not typically associated with TBI. Body dysmorphia is a psychological disorder, and neurofibrillary tangles are associated with neurodegenerative diseases like Alzheimer’s.
Choice D rationale
Decreased appetite and a lack of sleep can occur after a TBI, but they are more likely to be symptoms rather than secondary conditions. Secondary conditions are typically more long- term and are a result of changes in the brain after the injury.