A nurse is caring for a client who has phantom limb pain.
The nurse should identify the client is experiencing which type of pain?

Choice A rationale

Decreased visual acuity can increase the risk of falls, which are a common cause of head injuries in older adults. Impaired vision can affect balance and coordination, making it more difficult for an individual to navigate their environment safely.
Choice B rationale
While motor vehicle crashes can certainly lead to head injuries, they are not one of the most common causes of head injuries in older adults. Falls are actually the leading cause of head injuries in this population.
Choice C rationale
Polypharmacy, or the use of multiple medications by a patient, is common in older adults and can increase the risk of falls and, consequently, head injuries. Certain medications can cause side effects such as dizziness or confusion, which can lead to falls.
Choice D rationale
Weakness, particularly in the lower body, can increase the risk of falls and subsequent head injuries in older adults. Lower body weakness can affect an individual’s balance and mobility, making falls more likely.
Choice E rationale
Chronic hypertension can lead to a variety of health complications, including an increased risk of falls and head injuries. Hypertension can cause dizziness and balance problems, which can increase the risk of falls.

Choice A rationale
Vision loss and depression are not typically symptoms of a mild traumatic brain injury (TBI). Vision loss could be a symptom of a more severe TBI or other neurological conditions.
Depression, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a common psychological reaction to the changes and challenges that a person may face following the injury.
Choice B rationale

Seizures and weakness in the extremities can be symptoms of a TBI, but they are more commonly associated with moderate to severe TBIs. Mild TBIs do not typically cause seizures or weakness in the extremities.
Choice C rationale
Persistent headache can be a symptom of a mild TBI. However, aggressive behavior, while it can occur following a TBI, is not a direct symptom of the injury itself but rather a possible psychological reaction to the changes and challenges that a person may face following the injury.
Choice D rationale
Headache and confusion are common symptoms of a mild TBI. After a mild TBI, individuals may experience a headache or a feeling of pressure in the head. They may also experience confusion or feel as if in a fog.