A nurse is caring for a client who thinks they have narcolepsy. Which of the following questions should the nurse ask?
"How often do you have trouble sleeping?"
"Do you snore loudly?"
"Do you ever suddenly lose muscle control?"
"Do you wake up with headaches?"
The Correct Answer is C
A. "How often do you have trouble sleeping?": While this question might help assess general sleep issues, it doesn’t specifically address narcolepsy symptoms. Narcolepsy is characterized by excessive daytime sleepiness and episodes of sudden muscle weakness.
B. "Do you snore loudly?": Loud snoring is more commonly associated with sleep apnea rather than narcolepsy. Although both conditions can affect sleep quality, this question doesn’t directly relate to the hallmark symptoms of narcolepsy.
C. "Do you ever suddenly lose muscle control?": Sudden loss of muscle control, or cataplexy, is a key symptom of narcolepsy. Cataplexy occurs when a person experiences sudden muscle weakness or paralysis in response to strong emotions, such as laughter or surprise.
D. "Do you wake up with headaches?": Waking up with headaches could be related to sleep disorders such as sleep apnea or tension headaches, but it is not a defining feature of narcolepsy. The nurse should focus on symptoms directly related to narcolepsy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Show the client a video about self-administration of insulin: Watching a video is a passive learning that primarily engages the cognitive domain. It provides information but does not allow the client to practice hands-on skills, which are needed for psychomotor learning.
B. Assist the client in discussing their feelings about having diabetes mellitus: Discussing feelings pertains to the affective domain, which focuses on emotions, attitudes, and values. It does not involve physical skills or actions, so it is not psychomotor learning.
C. Observe the client practice self-monitoring of blood glucose levels: Psychomotor learning involves acquiring skills through practice and demonstration. Observing the client perform self-monitoring of blood glucose levels allows the nurse to assess their ability to carry out the task and refine the skill through repetition.
D. Ask the client to attend a class about following a diabetic diet: Attending a class is more aligned with the cognitive domain, where the focus is on gaining knowledge. This action does not involve practicing physical skills necessary for psychomotor learning.
Correct Answer is A
Explanation
A. Use a standardized approach to giving the handoff report: Using a standardized approach, such as SBAR (Situation, Background, Assessment, Recommendation), ensures that all necessary information is communicated clearly and systematically.
B. Encourage the oncoming shift nurse to contact the provider with any questions: The primary focus of the handoff report should be to provide the oncoming nurse with all necessary information. Directly contacting the provider should not be a primary strategy.
C. Provide the handoff report at the nurses' station: Providing a report at the nurses' station may not be private or conducive to clear communication. It is better to conduct the report in a private area or at the client’s bedside to ensure confidentiality and clarity.
D. Record a verbal report on a recorder for the oncoming nurse to listen to: Recorded reports are not ideal for ensuring continuity of care because they lack the interactive aspect of handoff, such as clarifying questions or addressing concerns in real time.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.