The nurse is assessing a patient with suspected neurological issues. The patient's speech is delivered with normal rhythm but filled with words that do not form any meaningful statements.
The patient is also unable to write or repeat back words and does not appear to understand the nurse's instructions or questions. The nurse would recognize these symptoms as:
Expressive aphasia
Broca's aphasia
Global aphasia
Wernicke's aphasia
The Correct Answer is D
Choice A rationale: Expressive aphasia is a type of non-fluent aphasia that affects the
ability to produce language. It is caused by damage to the anterior part of the left frontal lobe, which is responsible for motor planning and execution of speech. Patients with expressive aphasia can understand language but have difficulty speaking, writing, or naming objects. They often produce short, halting, and grammatically incorrect sentences with word-finding difficulties.
Choice B rationale: this is another term for expressive aphasia. The patient can
understand language but have difficulty speaking, writing, or naming objects. They often produce short, halting, and grammatically incorrect sentences with word-finding difficulties.
Choice C rationale: Global aphasia is a severe form of aphasia that affects both
comprehension and production of language. It is caused by extensive damage to the left hemisphere of the brain, which is dominant for language functions in most people.
Patients with global aphasia have little or no ability to speak, write, read, or understand language.
Choice D rationale: Wernicke's aphasia is a type of receptive aphasia that affects the
comprehension and production of language. It is caused by damage to the posterior part of the left temporal lobe, which is responsible for processing auditory and visual
information. Patients with Wernicke's aphasia can speak fluently but nonsensically, using words that are irrelevant, invented, or distorted. They also have difficulty understanding spoken or written language and following commands.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","F"]
Explanation
Choice A rationale: Altered consciousness is a hallmark feature of delirium, where individuals may experience fluctuations in awareness.
Choice B rationale: Delirium typically has an acute onset rather than symptoms developing over months to years.
Choice C rationale: Delirium often has a fluctuating course, rather than a consistent progressive decline.
Choice D rationale: Delirium can result from various factors including fluid/electrolyte imbalances or infections.
Choice E rationale: While these conditions might contribute to cognitive impairments, they are not typically associated with delirium.
Choice F rationale: Delirium can affect judgment, but it's not a defining feature.
Choice G rationale: While memory impairments can be seen in delirium, they're often accompanied by altered consciousness and fluctuations in awareness.
Correct Answer is A
Explanation
Choice A rationale: After visual inspection, the next step typically involves auscultation, which allows the nurse to listen for bowel sounds and gather information about
gastrointestinal function.
Choice B rationale: Percussion involves tapping the abdomen to assess density or abnormal masses but usually follows auscultation.
Choice C rationale: Palpation, both light and deep, follows percussion in the sequence of an abdominal examination.
Choice D rationale: Similar to light palpation, deep palpation follows auscultation and percussion in the sequence of an abdominal examination.
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