The nurse is providing care for a patient diagnosed with a stroke resulting in language disorder. Which type of disorder does the nurse recognize if the patient raises an arm in response to the nurse's direction to stick out his tongue?
Dysphasia
Dysarthria
Expressive aphasia
Receptive aphasia
The Correct Answer is D
A. Dysphasia is a general term for difficulty with speech and language, which can involve problems with speaking, understanding, reading, or writing. It is not specific to the patient's response of raising an arm instead of sticking out the tongue.
B. Dysarthria refers to difficulty with the physical act of speaking due to weakness or incoordination of the muscles involved in speech. It does not involve comprehension or understanding of language.
C. Expressive aphasia refers to difficulty expressing thoughts verbally or in writing, but the patient typically understands language. This does not match the patient's response to the nurse's command.
D. Receptive aphasia is characterized by difficulty understanding spoken or written language. The patient may not comprehend the nurse's instructions, leading to inappropriate responses, such as raising an arm instead of sticking out the tongue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Isolation is not typically required for a patient receiving radiation unless there is a specific infection concern. Radiation does not require isolation.
B. While assessing pain is important, the priority at this point is to ensure that the patient understands the treatment process and what to expect, which can help reduce anxiety and improve cooperation during treatment.
C. Padding the bed rails is typically done for patients at risk of seizures or injury. While this might be relevant for some patients with brain tumors, the immediate priority is to educate the patient about the treatment.
D. Teaching the patient what to expect with radiation treatments is the priority. This helps reduce anxiety, ensures informed consent, and prepares the patient for the treatment process. Education about side effects, the procedure, and the expected outcomes is crucial for managing the patient’s experience.
Correct Answer is A
Explanation
A. Attempt to determine what the client was looking for is the best response. In Alzheimer's disease, clients may exhibit wandering behavior and confusion, often seeking something familiar or trying to meet an unmet need. Understanding what the client was looking for can help address their needs and prevent further agitation.
B. Reprimanding the client for invading the other client's privacy is not appropriate. Clients with Alzheimer's disease may not be aware of the concept of privacy or the impact of their actions. Reprimanding can cause distress and confusion.
C. Explaining the client's Alzheimer's diagnosis to the frightened client may help provide understanding, but it does not address the immediate concern of calming the frightened client. The focus should be on managing the behavior in the moment.
D. Asking the client to apologize for his behavior is not appropriate, as the client may not have the cognitive ability to understand or remember the need to apologize. This could cause frustration and confusion.
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