Which of the following describes Akinetic mutism?
Unresponsiveness to the environment, makes no movement or sound but sometimes opens eyes
Devoid of cognitive function but has sleep-wake cycles
Unconsciousness, unarousable unresponsiveness
Inability to move or respond except for eye movements due to a lesion affecting the pons
The Correct Answer is A
Choice A: Unresponsiveness to the environment, makes no movement or sound but sometimes opens eyes is a description of akinetic mutism, as it is a state of severe apathy and reduced motor activity caused by damage to the frontal lobes or basal ganglia.
Choice B: Devoid of cognitive function but has sleep-wake cycles is not a description of akinetic mutism, but rather a description of persistent vegetative state, as it is a state of minimal awareness and responsiveness caused by widespread brain damage.
Choice C: Unconsciousness, unarousable unresponsiveness is not a description of akinetic mutism, but rather a description of coma, as it is a state of complete loss of consciousness and reflexes caused by severe brain injury.
Choice D: Inability to move or respond except for eye movements due to a lesion affecting the pons is not a description of akinetic mutism, but rather a description of locked-in syndrome, as it is a state of complete paralysis and preserved consciousness caused by damage to the brainstem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: Unconsciousness, unarousable unresponsiveness is not a description of persistent vegetative state, but rather a description of coma, as it is a state of complete loss of consciousness and reflexes caused by severe brain injury.
Choice B: Devoid of cognitive function but has sleep-wake cycles is a description of persistent vegetative state, as it is a state of minimal awareness and responsiveness caused by widespread brain damage.
Choice C: Inability to move or respond except for eye movements due to a lesion affecting the pons is not a description of persistent vegetative state, but rather a description of locked-in syndrome, as it is a state of complete paralysis and preserved consciousness caused by damage to the brainstem.
Choice D: Unresponsiveness to the environment, makes no movement or sound but sometimes opens eyes is not a description of persistent vegetative state, but rather a description of akinetic mutism, as it is a state of severe apathy and reduced motor activity caused by damage to the frontal lobes or basal ganglia.
Correct Answer is D
Explanation
Choice A: Frequent vital sign monitoring including accurate blood sugars is not a direct intervention for maintaining an airway, but rather a general measure to monitor the patient's condition and prevent complications.
Choice B: Accurate intake and output records is not a direct intervention for maintaining an airway, but rather a general measure to monitor the patient's fluid and electrolyte balance and prevent dehydration or overhydration.
Choice C: Updating the patient's family on status is not a direct intervention for maintaining an airway, but rather a supportive measure to provide information and emotional support to the patient's family.
Choice D: Head of bed 30 degrees, suctioning, oral hygiene and monitoring of respiratory status is a correct intervention for maintaining an airway, as it can reduce the risk of aspiration, infection, and obstruction of the airway.
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