ATI RN
Review of Systems Neurological Questions Questions
Question 1 of 5
What is the outermost membrane surrounding the brain called?
Correct Answer: C
Rationale: The correct answer is C, dura mater. The dura mater is the outermost membrane surrounding the brain, providing a tough protective layer. Pia mater (A) is the innermost layer, while arachnoid mater (B) is the middle layer. Choice D, alma mater, is a term referring to one's former school or college and is not related to brain anatomy. In summary, dura mater is the correct answer as it is the outermost protective membrane surrounding the brain, while the other choices refer to inner layers or are unrelated terms.
Question 2 of 5
A 30-year-old woman tells the nurse that she has been very unsteady and has had difficulty in maintaining her balance. Which area of the brain that is related to these findings would concern the nurse?
Correct Answer: C
Rationale: The correct answer is C: Cerebellum. The cerebellum is responsible for coordinating voluntary movements, balance, and posture. Damage to the cerebellum can result in symptoms like unsteadiness and difficulty maintaining balance. The thalamus (A) is involved in relaying sensory and motor signals but is not directly related to balance. The brainstem (B) plays a role in basic life functions like breathing and heart rate, not balance. The extrapyramidal tract (D) is involved in regulating motor activities but is not primarily responsible for balance control.
Question 3 of 5
A patient has blindness related to a functional neurological (conversion) disorder but is unconcerned about this problem. Which understanding should guide the nurse's planning for this patient? The patient is:
Correct Answer: B
Rationale: The correct answer is B because the patient is unconcerned about the blindness, indicating that the symptom is relieving anxiety. This is characteristic of conversion disorder where physical symptoms alleviate psychological distress. Other choices are incorrect because the patient is not necessarily suppressing feelings (A), not meeting needs through hospitalization (C), and not refusing to disclose fears (D).
Question 4 of 5
For a patient diagnosed with dissociative amnesia, complete this outcome: Within 4 weeks, the patient will demonstrate an ability to execute complex mental processes by:
Correct Answer: D
Rationale: The correct answer is D because the patient diagnosed with dissociative amnesia typically struggles with memory loss. By describing previously forgotten experiences, the patient demonstrates progress in accessing and processing their memories. This indicates improvement in their ability to execute complex mental processes. A - Functioning independently is too broad and does not directly address the cognitive aspect of dissociative amnesia. B - Verbalizing feelings of safety focuses more on emotional regulation rather than cognitive abilities. C - Regularly attending diversional activities may be beneficial for overall well-being but does not specifically target the core issue of memory impairment in dissociative amnesia.
Question 5 of 5
A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoreses, and flushing of the face and neck. What action should you take first?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.