ATI RN
Review System for Neurological Questions Questions
Question 1 of 5
What sign/symptom would NOT be associated with infant botulism?
Correct Answer: C
Rationale: The correct answer is C: stiff neck. Infant botulism is characterized by muscle weakness, including difficulty suckling, a limp body, and a weak cry. A stiff neck is not typically associated with infant botulism. The toxin affects the nervous system, causing muscle paralysis, but does not typically lead to neck stiffness. Therefore, choice C is the correct answer. Choices A, B, and D are incorrect because they are all common signs and symptoms of infant botulism, reflecting the muscle weakness and paralysis caused by the toxin.
Question 2 of 5
The nurse practitioner is evaluating a patient with cluster headaches who has been prescribed sumatriptan (Imitrex). Which finding indicates that the medication is working?
Correct Answer: A
Rationale: The correct answer is A: Decreased symptoms. Sumatriptan works by constricting blood vessels in the brain, reducing inflammation and pain associated with cluster headaches. Therefore, a decrease in symptoms such as intensity of pain, duration of headache, and associated symptoms indicates that the medication is working effectively. Choices B, C, and D are incorrect as the absence of headaches may not be realistic, improved neurological function may not be directly related to the medication, and decreased frequency of headaches does not necessarily imply effectiveness in managing the current headache episode.
Question 3 of 5
A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: Interrupted family processes, related to patient's disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient. An appropriate outcome is that the patient will:
Correct Answer: B
Rationale: The correct answer is B: demonstrate a resumption of former roles and tasks. This outcome implies that the patient will regain the ability to fulfill their own roles and tasks within the family, indicating improvement in the interrupted family processes. This aligns with the goal of promoting the patient's independence and reducing the burden on other family members. Choice A is incorrect because having the patient assume roles and functions of other family members does not address the underlying issue of the patient's somatic symptom disorder and may lead to further dysfunction within the family. Choice C is incorrect as it suggests the patient should focus on problems in the family, which may not directly address the interrupted family processes related to the patient's symptoms. Choice D is incorrect as it promotes dependency on family members to meet the patient's personal needs, which does not encourage the patient to regain their former roles and tasks within the family.
Question 4 of 5
What is the primary difference between somatic system disorders and dissociative disorders?
Correct Answer: D
Rationale: Step 1: Define somatic system disorders (SSD) as physical symptoms caused by psychological distress. Step 2: Define dissociative disorders as disruptions in memory, consciousness, or identity due to stress. Step 3: Identify that the primary difference is how stress manifests: SSD through physical symptoms and dissociative disorders through disruptions in memory, consciousness, or identity. Step 4: Choose D as the correct answer as it accurately distinguishes between the two types of disorders. Summary: A: Incorrect, as it inaccurately describes the nature of somatic system and dissociative disorders. B: Incorrect, as it oversimplifies the triggers for each type of disorder. C: Incorrect, as it generalizes the causes of dissociative disorders and somatic system disorders.
Question 5 of 5
The patient with multiple sclerosis tells the nursing assistant that after physical therapy she is too tired to take a bath. What is your priority nursing diagnosis at this time?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.