Neurological Disorders NCLEX Questions

Extract:

Question 1 of 5

The nurse is discussing psychosocial implications of Huntington's chorea with the adult child of a client diagnosed with the disease. Which psychosocial intervention should the nurse implement?

Correct Answer: D

Rationale: Huntington’s has a 50% genetic risk. Allowing the child to express fears (
D) addresses psychosocial needs therapeutically. Genetic counseling (
A) is appropriate but secondary, warming trays (
B) are irrelevant, and abandonment discussions (
C) may guilt-trip.

Question 2 of 5

The client newly diagnosed with Parkinson’s Disease (PD) asks the nurse, 'Why can’t I control these tremors?' Which is the nurse’s best response?

A. You can control the tremors when you learn to concentrate and focus on the cause.' B. The tremors are caused by a lack of the chemical dopamine in the brain; medication may help.' C. You have too much acetylcholine in your brain causing the tremors but they will get better with time.' D. You are concerned about the tremors? If you want to talk I would like to hear how you feel.'

Correct Answer: B

Rationale: Parkinson’s tremors result from dopamine deficiency (
B), and medications like levodopa help. Concentration (
A) doesn’t control tremors, acetylcholine imbalance (
C) is partial and not time-resolving, and reflection (
D) doesn’t answer the question.

Question 3 of 5

Which nursing intervention is most effective in helping a client with aphasia communicate?

A. Speak loudly and clearly to the client. B. Use simple pictures or a communication board. C. Ask the client to write responses to questions. D. Encourage the client to repeat words after the nurse.

Correct Answer: B

Rationale: A communication board or pictures aids communication for clients with aphasia by providing visual cues to express needs.

Question 4 of 5

What nursing approach is best when managing the care of a client with dementia who insists on carrying a purse at all times?

A. Ask the client where the purse can be stored. B. Take the purse and give it to the family. C. Inform the client that the purse may become lost. D. Find out why the client feels the need for a purse.

Correct Answer: D

Rationale: Understanding the client's need to carry a purse addresses emotional or security needs, improving care and reducing distress.

Question 5 of 5

Which discharge teaching is essential for a client with a spinal cord injury to prevent respiratory complications?

A. Perform deep breathing exercises daily. B. Avoid outdoor activities. C. Limit fluid intake to reduce secretions. D. Sleep in a prone position.

Correct Answer: A

Rationale: Deep breathing exercises help prevent atelectasis and pneumonia in clients with spinal cord injuries.

Neurological Disorders NCLEX Questions | Nurselytic

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