257 Unit 7 Chapter 23 Neurological Disorders

Open Ended

Describe effective communication strategies for a patient with aphasia or dysarthria due to decreased brain circulation or facial muscle weakness.

Open Ended

Explain the significance of ischemic events in the context of cerebrovascular disease. Why is it important to understand their causes?

Multiple Choice

Which of the following is a warning sign for ischemic strokes?

• Transient Ischemic Attack (TIA)

• Hemorrhagic Event

• Uncontrolled hypertension

• Diabetes

Multiple Select

Which of the following are considered high risk factors for a major stroke after a TIA according to the risk scoring system?

• Age >60 years

• BP >140/90 mm Hg

• Diabetes

• Duration of deficit >1 hour

Open Ended

What factors contribute to the relative risk for a major stroke after a TIA? List at least three.

Multiple Select

Which of the following are recommended lifestyle changes to prevent CVA?

• Smoking cessation

• Eat heart-healthy foods

• Increasing activity

• Reducing salt intake

Open Ended

Describe the neurological deficits that are first signs of stroke and TIAs. How do these deficits relate to the part of the brain affected and the type of event?

Multiple Choice

Which of the following is a long-term effect of stroke that may include paralysis, hemiparesis, dysarthria, dysphagia, aphasia, and depression?

• Deep vein thrombosis

• Spasticity of muscles

• Long-term disability

• All of the above

Multiple Choice

What are two key measures to prevent complications in acute care for stroke patients?

• Preventing aspiration and DVTs

• Increasing blood sugar

• Reducing blood pressure only

• Encouraging bed rest

Open Ended

Explain the importance of monitoring for increased intracranial pressure in patients receiving cerebral perfusion therapy.

Multiple Choice

Which of the following therapies are used to improve cerebral perfusion after a stroke?

• Antibiotic therapy

• Fibrinolytic therapy

• Physical therapy

• Radiation therapy

Open Ended

List the medications used for ongoing drug therapy in ischemic stroke and those used if stroke is caused by AFIB.

Multiple Choice

Which medication is specifically used to prevent vasospasms in patients with hemorrhagic stroke (SAH)?

• Nimodipine

• Stool softeners

• Analgesics

• Antianxiety medications

Multiple Choice

Which of the following are considered activities of daily living (ADLs)?

• Feeding

• Bathing

• Dressing

• All of the above

Open Ended

Explain how decreased mobility can affect a patient's ability to perform activities of daily living (ADLs) and what strategies can be used to promote independence.

Multiple Choice

What are some recommended interventions for clients with left hemisphere stroke experiencing memory deficits and trouble carrying out simple tasks?

• Help with ADLs but encourage independence

• Reorient the client regularly

• Establish structured and consistent routines

• All of the above

Multiple Choice

Which type of aphasia is characterized by fluent speech that often lacks meaning due to damage in the Wernicke area?

• Non-fluent (Broca's) Aphasia

• Global Aphasia

• Fluent (Wernicke's) Aphasia

• Anomic Aphasia

Open Ended

Compare and contrast the symptoms and causes of Global Aphasia and Anomic Aphasia.

Multiple Select

Which of the following are characteristics of Dysarthria?

• Impairment in the ability to articulate words

• Caused by lesions in the left hemisphere of the brain

• Characterized by severe word-finding difficulty

• Treatment includes alternative and augmentative speech aids

Open Ended

What is the primary goal when planning care for a patient with sensory perception deficits due to altered neurologic reception and transmission?

Multiple Select

Which strategies are recommended for managing sensory perception deficits in clients with right hemisphere stroke?

• Break down tasks into discrete steps

• Always approach the client from the unaffected side

• Use verbal and tactile cues

• Encourage the client to face the door of the room (unaffected side)

Open Ended

Reflecting on what you learned about ischemic events, what questions do you still have or what would you like to know more about regarding their causes or prevention?

Multiple Choice

Which of the following is a modifiable risk factor for cerebrovascular disease?

• Smoking

• Age over 65

• Genetic predisposition

• Male gender