A client, with a recent closed head injury, began experiencing partial (focal) seizures and asks the nurse to explain why this is happening. Which is the best response from the nurse?
A) "It is not uncommon for seizure activity to occur after head trauma."
B) "Only a portion of your brain has been irritated."
C) "Generalized seizures are much worse and involve the entire brain."
D) "Electrical impulses become confused and chaotic resulting in a seizure."
A
Feedback:
The client wants a simple explanation to help alleviate fears and concerns. Explaining that seizures are common (or even normal) after head trauma can assist the client by decreasing fears and open the door for further teaching about the disruption of impulses and irritation in the brain due to the injury. Partial seizures involve a part of the brain that is irritated; this is factual but does not answer the question asked. Generalized seizures involve the entire brain from the onset and the electrical impulses are chaotic, but this information is not significant to the question asked by the client.
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