A patient comes to the clinic and reports recurrent headaches
The patient has a headache diary, which reveals irritability and food cravings followed the next day by visual disturbances and unilateral right-sided headache, nausea, and photophobia lasting 2 to 3 days. The NP should recognize these symptoms as _____ migraine. a. classic
b. hemiplegic
c. basilar-type
d. ophthalmoplegic
A
These are symptoms of classic migraine. Hemiplegic migraine is characterized by motor and sensory symptoms. Basilar-type migraine includes vertigo, diplopia, dysarthria, tinnitus, and decreased hearing. Ophthalmoplegic migraine affects the third, fourth, or fifth cranial nerve, causing permanent damage.
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Henry Smith may be suffering from sundowning. What is the alternate name for this condition?
A. Nocturnal delirium B. Vascular dementia C. Pseudodementia D. Neurocognitive confusion
The nurse has made a claim of sexual harassment against a coworker. What evidence must this nurse present?
1. The sexual advances occurred over a period of at least 6 weeks. 2. The conduct was explicit and was a condition of employment. 3. There was psychological damage from the conduct. 4. The actions created a hostile or abusive environment.
The nurse is teaching a class for clients about over-the-counter (OTC) medications. The nurse determines that education has been effective when the clients make which statement?
1. "We should not take any over-the-counter (OTC) medicine without first calling and checking with the doctor's office." 2. "We should always ask the pharmacist about how to take the over-the-counter (OTC) medicine." 3. "We must read all the directions on the label and call the doctor's office if they are not clear." 4. "Medicines that are available over-the-counter (OTC) are really safe, or they would be prescription medicines."
An elderly female psychotic patient has been taking haloperidol (Haldol) for 1 week. The patient has been making wormlike movements with her tongue. The nurse identifies this to most likely be
1. an adverse effect likely caused by the medication, known as tardive dyskinesia. 2. a normal reaction to the medication that will likely go away in a week or two. 3. a sign that the patient has not been taking the medication. 4. a sign of the patient's underlying psychosis, indicating that the medication is not effective.