Six months after returning from a combat zone, a discharged Marine reports having both memory and concentration problems that resulted in earning failing grades in two college courses

An understanding of the pathophysiology of traumatic brain injury would prompt the nurse to initially ask: a. "Were you ever treated for a traumatic brain injury?"
b. "Were you ever hit on the head during your military deployment?"
c. "Has a blow to the head ever resulted in you being unconscious for more than 20 minutes?"
d. "When did the memory problems and difficulty with concentration begin to affect your schoolwork?"


C
Many cases of traumatic brain injury (TBI) may be overlooked as the symptoms are diffuse and may not initially suggest any specific brain injury as the primary cause. Often symptoms do not surface until well after the initial injury, which can further complicate accurate diagnosis of TBI. Also, mild TBI may not be the primary or most urgent injury that occurs in the field, and it may be missed during triage. The question of whether the individual has ever experienced a blow to the head that resulted in unconsciousness lasting 20 minutes or more would be the most probative question to ask.

Nursing

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