The nurse is caring for a patient who has had a stroke (brain attack). The patient is unable to understand what the nurse is saying and appears frustrated. What term should the nurse document to describe this finding?
a. Dysphagia
b. Expressive aphasia
c. Receptive aphasia
d. Confusion
ANS: C
Receptive aphasia affects the patient's ability to understand spoken language. Expressive aphasia is difficulty or inability to communicate verbally with others. Dysphagia is difficulty swallowing. A patient who is unable to communicate is not necessarily confused.
You might also like to view...
Monthly focus groups are held with the purpose of gaining ideas and insights from nursing administration and staff nurses. Which type of communication does this indicate?
1. Lateral communication 2. Downward communication 3. Diagonal communication 4. Grapevine communication
Which nursing diagnosis is almost universally applicable to persons with depression?
a. Ineffective denial b. Disturbed body image c. Chronic low self-esteem d. Risk for other-directed violence
Which of the following best explains why the federal government is beginning to fund school-based health centers?
a. These centers help young children avoid becoming addicted to drugs while still in elementary school. b. Attendance and learning are higher in schools with health clinics. c. These centers help keep children in school longer by distributing birth control and thus avoiding pregnancies. d. Many children have no other source of health care services.
The AAP recommends discharge of the late preterm infant after
a. 24 hours b. 48 hours c. 72 hours