TRIGEMINAL NEURALGIA, BELL'S PALSY,

ALZHEIMER'S DISEASE, PARKINSON'S

DISEASE, AMYOTROPHIC LATERAL
SCLEROSIS
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Which nursing diagnosis takes highest priority for a client with Parkinson’s * 1 point

crisis?

A. Imbalanced nutrition: Less than body requirements

B. Ineffective airway clearance

C. Impaired urinary elimination

D. Risk for injury

The nurse has given the male client with Bell’s palsy instructions on * 1 point

preserving muscle tone in the face and preventing denervation. The nurse
determines that the client needs additional information if the client states
that he or she will:

A. Exposure to cold and drafts

B. Massage the face with a gentle upward motion

C. Perform facial exercises

D. Wrinkle the forehead, blow out the cheeks, and whistle

When evaluating the extent of Parkinson’s disease, a nurse observes for * 1 point

which of the following conditions?

A. Bulging eyeballs

B. Diminished distal sensations

C. Increased dopamine levels

D. Muscle rigidity

The care team has deemed the occasional use of restraints necessary in * 1 point

the care of a patient with Alzheimer’s disease. What ethical violation is

most often posed when using restraints in a long-term care setting?

A. It limits the patient’s personal safety.

B. It exacerbates the patient’s disease process.

C. It threatens the patient’s autonomy.

D. It is not normally legal.

An 83-year-old woman was diagnosed with Alzheimer’s disease 2 years ago * 1 point

and the disease has progressed at an increasing pace in recent months.

The patient has lost 16 pounds over the past 3 months, leading to a nursing
diagnosis of Imbalanced Nutrition: Less than Body Requirements. What
intervention should the nurse include in this patient’s plan of care?

A. Offer the patient rewards for finishing all the food on her tray.

B. Offer the patient bland, low-salt foods to limit offensiveness.

C. Offer the patient only one food item at a time to promote focused eating.

D. Arrange for insertion of a gastrostomy tube and initiate enteral feeding

A female client with amyotrophic lateral sclerosis (ALS) tells the nurse, * 1 point

“Sometimes I feel so frustrated. I can’t do anything without help!” This

comment best supports which nursing diagnosis?

A. Anxiety

B. Powerlessness

C. Ineffective denial

D. Risk for disuse syndrome

Tic douloureux is characterized by paroxysms of pain and burning * 1 point

sensations. It is a disorder of which cranial nerve?

A. Third

B. Fifth

C. Seventh

D. Eighth
Which of the following drugs is used for trigeminal neuralgia? * 1 point

A. Riluzole (Rilutek)

B. Levodopa (Larodopa)

C. Carbamazepine (Tegretol)

D. Ceftriaxone sodium (Rocephin)

Which of the following clinical manifestations suggest ALS? * 1 point

A. Fatigue, progressive muscle weakness, cramps, fasciculations (twitching), and

incoordination

B. Tremor, rigidity, bradykinesia (abnormally slow movements), and postural

instability

C. Paralysis of the facial muscles, increased lacrimation (tearing), and painful

sensations in the face, behind the ear, and in the eye

D. Involuntary contraction of the facial muscles causing sudden closing of the eye or
twitching of the mouth

A male client with Bell’s palsy asks the nurse what has caused this * 1 point

problem. The nurse’s response is based on an understanding that the cause

is:

A. Unknown, but possibly includes ischemia, viral infection, or an autoimmune

problem

B. Unknown, but possibly includes long-term tissue malnutrition and cellular hypoxia

C. Primary genetic in origin, triggered by exposure to meningitis

D. Primarily genetic in origin, triggered by exposure to neurotoxins

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