Author Question: The nurse plans discharge teaching for a patient who experienced a stroke involving the hippocampus. ... (Read 90 times)

@Brianna17 · **on:** Jul 19, 2018

The nurse plans discharge teaching for a patient who experienced a stroke involving the hippocampus. The nurse should adapt the teaching plan to account for possible problems with

a. visual acuity.
b. expressive aphasia.
c. short-term memory.
d. balance and coordination.

Question 2

An adult with schizophrenia is discharged from a state mental hospital after 20 years of institutionalizatio n. When planning care in the community, which premise applies? This patient is likely to

a. independently find support services to aid transition from hospitalization to community.
b. adjust smoothly to the community if provided with sufficient support services.
c. self-administer antipsychotic medications correctly if provided with education.
d. need crisis or emergency psychiatric interventions from time to time.

k.lashomb · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
The limbic system is crucial to memory. Damage to the hippocampus, a part of the limbic system, causes problems converting short-term to long-term memory, making learning difficult. Aphasia is a temporal lobe problem. Blindness is an occipital lobe problem. Balance and coordination are affected by damage to the cerebellum.

Answer to Question 2

D
Patients with serious mental illness are rarely considered cured at the time of hospital discharge. Decompensation is likely from time to time, even when good community support is provided. The emergency room may become a first-line resource in the continuum of care designed to prevent rehospitalization. Unfortunately, transitional services are not always readily available. Adjustment to a community environment after long institutionalizatio n is often a slow process.