Author Question: The nurse is reviewing the record of a child with increased intracranial pressure and notes that the ... (Read 39 times)

roselinechinyere27m · **on:** Jul 22, 2018

The nurse is reviewing the record of a child with increased intracranial pressure and notes that the child has exhibited signs of decerebrate posturing.

On assessment of the child, the nurse would expect to note which of the following if this type of posturing were present? 1. Rigid extension and tremors of all extremities
2. Flaccid paralysis of all extremities
3. Flexion of the upper extremities and extension of the lower extremities
4. Abnormal extension of the upper and lower extremities with some internal rota-tion

Question 2

A client with a phobia will be treated for the condition using a behavior modification technique known as systematic desensitization. The nurse describes the components of this form of therapy to the client and instructs the client that:

1. The client will talk to himself or herself to control actions more effectively.
2. The client will take medication daily to control the condition.
3. The client will be introduced to short periods of exposure to the phobic object while in a relaxed state.
4. The client will meet with others with the same problem in a support group that focuses on the client's phobia.

anoriega3 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: Decerebrate (extension) posturing is an abnormal extension of the upper extremities, with internal rotation of the upper arm and wrist and extension of the lower extremities with some internal rotation. Flexion of the upper extremities and extension of the lower extremities describes decorticate posturing. Rigid extension and tremors of all extremities and flaccid paralysis of all extremities are incorrect and not characteristics of decerebrate posturing.

Answer to Question 2

3

Rationale: Systematic desensitization is a form of therapy in which the client is introduced to short periods of exposure to the phobic object while in a relaxed state. Gradually, over a period of time, exposure is increased until the anxiety about or fear of the object or situation has ceased. The client will talk to himself or herself to control actions more effectively describes self-control therapy, and the client will meet with others with the same problem in a support group that focuses on the client's phobia describes self-help groups. The client will take medi-cation daily to control the condition is not a specific component of systematic desensitization and describes pharmacological therapy.