Author Question: After surviving an ischemic stroke, a 79-year-old male has demonstrated significant changes in his ... (Read 82 times)

bcretired · **on:** Jun 25, 2018

After surviving an ischemic stroke, a 79-year-old male has demonstrated significant changes in his emotional behavior, with his family noting that he now experiences wide mood swings with exaggerated responses of empathy, anger, and sadness to situations.

His care team would most likely attribute these responses to ischemic changes in which of the following brain structures?
A)
The man's occipital lobe
B)
The client's temporal lobe in general and Wernicke area in particular
C)
The man's parietal lobe
D)
The components of the client's limbic system

Question 2

An adult client is experiencing chronic insomnia related to a recent divorce and child custody proceedings.

The client is requesting a renewable prescription for sleeping pills. The nurse knows that which of the following interventions listed below will provide the most beneficial treatment for this client?
A)
Sedatives and hypnotic drugs will not provide safe relief of the client's health problem.
B)
The client is suffering from primary insomnia.
C)
Melatonin supplements will be the safest and most effective long-term pharmacological treatment.
D)
Behavioral therapies and education regarding sleep hygiene will provide assistance for the client.

k.lashomb · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
D

Feedback:

The neural structures that constitute the limbic system are primarily responsible for the regulation of emotion. Clinical studies have suggested that this area of the brain is important for mood states and has extensive connections with the limbic system. The occipital lobe interprets visual information, while language is the domain of the Wernicke area. The parietal lobe processes sensory input.

Answer to Question 2

Ans:
D

Feedback:

Behavioral therapies may be beneficial in the treatment of insomnia. Sleep hygiene establishing a regular wake-up time to help set the circadian clock and regularity of sleep onset are encouraged. Drugs may be of use in the short term and should be used judiciously rather than completely avoiding them. The efficacy of melatonin is unproven, and his insomnia would likely be categorized as secondary insomnia, given the obvious contribution of stressors.