A patient is recovering from surgery to remove a tumor in the ...

[rachel9]

A patient is recovering from surgery to remove a tumor in the cerebellum. Which assessment finding is most attributable to this diagnosis?
 
  a. The patient complains of limited taste and smell.
  b. The patient demonstrates poor balance and coordination.
  c. The patient has limited ability to learn and poor memory.
  d. The patient has poor emotional control and low motivation.

Question 2

A nurse finds a psychiatric advance directive in the medical record of a patient experiencing psychosis. The directive was executed during a period in which the patient was stable and competent. The nurse should
 
  a. ensure that the directives are respected in treatment planning.
  b. review the directive with the patient to ensure that it is current.
  c. consider the directive only if there is a cardiac or respiratory arrest.
  d. realize that such directives address only the use of psychotropic medication.

[pallen55]

Answer to Question 1

B
The cerebellum coordinates muscle synergy and is responsible for the maintenance of equilibrium. The limbic system plays a role in taste, smell, memory, learning, emotional control, and motivation.

Answer to Question 2

A
Advance directives for psychiatric care might be given by competent patients. They are considered binding and should be considered in planning treatment. Advance directives address several issues including psychotropic medication. Review is not required. A psychiatric advance directive relates specifically to mental health services, not cardiac or respiratory problems.