A client is believed to have a disorder that affects the basal ...

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A client is believed to have a disorder that affects the basal ganglia. What should the nurse instruct the client about this structure?
 
  Standard Text: Select all that apply.
  1. It helps regulate skeletal muscle movement.
  2. It helps with memory.
  3. It is needed for learning.
  4. It is useful for being attentive.
  5. Disorders can cause myasthenia gravis.

Question 2

It is important for the nurse to obtain a thorough history from a client who is experiencing anxiety. What can the nurse distinguish through the history?
 
  Standard Text: Select all that apply.
  1. The best method of pharmacotherapy
  2. Whether the client might benefit from individual or group therapy
  3. The category of anxiety disorder
  4. The region of the brain that is causing the anxiety disorder
  5. Substances that might worsen anxiety

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Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: The basal ganglia are a cluster of neurons in the brain that help regulate the initiation and termination of skeletal muscle movement.
Rationale 2: The basal ganglia help initiate and terminate the cognitive function of memory.
Rationale 3: The basal ganglia help initiate and terminate the cognitive function of learning.
Rationale 4: The basal ganglia help initiate and terminate the cognitive function of attention.
Rationale 5: Disorders of the basal ganglia are not implicated in the development of myasthenia gravis.
Global Rationale: The basal ganglia are a cluster of neurons in the brain that help regulate the initiation and termination of skeletal muscle movement. The basal ganglia also help initiate and terminate cognitive functions such as memory, learning, and attention. Disorders of the basal ganglia are not implicated in the development of myasthenia gravis.

Answer to Question 2

Correct Answer: 1,2,5
Rationale 1: The health care provider must accurately diagnose the anxiety disorder, because treatment differs among the various types of anxiety disorders. Some anxiety disorders are debilitating and require effective pharmacotherapy.
Rationale 2: Some clients benefit from individual or group psychotherapy, which can help them identify and overcome the root causes of their worry and fear.
Rationale 3: A thorough health history is not used to determine the category of anxiety disorder.
Rationale 4: A thorough health history is not used to determine the region of the brain that is causing the anxiety disorder.
Rationale 5: When obtaining a comprehensive medication history during the initial client assessment, the nurse should observe any substances the client is taking that might worsen or cause anxiety symptoms. Sometimes discontinuing or substituting an alternate drug for these anxiety-promoting medications can lessen client symptoms.
Global Rationale: The health care provider must accurately diagnose the anxiety disorder, because treatment differs among the various types of anxiety disorders. Some anxiety disorders are debilitating and require effective pharmacotherapy. Some clients benefit from individual or group psychotherapy, which can help them identify and overcome the root causes of their worry and fear. When obtaining a comprehensive medication history during the initial client assessment, the nurse should observe any substances the client is taking that might worsen or cause anxiety symptoms. Sometimes discontinuing or substituting an alternate drug for these anxiety-promoting medications can lessen client symptoms. A thorough health history is not used to determine the category of anxiety disorder or the region of the brain that is causing the anxiety disorder.

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