Author Question: The family of a client who has a tumor deep in the brain is concerned about the client's ... (Read 65 times)

j.rubin · **on:** Jul 23, 2018

The family of a client who has a tumor deep in the brain is concerned about the client's demonstration of aggression and anger over the last few months. Which response by the nurse is the most appropriate?

1. I will inform the health care provider about the client's anger and aggression.
2. I will request a referral for anger management.
3. The tumor might affect areas of the brain responsible for emotional expression.
4. This is an abnormal response to the diagnosis.

Question 2

A client with depression and a sleep disorder is prescribed a central nervous system medication. The nurse will expect to assess which effects of this medication in the client?

Standard Text: Select all that apply.
1. Improved mood
2. Improved sleep pattern
3. Activation of the fight-or-flight response
4. Onset of seizures
5. Increased pain levels

lolol · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: The anger and aggression will remain until the tumor is treated.
Rationale 2: The root cause of the anger, the tumor, needs to be addressed.
Rationale 3: The limbic system is a group of structures deep in the brain responsible for emotional expression, learning, and memory. Emotional states associated with this system include anxiety, fear, anger, aggression, remorse, depression, sexual drive, and euphoria. Signals routed through the limbic system ultimately connect with the hypothalamus.
Rationale 4: Anger is a normal response to diagnosis of a tumor.
Global Rationale: The limbic system is a group of structures deep in the brain responsible for emotional expression, learning, and memory. Emotional states associated with this system include anxiety, fear, anger, aggression, remorse, depression, sexual drive, and euphoria. Signals routed through the limbic system ultimately connect with the hypothalamus. The anger and aggression will remain until the tumor is treated. The root cause of the anger, the tumor, needs to be addressed. Anger is a normal response to diagnosis of a tumor.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: An improved mood is an effect of some central nervous system medications.
Rationale 2: An improvement in sleep patterns is an effect of some central nervous system medications.
Rationale 3: Activation of the fight-or-flight response is not an effect of central nervous system medications.
Rationale 4: Some central nervous system medications control rather than cause the onset of seizures.
Rationale 5: Some central nervous system medications control, not increase, pain.
Global Rationale: An improved mood and improvement of sleep patterns are the effects of some central nervous system medications. Activation of the fight-or-flight response is not an effect of central nervous system medications. Some central nervous system medications control rather than cause the onset of seizures. Some central nervous system medications control, not increase, pain.