Download Neurological Injuries and Referral for Neuropsychological Testing and more Exams Nursing in PDF only on Docsity! Question 2 5 / 5 pts Week 1 quiz 50-50 Question 1 5 / 5 pts Which of the following is NOT an overlapping symptom of Post Traumatic Stress Disorder (PTSD) and Persistent Post Concussive Syndrome (PPCS): Irritability/Anger Dizziness Insomnia Depression/Anxiety Benzodiazepines can be utilized in all of the following scenarios except for: Mood disorders Delirium not associated with alcohol use/withdrawal Acute alcohol withdrawal Insomnia [AUTHOR] 1 Question 3 5 / 5 pts [AUTHOR] 2 Question 8 5 / 5 pts Question 9 5 / 5 pts The MMSE score alone is a strong indicator of Dementia and we can proceed with medication based on these results. The MMSE score along with the memory issues are more concerning for head injury and so we will pursue a head CT to rule out TBI. The MMSE score along with the memory issues you identified are very strong indicators of Dementia so we will begin first line treatment with Donepezil (Aricept) today. The MMSE score alone is concerning for Dementia but the memory issues can be a part of normal brain function so we need to rule out organic causes before concluding a diagnosis of Dementia. Chris is a 28-year-old marine who just returned from active duty from Iraq. He has been complaining of dizziness, extreme headaches, and memory problems related to traumatic brain injury. His neurological injuries are most likely the effect of: Rotational acceleration/deceleration, resulting in focal injury. Direct blunt trauma, resulting in damage to underlying tissues. Changes related to altitude in climate. Diffuse axonal damage as the result of a blast-induced injury. [AUTHOR] 5 Question 10 5 / 5 pts Damage to underlying tissue or vessels Contusions/bruising/bleeding Disintegration of brain tissue Focal and diffuse damage Diffuse damage Match the type of Injury with the neurologic damage. Blow to the head with an object Punched in the face or head Being shot in the face or head Falling and hitting your head Near Drowning Collaborating with specialists is an important part of primary care involving patients with neurologic injuries. It is important as an APN to know when to refer to a specialist and what the goal of that referral is: further information, diagnostic testing or treatment recommendations? Which of the following are accurate goals of referral of a patient for Neuropsychological Testing? Choose all that apply: Assist in differential diagnosis and determination of the severity of a condition [AUTHOR] 6 Assist in identifying neurobehavioral or developmental disorders that may influence cognitive and behavioral functions (e.g., dyslexia, attention-deficit/hyperactivity disorder [ADHD], autism spectrum disorders, mental retardation) Marital Counseling Monitor the results of Court ordered Drug testing Establish a baseline level of neuropsychological functioning Monitor changes in cognition over time (document recovery or progression of symptoms) [AUTHOR] 7
