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NURS- Uworld MENTAL HEALTH NURSING AAA EXAMS Elaboration Questions & Detailed Answers
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NURS- Uworld MENTAL HEALTH NURSING AAA EXAMS Elaboration Questions & Detailed Answers
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Uworld Mental Health NursingMental Health Nursing
Neurologic
Coup-Contrecoup Injury
Test Id: 52191858
Question Id: 32261 (729561)
1 of 13
A A A
A speeding driver sustained a closed-head injury in an acceleration/deceleration
accident from striking a tree front end first. Based on the coup-contrecoup
phenomenon, which assessments are most likely to be affected related to the involved
areas of the brain?
Unordered Options Ordered Response
1. Expressive speech, vision
2. Light touch, hearing
3. Sense of position, graphesthesia
4. Weber tuning fork test, cranial nerve I
You answered this question correctly.
Time Spent: 41 Seconds
69% of people answered this question correctly.
Last Updated: 1/29/2016
Explanation
,Uworld Mental Health Nursing
Coup-contrecoup injury occurs when a body in motion stops suddenly (eg, head hits
car windshield), causing contusions (bruising) of brain tissue as the brain moves back
and forth within the skull. First, the soft tissue strikes the hard skull in the same
direction as the momentum (coup). As the body bounces back, the brain strikes the
opposing side of the skull (contrecoup).
When the forward collision occurred, the frontal lobe most likely suffered the primary
impact (coup). Executive function, memory, speech (Broca area), and voluntary
movement are controlled by the frontal lobe. The contrecoup most likely injured the
occipital lobe, where vision is processed.
(Option 2) The temporal lobe (lateral aspect of the brain) controls hearing and
integrates sensory data (eg, auditory, visual, somatic). The Wernicke speech area in
the temporal lobe is responsible for language comprehension. Light touch is processed
by the sensory cortex in the parietal lobe.
(Option 3) An interruption of sensory function indicates injury to either the spinal
column or the parietal lobe. These injuries affect proprioception (awareness of body
positioning) and graphesthesia (ability to identify writing on the skin, by touch).
,Uworld Mental Health Nursing
(Option 4) The Weber test screens for conductive hearing loss by checking whether a
tuning fork held along the midline of the head is heard evenly in both ears. Cranial
nerve I is the olfactory nerve. Hearing and smell are both processed by the temporal
lobe.
Educational objective:
Coup-contrecoup injuries usually affect the frontal and occipital lobes. The frontal lobe
controls executive function, memory, speech, and motor skills. The occipital lobe
processes vision.
Mental Health Concepts
Characteristics Of ADHD
Test Id: 52191858
Question Id: 31967 (729561)
2 of 13
A A A
The student nurse is performing an assessment of a 10-year-old diagnosed with
attention-deficit hyperactivity disorder (ADHD). In addition to the 3 core symptoms of
ADHD (hyperactivity, impulsiveness, and inattention), which of the following would the
student nurse expect to find during the assessment?
Unordered Options Ordered Response
1. Confusion and a learning disability
2. Delayed physical and emotional development
3. Disorientation and cognitive impairment
4. Low self-esteem and impaired social skills
You answered this question correctly.
, Uworld Mental Health Nursing
Time Spent: 19 Seconds
49% of people answered this question correctly.
Last Updated: 12/20/2015
Explanation
The core symptoms of ADHD include hyperactivity, impulsiveness, and inattention.
Hyperactive children are restless; have difficulty remaining seated when required; and
exhibit excessive talking, blurting out answers prematurely, and interrupting others.
Inattention is characterized by reduced ability to focus and attention to detail, easy
distractibility, and failure to follow through (eg, homework, chores).
The primary symptoms of ADHD have a negative impact and can make life difficult for
children in school, at work, and in social situations. Symptoms interfere with
opportunities to acquire social skills and may also result in rejection and critical
judgment by peers. The negative consequences of ADHD include:
• Poor self-esteem
• Increased risk for depression and anxiety
• Increased risk for substance abuse
• Academic or work failure
• Trouble interacting with peers and adults
(Option 1) Children with ADHD are more likely to have a learning disability. Confusion
is not a typical clinical finding.
(Option 2) Although children with ADHD may appear to be emotionally immature for
their age, ADHD is not associated with delayed physical growth.
(Option 3) Children with ADHD are not disoriented. ADHD is associated with a range
of cognitive impairments, but no single cognitive dysfunction typifies all children with the
disorder. Some children have no impairment at all.
Educational objective:
The diagnosis of ADHD includes the presence of hyperactivity, impulsiveness, and
inattention. The negative consequences of the core manifestations include impaired
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