9.13 Learning Activities
Flashcards
Click the Turn button to flip each card and see the answer, then use the arrow to move to the next card. Continue through the set and revisit cards as needed until you can recall the answers on your own.
Knowledge Check
Read each question carefully. Select the answer you think is correct. Then select Check to submit your answer. If your answer is incorrect, select Retry to try again. Use the arrow buttons to move between questions.
Check 1: Epilepsy
Check 2: Parkinson’s Disease
NCLEX Next Generation-Style Questions
Test your clinical judgment with these NCLEX Next Generation-style questions.
- Open the activity: NCLEX Next Generation-style question
- Open the activity: NCLEX Next Generation-style question
- Open the activity: NCLEX Next Generation-style case study
- Open the activity: NCLEX Next Generation-style case study
- Open the activity: NCLEX Next Generation-style case study
Simulated Case Study
Telehealth Scenarios
Telehealth is an innovative technology that can bridge the gap between health care professionals and clients, especially for clients who live in remote areas. Telehealth not only makes health care more accessible but can also provide continuity of care and prevent unnecessary hospitalizations. Nurses who provide telehealth services become digital communicators and educators, merging clinical expertise with empathy and effective online communication.
Practice using effective telehealth communication in the following scenarios with Dakotah Thunderhawk, a 75-year-old, Native American male who recently had a cerebrovascular accident and is recovering at home with left side weakness:[7]
- Dakotah Thunderhawk, Telehealth Visit 1: Post-hospitalization Follow-Up(opens in new tab)
- Dakotah Thunderhawk, Telehealth Visit 2: Identifying Learning Needs(opens in new tab)
- Dakotah Thunderhawk, Telehealth Visit 3: Evaluating Health Teaching
Case Study
Stroke
Sandra is a 66-year-old, Native American female brought to the emergency department by her husband. She awoke in the middle of the night and fell when she tried to walk to the bathroom because she could not control her left leg. In the Emergency Department, she was diagnosed with an acute ischemic stroke, but the actual time of the stroke was unknown.
Subjective Data:
- States left arm and left leg feel weak and numb
- Reports feeling depressed and anxious
- Concerned about having another stroke
- States she has not taken her medications for high cholesterol for many weeks and forgets to take her hypertension medications every day
- Reports a brief episode of left-sided weakness and tingling of the face, arm, and hand three months earlier, which she verbalizes “totally resolved” and for which she did not seek treatment
Objective Data:
- BP 180/110
- Left-sided arm weakness 3/5 and leg weakness 4/5
- Decreased sensation on the left side, particularly the hand
- Left homonymous hemianopsia
- BMI of 29
- Alert and oriented and able to verbally respond to questions appropriately but noticeable delay with verbal responses
- Appears tearful and anxious
- Requires help to perform ADLs
Questions:
- How does the Sandra’s health history put her at risk for a stroke? How can the RN address the client’s concerns and fears regarding the possibility of having another stroke?
- What lifestyle modifications may Sandra have to make?
- Is Sandra a candidate to receive tPA? Why or why not? Provide the rationale for your response.
- What diagnostic tests and medications can you expect the client to receive?
- How will homonymous hemianopsia affect Sandra’s hygiene, ability to drive, eat, and participate community activities?
- What additional assessments can the nurse make to develop interventions to help Sandra and her husband cope with this change in Sandra’s health status?
