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Mrs. A. presents to outpatient therapy with the following profile:   Mrs. A. is a premorbidly right-handed 65-year-old woman who had left middle cerebral artery ischemic stroke 2 months prior. Per your evaluation, she presents with mild Broca’s aphasia characterized by halting, effortful speech; agrammatic output with verb conjugation errors and omission of closed class words; mildly impaired auditory comprehension; and concomitant alexia and agraphia consistent with auditory comprehension and verbal expression impairments. During the evaluation, Mrs. A.’s partner repeatedly interrupted, at one point saying “she can’t answer those questions. Don’t bother asking that.” Mrs. A.’s partner reported that since returning home from the hospital, Mrs. A. has been withdrawn and has declined social invitations from old friends.   Describe this information within the structure of the Living with Aphasia: Framework for Outcome Measurement (A-FROM) domains. In other words, define each of the A-FROM domains and explain which parts of this profile fit in which domain.

Following a stroke, Patient 1 receives an NIH Stroke Scale score of 10/42. Patient 2 receives an NIH Stroke Scale score of 25/42. Which patient has had a more severe stroke?

You perform a bedside aphasia evaluation and find the following:   Discourse sample – Western Aphasia Battery – Revised Picnic Scene verbal Picture Description: “The tripty went to the sprast and you can see a shamalot. And then over here there’s a man frinking something from that bramentans.”   Following auditory one-step directions:  1/5 Word Repetition: 1/5 Object naming: 0/5   What type of aphasia are these results suggestive of and why? Please answer in 1-3 complete sentences.

You perform a bedside aphasia evaluation and find the following:   Discourse sample – Western Aphasia Battery – Revised Picnic Scene verbal Picture Description: “There’s a man and a woman having a picnic on the blanket. And then I see a man fishing on the porch. No wait not porch but what’s the word? Pier, yes a man fishing on the pier. And over here there’s a boy and his dog flying something, I can’t think of the word, in the sky.   Following auditory one-step directions: 5/5 Word repetition: 5/5 Object naming: 4/5   What type of aphasia are these results suggestive of and why? Please answer in 1-3 complete sentences.

According to the linguistic deficit hypothesis, aphasia is due to…

Which symptom does not tend to co-occur with aphasia?

A nurse performs a pupillary light reflex test (PERRLA) on a client with a head injury and notes that the right pupil is fixed and dilated while the left pupil is reactive. What should the nurse suspect?

A postmenopausal client asks about osteoporosis prevention. Which statement by the nurse is most accurate?

A client with a femur fracture reports severe, worsening pain despite multiple doses of IV morphine. The affected limb is cool to touch, has absent pulses, and shows pallor. What is the nurses next action?

A client with Guillain-Barré Syndrome (GBS) is reporting difficulty breathing, shallow respirations, and has an SpO2 of 86% despite 6 L/min oxygen via nasal cannula. Which intervention should the nurse perform first?