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Mild Traumatic Brain Injury (TBI)

1. TBI pathogenesis is a complex process that results from primary and secondary injuries that lead to temporary or permanent neurological deficits.

A. True B. False

2. A fellow health care professional has questions regarding chronic traumatic encephalopathy (CTE). Which of the following informational points of interest should be communicated to the health care professional regarding CTE?

A. CTE often results in a decrease in suicidal behavior. B. CTE likely results from the evolution of progressive neuronal loss. C. CTE is not often linked with deficits in memory. D. CTE does not cause dysarthric speech.

3. According to the course, which of the following statements is most accurate?

A. Current TBI guidelines state that 1 week of prophylactic antiepileptics is acceptable to help prevent early seizures. B. Current TBI guidelines state that 2 weeks of prophylactic antiepileptics is acceptable to help prevent early seizures. C. Current TBI guidelines state that 1 month of prophylactic antiepileptics is acceptable to help prevent early seizures. D. Current TBI guidelines state that 2 months of prophylactic antiepileptics is acceptable to help prevent early seizures.

4. Which of the following statements is most accurate?

A. Concussive injuries are often viewed as mild TBIs with gross structural damage secondary to a penetrating TBI. B. Concussive injuries are often viewed as mild TBIs without any gross structural damage secondary to a nonpenetrating TBI. C. Concussive injuries are often viewed as severe TBIs without any gross structural damage secondary to a nonpenetrating TBI. D. Concussive injuries are often viewed as mild - severe TBI with gross structural damage secondary to a nonpenetrating TBI.

5. Which of the following statements is most accurate?

A. Hyperventilation lowers ICP by reducing the intraarterial carbon dioxide partial pressure, which subsequently results in vasoconstriction. B. Hyperventilation lowers ICP by increasing the intraarterial carbon dioxide partial pressure, which subsequently results in vasoconstriction. C. Hyperventilation increases ICP by reducing the intraarterial carbon dioxide partial pressure, which subsequently results in vasoconstriction. D. Hyperventilation increases ICP by increasing the intraarterial carbon dioxide partial pressure (PaCO2), which subsequently results in vasoconstriction.

6. According to the American Congress of Rehabilitation Medicine, in order for an individual to be diagnosed with a mild traumatic brain injury there must be evidence that the individual lost consciousness for approximately 60 minutes or greater.

A. True B. False

7. Which of the following statements is most accurate?

A. The majority of patients with mTBI history are asymptomatic within a couple of months post-injury, and a small minority of patients continue to report detrimental symptoms for decades post-injury. B. The majority of patients with mTBI history are asymptomatic within a couple of weeks post-injury, and a small minority of patients continue to report detrimental symptoms for months and even years post-injury. C. The majority of patients with mTBI report detrimental symptoms for months or years post-injury. D. The majority of patients over the age of 75 with mTBI report detrimental symptoms for months or years post-injury.

8. The purpose of a neuropsychological evaluation is to assess the cognitive and functional deficits resulting from a neurological disorder or injury.

A. True B. False

9. Which of the following neuropsychological tests may be used to evaluate the functional domain referred to as processing speed?

A. Reliable Digit Span Test B. Grooved Pegboard Test C. Trail Making Test A D. WAIS-IV: Block Design, Matrix Reasoning Test

10. Which of the following statements is most accurate?

A. Individuals with PCS typically present with emotional dysregulation - however, they do not often meet diagnostic criteria for clinical psychological disorders including depression, anxiety, post-traumatic stress, and substance use disorders. B. Individuals with PCS typically present with emotional dysregulation, and often meet diagnostic criteria for clinical psychological disorders including depression, anxiety, post-traumatic stress, and substance use disorders. C. " Individuals with PCS typically do not present with emotional dysregulation - however, they often meet diagnostic criteria for clinical psychological disorders including depression, anxiety, post-traumatic stress, and substance use disorders. " D. Individuals over the age of 65 with PCS typically do not present with emotional dysregulation - however, they often meet diagnostic criteria for clinical psychological disorders including depression, anxiety, post-traumatic stress, and substance use disorders.


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