AIIMS BBSR SNO - 2019
Community Health Nursing
Medium
Which of the following will NOT be observed in a client with a right hemispheric stroke?
Appeared in: AIIMS BBSR SNO - 2019
Explanation
- The fundamental principle of motor control in the brain is contralateral, meaning the right hemisphere controls the left side of the body and vice versa.
- A cerebrovascular accident (stroke) in the right hemisphere disrupts signals to the left side of the body.
- Consequently, a right hemispheric stroke leads to left-sided weakness (hemiparesis) or paralysis (hemiplegia).
- Right hemiplegia, or paralysis on the right side of the body, is a hallmark sign of a stroke occurring in the left cerebral hemisphere.
Why Other Options Were Wrong
- Option A: This is a common symptom of a right hemispheric stroke. Damage to the right hemisphere, particularly the frontal lobe, often leads to impaired judgment, a disregard for safety, and impulsive behavior.
- Option B: This is a classic symptom of a right hemispheric stroke. The right parietal lobe is crucial for spatial-perceptual abilities, and damage to this area can cause problems with judging distances, sizes, and positions.
- Option D: This is a hallmark sign of a right hemispheric stroke. It can manifest as neglect (unawareness of the left side of the body or environment) or anosognosia (unawareness or denial of the illness and deficits).
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical manifestations of a right hemispheric stroke as background academic context rather than a clinical decision trigger.
- Recognizing the distinct syndromes of right vs. left hemispheric strokes is critical for rapid nursing assessment and anticipating patient needs.
- Patients with right-sided strokes are at a high risk for falls and injury due to a combination of left-sided weakness, neglect, and impulsivity. Safety measures are a top priority.
- Nursing care for a patient with a right-sided stroke involves placing essential items on their right side (unaffected side), approaching them from the right, and providing frequent cues to attend to their left side.
How to Approach the Question
- First, identify the key phrase in the question: 'right hemispheric stroke'.
- Recall the core neurological principle of contralateral (opposite-sided) control: the right brain controls the left body, and the left brain controls the right body.
- Note the negative keyword 'NOT'. This means you are looking for the option that does NOT fit with a right-sided stroke.
- Evaluate each option based on the principle of contralateral control.
- Option A (Impulse control): This is a behavioral/cognitive function associated with the right hemisphere. It fits.
- Option B (Depth perception): This is a spatial-perceptual function associated with the right hemisphere. It fits.
Concept Tested & Keywords
- Concept Tested: Clinical manifestations of a right hemispheric stroke
- Stem keywords: right hemispheric stroke, client, observed
- Lead-in keywords: NOT
- Negative lead-in flag: The question uses the word 'NOT', asking you to identify the symptom that is inconsistent with a right hemispheric stroke.
Question ID
QfyAVsD_1paRvu7A9_h_BI
Reference Book
E6 Nursing Brunner Adult Health 3SA Vol 2 Part 2 p. 60-62
E6 Medicine Davidson Principles Practice 24e p. 1086-1088
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 1430-1432
Practise the full AIIMS BBSR SNO - 2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Epidemiology of Chronic Non-Communicable Diseases & Conditions Questions
- There are two statements marked as Assertion (A) and Reason (R). Mark your answer as per the codes provided below: Assertion (A): Non-communicable di…
- What is the main cause of noncommunicable diseases?
- In the prevention from communicable diseases, the primary prevention results from?
- Most common cause of blindness in India is?
- You are suffering from diabetes and obesity. At a wedding party, your colleague offered you two more sweets. What would you do?"
- Discouraging children from adopting harmful lifestyles for the prevention of non-communicable disease is an example of
- When is World Heart Day celebrated?
- Which of the following is a Risk Factor for Cardiovascular diseases?
- Which of the following is the biggest cause of adolescent death in the world?
- What is a promotive safety measure to prevent accidents?
More AIIMS BBSR SNO - 2019 Questions
- Carpal tunnel syndrome is caused by the compression of?
- Amoebiasis is caused by?
- \ \ \ \ \ \ is a family therapy approach that focuses on both the biological and the psychosocial components of a problem?
- Which of the following is NOT a physical assessment finding in Parkinson's disease?
- The neonatal period is defined as?
- Individuals who do NOT make decisions until they are aware of all the facts pertaining to a certain situation are called?
- The pH of arterial plasma in healthy individuals is?
- A client with C4 spinal cord injury is at greatest risk for?
- Which of the following is NOT a feature of a healthy mouth?
- In HIV, the virus cannot be transmitted by?