A Patient Has Reduced Muscle Strength Following a Left-Sided Stroke

question 14

Multiple Choice

A patient has reduced muscle strength following a left-sided stroke and is at risk for falling. Which intervention is most appropriate for the nursing diagnostic statement Risk for falls?

• A) Keep all side rails down at all times.
• B) Encourage patient to remain in bed most of the shift.
• C) Place patient in room away from the nurses' station if possible.
• D) Assist patient into and out of bed every 4 hours or as tolerated.

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Definitions:

Short-Term Memory

The capacity for holding a small amount of information in mind in an active, readily available state for a short period of time.

George Miller

A psychologist best known for his theory on the limits of short-term memory, proposing that people can hold about 7 (plus or minus 2) items in their working memory.

Hermann Ebbinghaus

A German psychologist known for his pioneering work in the study of memory, including the discovery of the forgetting curve and the spacing effect.

Iconic Memory

A type of visual sensory memory that holds a brief photographic image for a few seconds after the exposure to the original stimulus.