Chronic Unilateral Neglect from Focal Meningoencephalitis Lesions in an Immune-Compromised Hemodialysis Patient

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Learning Objectives

After reading this article, learners will be able to:

  1. Describe several manifestations of unilateral neglect.
  2. List several factors contributing to the immunological vulnerability of hemodialysis patients.
  3. Detail nursing outcomes and classifications related to the nursing diagnosis of unilateral neglect.
1. Observable signs of unilateral neglect include all of the following except:
  a. Denying ownership of an arm

  b. Fixing head or gaze to one side

  c. Colliding into objects

  d. Failure to recognize faces

2. A patient with a positive Prévosts sign:
  a. Has both eyes deviated to one side

  b. Has a stiff, achy neck

  c. Has a masklike facial expression
  d. Has unilateral weakness

3. Which is not a factor contributing to immune-compromise in hemodialysis patients?
  a. Malnutrition

  b. Hyperparathyroidism

  c. Iron therapy

  d. Fluid restriction

4. Unilateral neglect is most common after damage to:
  a. The corpus callosum

  b. The frontal lobes

  c. The right hemisphere

  d. The left hemisphere

5. Later stages of infectious meningoencephalitis may mimic:
  a. Cerebrovascular Accident

  b. Parkinson’s Disease

  c. Huntington’s Disease

  d. Guillain-Barre Syndrome

6. Unilateral neglect is:
  a. Synonymous with homonymous hemianopia
  b. A sensory and motor deficit

  c. A disinclination or disinterest in half the world

  d. Always associated with anosognosia

7. Diffusion-weighted imaging:

  a. Uses radioopaque contrast

  b. Is a type of computed tomography

  c. Demonstrates cerebral metabolism

  d. Is commonly used to diagnose stroke

8. Anosognosia is:

  a. A failure to name common objects

  b. The inability to vary tone of voice

  c. The unawareness of a deficit

  d. An inability to interpret sensory information

9. Which is not a bedside test for unilateral neglect?
  a. Pointing straight ahead

  b. Naming 10 objects in the room

  c. Pantomiming grooming

  d. Identifying common items

10. NIC interventions for unilateral neglect include all the following except:

  a. Scanning training

  b. Environmental training

  c. Heedfulness (This is an outcome, not an intervention)

  d. Family education