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A patient who has suffered a right hemisphere cardiovascular accident (CVA) will be expected to exhibit: 1\. nonfluent aphasia. 2\. impulsivity, highly distractible. 3\. slow and cautious behavior. 4\. motor deficit on the right side.

Short Answer

Expert verified
A patient with a right hemisphere CVA will likely exhibit impulsivity and be highly distractible.

Step by step solution

01

Understanding CVA Impacts on Hemispheres

A CVA, or stroke, affecting one hemisphere of the brain often leads to deficits on the opposite side of the body. Thus, a right hemisphere CVA typically results in issues on the left side of the body.
02

Evaluating Symptoms

Each of the given options describes a potential symptom or behavior: 1. Nonfluent aphasia is associated with the left hemisphere. 2. Impulsivity and highly distractible behavior are often associated with damage to the right hemisphere. 3. Slow and cautious behavior are more typical of left hemisphere damage. 4. Motor deficit typically occurs on the opposite side of brain damage, correlating a right hemisphere CVA with left-side deficits.
03

Identifying the Expected Symptom

Based on the analysis, a right hemisphere CVA commonly results in behaviors linked to impulsivity (Option 2) because it affects the ability to maintain attention and control impulses. Left-side motor deficits would be expected, not right-side as suggested in Option 4.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Understanding the Symptoms of Right Hemisphere Stroke
When someone experiences a cerebrovascular accident (CVA), commonly known as a stroke, it can affect either the left or right hemisphere of the brain. Each hemisphere controls different functions and behaviors.

A right hemisphere stroke can lead to a variety of symptoms. One of the key characteristics includes impulsivity and distractibility. This happens because the right side of the brain is largely responsible for attention and decision-making. Therefore, damage here can result in a person finding it difficult to concentrate, leading to spontaneous behaviors without much forethought.

Additionally, someone with a right hemisphere stroke might ignore the left side of their body or their environment, a condition known as "left neglect." It's also possible for these patients to demonstrate a lack of insight into their own disabilities, making them unaware or indifferent to their own impairments.
The Role of Neurological Assessments
Neurological assessments are vital in diagnosing and understanding strokes. They help medical professionals determine which areas of the brain have been affected and the extent of the damage.

Some common methods include:
  • Physical Examination: Testing reflexes, muscle strength, and coordination to assess physical capabilities.
  • Imaging Tests: CT scans or MRIs provide a visual representation of which part of the brain has been impacted.
  • Cognitive and Behavioral Tests: These evaluate language, memory, and other cognitive skills to detect deficits caused by the stroke.
Through these assessments, doctors can deduce behavioral changes and physical impairments specific to right hemisphere damage, such as impulsiveness and the tendency to be easily distractible.

Comprehensive assessments ensure that individuals receive the right treatment plan, focusing on rehabilitation exercises tailored to the patient's specific needs.
Effects of Hemiparesis After Stroke
Hemiparesis refers to weakness on one side of the body, typically resulting from damage to the brain's opposite side. If a stroke impacts the right hemisphere, this weakness will affect the left side of the body.

This condition makes it challenging to perform everyday tasks such as walking, dressing, or even holding objects. Hemiparesis might affect:
  • Arm and Leg Movement: Limiting range of motion and strength.
  • Balance and Coordination: Making standing or walking difficult without assistance.
  • Fine Motor Skills: Affecting activities like writing or buttoning a shirt.
Rehabilitation focuses on improving muscle strength and coordination through physiotherapy, occupational therapy, and in some cases, speech therapy if facial muscles are affected. The main goal is to enhance quality of life and promote independence despite physical limitations.

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Most popular questions from this chapter

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