100. CCA Practice Quiz: Nervous System Disorders, Effects, and CCA Support

Nervous system questions often ask you to separate closely related disorders, effects, warning signs, and CCA responsibilities. This quiz mixes direct knowledge, comparisons, applied situations, and role judgments. You will review seizure care, stroke and vascular disorders, acquired brain injury, progressive neurological disorders, spinal cord injury, paralysis care, and Nova Scotia CCA role distinctions.

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#1. Which group contains cognitive changes that can occur with MS?

Correct answer: A. Short-term memory loss, difficulty concentrating, and impaired judgement or reasoning

Explanation: MS can affect short-term memory, concentration, judgement, and reasoning. These cognitive effects occur alongside physical and sensory symptoms.

Why B is wrong: These describe improvements rather than impairments.
Why C is wrong: This is not the stated cognitive pattern of MS.
Why D is wrong: Complete inability to recognize every familiar person or object is not the described MS pattern.

#2. Which speech changes can occur with Parkinson’s disease?

Correct answer: A. Slurred, monotone, or soft speech

Explanation: Parkinson’s disease can cause slurred, monotone, or soft speech. Some clients speak too quickly or repeat themselves.

Why B is wrong: Speech may become soft rather than consistently louder.
Why C is wrong: Speech changes can occur before complete loss of movement.
Why D is wrong: Speech can become affected as the disease progresses.

#3. Which combination reflects supportive care for Parkinson’s disease?

Correct answer: A. ADL assistance, support for elimination, and measures to prevent falls and choking

Explanation: A client may need help with ADLs and measures that promote normal elimination. Safety practices also address risks such as falls and choking.

Why B is wrong: The amount of ADL assistance depends on the client’s needs.
Why C is wrong: Fluid restriction is not the stated elimination measure.
Why D is wrong: Safety support does not mean eliminating movement.

#4. Which form of support is specifically included in care for clients with paralysis?

Correct answer: D. Emotional support

Explanation: Emotional support is part of care for clients living with paralysis. It accompanies the physical and practical support provided.

Why A is wrong: Diagnosis is not the support identified.
Why B is wrong: Treatment selection is not the support identified.
Why C is wrong: Medication selection is not the support identified.

#5. What determines driver’s-licence requirements for people with epilepsy in Canada?

Correct answer: C. Each province and territory has its own regulations.

Explanation: Driver’s-licence regulations for people with epilepsy are established by individual provinces and territories. The rules therefore are not described as one national standard.

Why A is wrong: The regulations are provincial or territorial rather than one Canada-wide rule.
Why B is wrong: Workplace rules do not determine government driver’s-licence regulations.
Why D is wrong: The rule is not limited to seizures occurring at work.

#6. Which action follows confidentiality requirements?

Correct answer: C. Discuss client information only with people involved in the client’s care.

Explanation: Confidentiality requires protecting information about the client. Client details should not be discussed with people who are not involved in the client’s care.

Why A is wrong: Employment at the facility alone does not place someone within the client’s care.
Why B is wrong: Trust between coworkers does not replace confidentiality requirements.
Why D is wrong: A relative’s interest does not make that person part of the client’s care.

#7. Which daily-function problems can occur as Huntington’s disease progresses?

Correct answer: A. Difficulty eating, swallowing, and performing many ADLs

Explanation: Progressive uncontrolled movement can interfere with eating, swallowing, walking, and ADLs. Assistance needs therefore increase as the disease advances.

Why B is wrong: Swallowing can become more difficult rather than improve.
Why C is wrong: Progressive movement problems can reduce independence.
Why D is wrong: Improved mobility is not the described progression.

#8. Why can emotional support be especially important for clients with Huntington’s disease?

Correct answer: A. They are often relatively young and may require long-term care.

Explanation: People with Huntington’s disease are often relatively young when they require extensive support or long-term care. Emotional support is especially important in this situation.

Why B is wrong: The stated reason is not lack of awareness.
Why C is wrong: Emotional support remains important during physical care.
Why D is wrong: More than one member of a family may have the inherited disorder.

#9. In Nova Scotia, what does observational point of care assessment involve?

Correct answer: D. Observing the person and environment before, during, and after care for changes needing escalation

Explanation: Observational point of care assessment involves ongoing observation of the person and environment around the care interaction. Its purpose includes recognizing changes that meet established escalation expectations.

Why A is wrong: Comprehensive evaluation for care-planning decisions is outside this observational CCA role.
Why B is wrong: The concept spans before, during, and after care and does not give the CCA authority to revise the care plan.
Why C is wrong: Observational point of care assessment is distinct from a nursing assessment.

#10. Where should the call bell be for a client with paralysis in a facility?

Correct answer: C. Within the client’s reach

Explanation: In a facility, the call bell should remain within the client’s reach. This supports access to help.

Why A is wrong: The doorway does not ensure client access.
Why B is wrong: Access is not limited to nighttime.
Why D is wrong: The client needs access to the call bell before requesting help.

#11. What is the purpose of a swallowing assessment after a stroke?

Correct answer: B. To provide care-plan guidance that reduces choking and aspiration risk

Explanation: A swallowing assessment can provide guidelines for the care plan. These guidelines help reduce the risk of choking and aspiration.

Why A is wrong: Meal preparation ability is different from swallowing safety.
Why C is wrong: The assessment is not described as deciding the client’s care setting.
Why D is wrong: Its stated purpose is swallowing safety rather than restoring every previous food choice.

#12. A client with Parkinson’s disease has a fixed, masklike expression. What should the CCA remember?

Correct answer: C. The expression does not reveal the client’s true feelings.

Explanation: A masklike facial expression is a physical effect of Parkinson’s disease. It does not accurately show what the person feels, so the client should continue to be treated with dignity and respect.

Why A is wrong: Reduced facial expression does not mean absence of emotion.
Why B is wrong: Facial appearance does not establish impaired understanding.
Why D is wrong: A fixed expression does not communicate a wish for isolation.

#13. Why do the effects of a stroke differ from one client to another?

Correct answer: B. The effects depend on which area of the brain is injured.

Explanation: A stroke damages brain tissue, and the functions controlled by the injured area can become impaired or lost. Early detection and treatment are important for reducing the risk of lasting effects.

Why A is wrong: A stroke does not necessarily affect every brain function.
Why C is wrong: Age affects stroke risk but does not by itself determine which functions are lost.
Why D is wrong: Stroke injury occurs in the brain rather than being defined by spinal-cord level.

#14. What response is required when a client shows warning signs of a stroke?

Correct answer: C. Contact emergency services because stroke is a medical emergency.

Explanation: Stroke is a medical emergency and requires immediate medical attention. Emergency services should be called when stroke warning signs occur.

Why A is wrong: Documentation does not replace urgent medical attention.
Why B is wrong: Waiting for symptoms to improve delays the required emergency response.
Why D is wrong: Rehabilitation follows stabilization and treatment rather than replacing emergency care.

#15. In Nova Scotia, which response best reflects the CCA’s role during an emergency?

Correct answer: B. Apply relevant interventions, follow employer emergency procedures, and report to a supervisor when necessary.

Explanation: During an emergency, the CCA applies relevant interventions and follows the employer’s emergency policies and procedures. Reporting to supervisors when necessary remains part of the CCA’s emergency responsibilities.

Why A is wrong: The emergency role does not give the CCA independent authority to decide additional care outside the established framework.
Why C is wrong: Necessary emergency reporting is not described as something delayed until routine documentation is finished.
Why D is wrong: The CCA’s role includes applying relevant interventions rather than waiting to act solely because a supervisor has not yet responded.

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