The nurse is conducting a focused neurologic assessment. When assessing the patient's cranial nerve function, the nurse would include which of the following assessments?
A) Assessment of hand grip
B) Assessment of orientation to person, time, and place
C) Assessment of arm drift
D) Assessment of gag reflex
Ans: D
Feedback:
The gag reflex is governed by the glossopharyngeal nerve, one of the cranial nerves. Hand grip and arm drifting are part of motor function assessment. Orientation is an assessment parameter related to a mental status examination.
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