The nurse is assessing the integrity of the sensory system in the client's upper extremities. She asks the client to close his eyes and to identify the object that has been placed in his palm. This is a test for which of the following?
a. Graphesthesia
b. Discriminative sensation
c. Stereognosis
d. Extinction
C
A test for stereognosis occurs when the examiner places a small familiar object, such as a key, paper clip, or coin, in the client's palm; the client manipulates the object and correctly identifies it.
A test for graphesthesia is conducted when the examiner uses a blunt object to draw a number or letter on the client's palm. The client is asked to identify it.
Discriminative sensation encompasses three tests of fine touch, which require a higher level of sensory cortex function because clients must analyze and interpret the stimulus with their eyes closed.
A test for extinction occurs when the examiner touches both arms in symmetrical places at the same time. The client reports that two places were touched and identifies the locations.
You might also like to view...
Which dietary guideline would be the most important for the nurse to instruct a patient with diabetes mellitus?
1. Include foods rich in calcium at every meal. 2. Eliminate as much fat from the diet as possible. 3. Eat at regular times including meals and snacks. 4. Ingest the majority of daily caloric intake in the morning meal.
The human resources department has distributed posters with information about workplace violence such as typical profiles of workplace killers, characteristics of disgruntled employees, motivations for violent actions, and factors that contribute to
the problem. This course of action is called: a. risk control. b. threat management. c. violence assessment. d. total quality management.
An acutely psychotic patient is restricted to an inpatient unit. Which milieu element has been adapted?
a. Norms b. Balance c. Therapy d. Psychopathology
Which characteristic of a tumor indicates that it is benign rather than malignant?
A. It does not cause pain. B. It is less than 2 cm in size. C. It is surrounded by a capsule. D. It causes the sensation of itching.