The nurse conducting a Romberg test will ask the patient to (arrange in correct sequence):

1. touch his or her nose with the index finger with the eyes open.
2. stand with eyes closed.
3. touch his or her nose with the index finger with the eyes closed.
4. touch his or her fingertip to nurse's fingertip.
5. pat the knees with the palms and then the back of the hands rapidly.


2, 5, 4, 1, 3
These simple exercises help assess balance and perception.

Nursing

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A novice nurse is learning how to effectively communicate within a therapeutic nurse-patient relationship. What struggle is most harmful when the nurse is new to therapeutic relationships?

1. Feeling uncomfortable with the relationship 2. Feeling anxious about developing the relationship 3. Falling back on knowledge learned from nursing school and not accounting for practical knowledge 4. Falling back on relationship skills learned in friendships, family relationships, or other personal relationships

Nursing

An older patient says, "I seem to be talking so much louder these days and I don't know why!" The nurse realizes that this patient might be experiencing:

1. loss of hair cells in the middle ear. 2. cochlear atrophy. 3. impacted cerumen. 4. stiffening of the middle ear structures.

Nursing

You awaken a client during the night to measure blood pressure and heart rate. You observe that these vital signs are elevated. On the basis of your knowledge of normal sleep cycles, you can expect that the client was experiencing which of the following?

1. delta or slow-wave sleep 2. stage 1 non–rapid eye movement (NREM) sleep 3. rapid eye movement (REM) sleep 4. stage 2 NREM sleep

Nursing

A newly hired nurse is struggling with night shift work and caring for multiple family members at home

The nurse manager calls the new nurse in to talk about how the nurse is negatively affecting patient self-concept by ignoring patients' concerns. The nurse manager should focus on the new nurse's a. Role overload. b. Self-esteem. c. Ego integrity. d. Ethics and morals.

Nursing