List at least five components of a neurologic examination
What will be an ideal response?
• Glasgow Coma Scale, including eye opening, best motor response, best verbal response
• Level of consciousness
• Pupil size, shape, and reaction to light
• Sensation (superficial—light touch, pain, temperature; deep—vibration, deep pain,
proprioception)
• Behavior status (e.g., combative, cooperative, calm)
• Motor tone and strength (hand grips, pronator drift, leg movement, motor strength of extremities)
• Cranial nerve assessment
• Assessment of vital signs (VS) (Cushing's response with increased systolic blood pressure, widened
pulse pressure, bradycardia, and altered respiratory patterns)
• Assessment of cerebellar functioning (rapid alternating movements, heel to shin, Romberg sign,
nystagmus)
• Other reflexes (deep tendon, Babinski reflex)
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The patient has a seizure that causes rhythmic twitching of the left hand for 90 seconds with no loss of consciousness and then stops
The nurse notes this same action repeated many times throughout the day and documents this as what type of seizure? A) Myoclonic seizure B) Jacksonian seizure C) Psychomotor seizure D) Simple partial seizure
When discussing his problem, a client tells the nurse that he is always doing small, petty jobs for everyone and he is not happy about it. Because of this, he is feeling stressed and has been getting into fights with his wife
What should the nurse suggest to help the client overcome this problem? A) Change jobs. B) Avoid people who dump tasks on him. C) Take control of the situation. D) Avoid doing petty jobs.
The frustrated mother of a 13-year-old girl confides in the school nurse, "I am at my wit's end…one day my daughter is dressed up and acting very sophisticated, and the next she is in blue jeans playing football with her brothers."
The nurse's response is based on the fact that adolescents a. Who demonstrate wide mood changes may have a mental disorder b. Need guidance to help them select appropriate clothing c. Who dress in clothing of the opposite sex may be experiencing a sexual identity crisis d. Frequently try out identities seeking a comfortable fit for their own personality
A nurse is interested in census data. What federal department's website would be a good place to start?
1. Department of Labor 2. U.S. Immunization Survey 3. Department of Commerce 4. World Health Organization