Which of the following describes a positive Romberg sign?
a. downward drift of right arm
b. inability to run heel down
c. unsteady after 10 seconds with eyes closed
d. inability to walk in a straight line, touching heel to toe
C
The Romberg test is positive if the patient becomes unsteady and tends to fall when the eyes are closed. Downward drift of the arm is associated with the assessment for pronator drift. The ability to run heel down is not assessed by the Romberg test. The ability to walk in a straight line, touching heel to toe (tandem walking), is an assessment for gait.
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A nurse is applying a 5% permethrin lotion to a toddler with scabies. Which of the following describes the best way to apply this lotion?
1. Apply the lotion to the scalp only. 2. Apply the lotion over the entire body from the chin down, as well as on the scalp and forehead. 3. Apply the lotion only on the areas with evidence of scabies activity. 4. Apply the lotion only to the hands.
A nurse educator is providing a review course for staff nurses regarding the impact and risk factors for situational crisis among the psychiatric patient population. The educator asks one of the staff nurses to provide a clinical example of a patient
at increased risk for situational crisis. Which statements made by the staff nurse indicates that teaching has been effective? Select all that apply. 1. "The teenager who is graduating high school in 3 weeks." 2. "The older adult who recently immigrated from Mexico." 3. "The middle-aged adult who just received a diagnosis of depression." 4. "The young adult who is arrested and incarcerated for driving under the influence." 5. "The young adult who is experiencing psychosis after giving birth to a healthy baby."
Which symptom is associated with cluster headache?
A. Ipsilateral tearing of the eye B. Exophthalmos C. Abrupt loss of consciousness D. Neck and shoulder tenderness
Evidence-based practice is based on the scientific method and empirical evidence. Which of the following is a principle of empirical evidence?
A) Scientific observations are subjective inferences made by the knowledgeable nurse researcher. B) Empirical studies may be designed to report the physical and mental effects of subjective experiences. C) Empirical evidence is not appropriate in the field of mental health because cognitions and emotions are subjective and unpredictable. D) Empirical knowledge is verifiable only with valid and reliable measurement instruments.