The nurse is assessing cranial nerve XI (spinal accessory). Which of the following statements would the nurse say to the client?
1. "Shrug your shoulders and turn your head against my hand.".
2. "Stick out your tongue and move it from side to side.".
3. "Taste these foods and decide which is sweet and which is sour.".
4. "Smell these items and identify what they are.".
1
Rationale 1: The spinal accessory nerve (cranial nerve XI) controls shoulder and neck movements. The examiner planning to test this nerve should ask the client to shrug the shoulders and turn the head.
Rationale 2: The hypoglossal nerve (cranial nerve XII) is responsible for the movement of the tongue.
Rationale 3: The facial nerve (cranial nerve VII) is responsible for the sense of taste.
Rationale 4: Smell is controlled by the olfactory nerve (cranial nerve I).
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