Sherpath - Cognition and Sensation: Assess and Recognize Cues Rated A+

Sherpath - Cognition and Sensation: Assess and Recognize Cues Rated A+ Which technique would the nurse use to assess a patient’s judgment? Ask the patient what to do if the house was on fire. Which interpretation would the nurse make for the chart entry, Oriented × 3? Knows the answers to person, place, and time Which vital sign results are correctly correlated to their unexpected cognitive findings? ALL Which parameter is the nurse primarily assessing using these images? Spatial orientation Which interpretation would the nurse make when a patient loses balance when performing the heel-to-toe walk? There is a dysfunction in the cerebellum. Which cues are expected with a patient who has Ménière disease? Vertigo Progressive hearing loss Tinnitus Which laboratory data would the nurse monitor in an older adult patient who is confused and may have suffered a cerebrovascular accident (CVA)? ALL Which rating would the nurse assign to a patient who has a slightly hyperactive response to the patellar reflex? 3+ Which finding is an expected response of the Babinski reflex? Plantarflexion of the toes Which cranial nerve is affected if the patient has anosmia? I Which patient situations are of immediate concern? Becomes restless Begins to slur words Begins to act confused Suddenly has drooping on left side of face Which cues are associated with Alzheimer disease? Wandering Sundowning Memory loss Repetitive behaviors Which cranial nerve is affected in sensorineural hearing loss? VIII Which impairment is a patient with a recent cerebrovascular accident (CVA) experiencing when able to follow commands but has difficulty responding verbally? Expressive aphasia The nurse understands that peripheral neuropathy occurs from damage to sensory fibers at which location? Away from the body's center Which cues would the nurse likely observe in a patient with a cerebrovascular accident (CVA)? Elevated triglycerides Aphasia