vSim Health Assessment | Edith Johnson (Neurological Assessment) | with 100% Correct Answers | Updated & Verified

Which nursing actions demonstrate an understanding of the components required when conducting the objective portion of a neurologic assessment? (Select all that apply.) - >>>>a. Evaluate cranial nerve XI function by asking the patient to shrug the shoulders d. Test for tactile discrimination using a door key Rationale: A complete neurologic examination consists of evaluating the following five areas: mental status, cranial nerves, motor and cerebellar systems, sensory system, and reflexes. The mental status exam is conducted first to assess the patient's ability to provide valid subjective information, not to minimize anxiety The Romberg test evaluates balance, not coordination. A reflex hammer is used to elicit deep tendon reflexes, not superficial responses. An older adult patient has fallen and sustained a bruise to the forehead. Although there appears to be no significant injury, the family is concerned when the provider orders a Mini-Cog assessment and asks, "Why are you testing her memory and mental abilities?" Which explanation best meets the family's expressed needs? - >>>>Your mother's fall may have hurt the frontal lobe of her brain. That is the part that controls memory, reasoning, and judgment. An older patient reports feeling dizzy right before falling. Which action by the nurse indicates an understanding of how dizziness can be triggered? (Select all that apply.) - >>>>a. Ask, "Had you been taking any nonprescription medications before the fall?" b. Review the patient's medical history for previous head injuries c. Assess the patient's blood pressure