A nurse is precepting a nursing student. The nurse explains to the nursing student how you would perform the graphesthesia test on a client. What is the correct way to perform this test?
The nurse will simultaneously touch the client in the same area on both sides of the body, and the client will identify where the touch occurred.
The nurse will briefly touch the client, and the client will need to identify where the touch occurred.
Client will close their eyes and identify what number the nurse writes in the palm of the client's hand with a blunt-ended object.
The client is to identify the numbers of points felt when the nurse touches the client with the ends of two applicators at the same time.
The Correct Answer is C
A. This description relates more to a sensory discrimination test, not graphesthesia.
B. This option does not accurately describe the graphesthesia test, which involves identifying shapes or numbers rather than just touch location.
C. In the graphesthesia test, the client closes their eyes while the nurse uses a blunt object to write a number or shape in the client's palm, and the client must identify what was written. This assesses the ability to recognize letters or numbers drawn on the skin.
D. This option describes a two-point discrimination test rather than graphesthesia, which focuses on identifying drawn shapes or numbers.
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Correct Answer is C
Explanation
A. Response to verbal stimuli does not directly assess the function of cranial nerves III, IV, and VI.
B. Affect, feelings, or emotions are related to the assessment of other neurological functions and do not evaluate the ocular cranial nerves specifically.
C. Eye movements are the primary function of cranial nerves III (oculomotor), IV (trochlear), and VI (abducens), which control eye movement and provide essential information about their function.
D. Insight, judgment, and planning relate more to cognitive function and do not directly assess the function of the cranial nerves in question.
Correct Answer is D
Explanation
A. Flexion refers to bending the joint, which does not apply when turning the palm down.
B. Supination is the movement of turning the palm up, which is the opposite of what is being tested here.
C. Rotation refers to the circular movement around a central point, but it does not specifically describe the action of turning the palm down.
D. Pronation is the movement of turning the palm down, which is exactly what the client is doing when asked to perform this maneuver.