The nurse is performing the Romberg test on a client during a neurological assessment. Which of the following best describes the rationale for conducting the Romberg test?
To measure respiratory rate and depth.
To evaluate coordination and fine motor skills.
To test for proprioception and vestibular function.
To assess cranial nerve function related to facial expression.
The Correct Answer is C
Choice A reason:
The Romberg test is not used to measure respiratory rate and depth. Respiratory assessments involve observing breathing patterns, rate, and depth, which are unrelated to the Romberg test.
Choice B reason:
While the Romberg test can provide some information about coordination, its primary purpose is not to evaluate fine motor skills. Fine motor skills are typically assessed through tasks that involve precise hand and finger movements.
Choice C reason:
The Romberg test is used to test for proprioception and vestibular function. It assesses the client’s ability to maintain balance with their eyes closed, which helps identify issues with proprioception (the sense of body position) and vestibular function (the inner ear’s role in balance).
Choice D reason:
The Romberg test does not assess cranial nerve function related to facial expression. Cranial nerve assessments involve specific tests for each nerve, such as asking the client to smile or raise their eyebrows to evaluate facial nerve function.
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Correct Answer is ["C","D","E"]
Explanation
Choice A reason:
Going automatically into the client’s bedroom without permission is inappropriate and can be seen as an invasion of privacy. The nurse should always seek consent and respect the client’s personal space. Building trust and maintaining professional boundaries are crucial in home care settings.
Choice B reason:
While it is courteous to thank the client for arranging a home visit, it is not a critical action that directly impacts the care provided. The focus should be on assessing the client’s needs and establishing a care plan.
Choice C reason:
Arranging mutual future visits is an appropriate action. It helps to establish a consistent care schedule, ensuring that the client receives ongoing support and monitoring. This is particularly important for managing chronic conditions like diabetes, where regular follow-up is essential for effective management.
Choice D reason:
Asking how the client is managing at home is a crucial part of the initial assessment. It provides the nurse with valuable information about the client’s current health status, challenges, and needs. This information is essential for developing a personalized care plan that addresses the client’s specific circumstances.
Choice E reason:
Sitting down and discussing with the client and family members is an important step in the initial home care visit. It helps to build rapport, understand the client’s support system, and involve family members in the care process. This collaborative approach ensures that everyone is informed and can contribute to the client’s care and well-being.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason:
Conflict resolution skills are essential for effective nurse leadership. Leaders must be able to manage and resolve conflicts within the team to maintain a positive and productive work environment. Effective conflict resolution promotes teamwork and improves patient care.
Choice B reason:
Integrity is a fundamental quality of an effective nurse leader. Leaders with integrity are honest, ethical, and trustworthy. They set a positive example for their team and build a culture of trust and respect.
Choice C reason:
The ability to set priorities is crucial for nurse leaders. Effective leaders can identify the most important tasks and allocate resources appropriately. This skill ensures that the team focuses on activities that have the greatest impact on patient care and outcomes.
Choice D reason:
An authoritarian leadership style is not characteristic of effective nurse leadership. This style can lead to a lack of collaboration and low team morale. Effective nurse leaders typically use a more collaborative and inclusive approach to leadership.
Choice E reason:
Being resistant to change is not a quality of an effective nurse leader. Healthcare is a dynamic field that requires adaptability and openness to new ideas and practices. Effective leaders embrace change and guide their teams through transitions to improve care and outcomes.