The nurse is reviewing the cranial nerves prior to a PRN shift on ...

[audragclark]

The nurse is reviewing the cranial nerves prior to a PRN shift on a neurological unit. Upon the review, the nurse notes that some of the nerves are exclusively sensory nerves. Which cranial nerves belong to this group?
 
  Select all that apply.
  1. Olfactory nerve (cranial nerve I).
  2. Optic nerve (cranial nerve II).
  3. Trochlear nerve (cranial nerve IV).
  4. Trigeminal nerve (cranial nerve V).
  5. Facial nerve (cranial nerve VII).

Question 2

The clinical nurse educator is teaching a group of nursing students about conducting a focused interview on a client being admitted to the facility with complaints of leg pain.
 
  Which statement by the student nurse indicates the need for further education?
  1. The focused interview will be guided by the physical assessment that was completed by the healthcare provider prior to admission.
  2. Subjective information is contained in the focused assessment.
  3. The age, gender, and past medical history of the client are used to guide the questions in the focused assessment.
  4. A focus interview on the musculoskeletal system is individualized for each client.

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Answer to Question 1

Correct Answer: 1, 2
The cranial nerves may be classified by function. The nerves may be sensory, motor, or mixed. Sensory nerves are responsible for receiving sensory information. Motor nerves allow the body to perform an action. The olfactory nerve is a sensory nerve and is responsible for the sense of smell. The optic nerve is a sensory nerve responsible for vision. Mixed nerves are able to receive sensory information and perform physical activities. The trochlear nerve is a motor nerve responsible for eye movement. The trigeminal nerve is a mixed nerve is responsible for sensory impulses from the lower eyelid, nasal cavity, and palate. Motor actions of the trigeminal nerve involve teeth clenching and movement of the mandible. The facial nerve is a mixed nerve responsible for taste, facial movements, and the production of tears and salivary stimulation.

Answer to Question 2

Correct Answer: 1
The focused interview is used to guide the physical assessment on the client. The information obtained in the focused interview is subjective. The nurse will consider the client's age, gender, race, culture, past and current medical history to guide the interview questions. thus making the interview individualized.