Answer to Question 1
Correct Answer: 2, 3, 4, 5
Rationale 1: Speech is not an aspect of the sensory process.
Rationale 2: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these aspects is a stimulus, which is an agent or act that stimulates a nerve receptor.
Rationale 3: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these is a receptor, which is the ability to convert the stimulus to a nerve impulse.
Rationale 4: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these is perception, which is the awareness and interpretation of the stimuli in the brain.
Rationale 5: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these is impulse conduction, which means the impulse travels along the nerve pathways to either the spinal cord or directly to the brain.
Answer to Question 2
Correct Answer: 2
Rationale 1: Walking behind the client would be unsafe.
Rationale 2: The nurse should walk about 1 foot in front of the client, offering the client an arm.
Rationale 3: The side the nurse walks on will depend upon the preference of the client.
Rationale 4: The side the nurse walks on will depend upon the preference of the client.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
The nurse conducts the health history as the first step in the nursing assessment
A parish nurse checks the blood pressure of a church member
Nurse palpating the patient's brachial artery
Using small, circular strokes, exfoliate the client’s neck and back.