The nurse is assessing the patient's sensory input. Which of the following assessments should be included? Select all that apply.
A) Assessment of sensitivity to touch
B) Assessment of sensitivity of sharp to dull stimulation
C) Assessment of ability to maintain balance
D) Assessment of pupil sensitivity to light changes
E) Assessment of ability to recall information
Question 2
The nurse is assessing a patient's mental health competence and decision-making ability. What activities will best provide the needed information to the nurse?
A) Ask the patient to read and discuss a passage from a pamphlet.
B) Ask the patient what if questions to determine level of thought organization.
C) Ask the patient to review his medical health history to assess for the level of organization of his thought processes.
D) Discuss with the patient's family any concerns about his mental stability.
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