The Nurse Is Providing Care for a Client Admitted to the Hospital

question 39

Multiple Choice

The nurse is providing care for a client admitted to the hospital after a motor vehicle accident. After being informed by family members that the patient is deaf-mute, which of the following actions should the nurse take?

• A)Utilize a three-point scale to grade muscle strength.
• B)Consider the Babinski response invalid.
• C)Avoid use of the Glascow Coma Scale.
• D)Perform the Romberg test with the patient in a seated position.Multiple Response
• Identify one or more choices that best complete the statement or answer the question.

---

Definitions:

Visual Tool

An aid or instrument that uses visual elements, like charts or images, to communicate information, enhance understanding, or facilitate learning.

Learned Helplessness

A psychological condition where an individual believes they have no control over their situation, often leading to decreased motivation and depression.

Self-Efficacy

A person's belief in their ability to succeed or accomplish a task in specific situations or accomplish a set of tasks.

Personal Agency

An individual's capacity to act independently and make free choices, influencing their own life.