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The Nurse Is Assessing the Neurologic Status of a Patient

question 18

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The nurse is assessing the neurologic status of a patient who has a late-stage brain tumor. With the reflex hammer, the nurse draws a light stroke up the lateral side of the sole of the foot and inward, across the ball of the foot. In response, the patient's toes fan out, and the big toe shows dorsiflexion. How should the nurse interpret these findings?


Definitions:

Maze Task

A cognitive experiment or test involving navigating through a labyrinth, used to assess memory, learning, and problem-solving abilities.

4- to 6-Year-Olds

A developmental stage in early childhood characterized by significant growth in language, motor skills, and social interaction.

7- to 10-Year-Olds

This age range corresponds to the developmental stage often associated with increased cognitive and social abilities, including improved problem-solving and understanding of relationships.

Metacognition

The awareness and understanding of one's own thought processes.

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