The Nurse Is Performing a Neurologic Assessment on a Newly

question 13

Multiple Choice

The nurse is performing a neurologic assessment on a newly admitted head injury patient.Which sign does the nurse recognize as that most indicative of a brainstem injury?

• A)Nystagmus
• B)Decerebrate posturing
• C)Seizure activity
• D)Glasgow Coma Scale score of 3

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Definitions:

Civilian Lives

The everyday existence and activities of individuals who are not part of military or law enforcement agencies.

Eustress

A form of stress that is deemed healthful or giving one a feeling of fulfillment or other positive feelings.

Distress

A state of emotional, mental, or physical strain or suffering.

Selye

Refers to Hans Selye, a pioneering Hungarian-Canadian endocrinologist who formulated the General Adaptation Syndrome, a theory of stress response.