A Nurse Assesses a Client and Notes the Client's Position

question 6

Multiple Choice

A nurse assesses a client and notes the client's position as indicated in the illustration below:

How should the nurse document this finding?

• A) Decorticate posturing
• B) Decerebrate posturing
• C) Atypical hyperreflexia
• D) Spinal cord degeneration

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Definitions:

Conscious Awareness

The state of being aware of one's thoughts, feelings, and surroundings.

Repressed Experiences

Memories or emotions unconsciously blocked from conscious awareness, often because they are too distressful.

Rorschach Inkblot Test

A psychological test in which a person's interpretations of inkblots are analyzed to assess personality traits and emotional functioning.

Lacking Validity

Refers to the extent to which a concept, conclusion or measurement fails to accurately reflect the real world.