Which Action Will the Nurse Include in the Plan of Care

question 20

Multiple Choice

Which action will the nurse include in the plan of care for a patient with impaired functioning of the left glossopharyngeal nerve (CN IX) and vagus nerve (CN X) ?

• A)Assist to stand and ambulate.
• B)Withhold oral fluids and food.
• C)Insert an oropharyngeal airway.
• D)Apply artificial tears every hour.

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Definitions:

Stimulus Satiation

A decrease in responsiveness to a stimulus after repeated presentations.

Aversive Conditioning

A form of behavioral therapy that involves teaching individuals to associate unwanted behaviors with unpleasant stimuli to reduce or eliminate those behaviors.

Time Out

A behavior modification technique used to eliminate undesirable behavior, especially in children and adolescents, by withdrawing all reinforcers for a period of time.

Systematic Desensitization

A behavioral therapy technique used to reduce phobic responses and anxiety through gradual exposure to the feared object or situation paired with relaxation exercises.