The nurse is assisting a client with performing range-of-motion of the shoulder and the client asks the nurse to identify each movement performed. Which of the following movements should the nurse include? Select all that apply.
Rotation
Dorsiflexion
Eversion
Extension
Adduction
Correct Answer : A,D,E
A. Rotation: Rotation is a movement that involves turning a part of the body around its axis, which applies to shoulder movements.
B. Dorsiflexion: Dorsiflexion refers to the movement of the foot, not the shoulder, and is not applicable in this context.
C. Eversion: Eversion involves the movement of the foot and not the shoulder, so it does not apply here.
D. Extension: Extension refers to increasing the angle between body parts, such as straightening the arm or shoulder.
E. Adduction: Adduction involves moving a body part toward the midline, which is relevant to shoulder movements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "You sound frustrated, tell me more about this feeling." This response validates the patient’s feelings and opens up a discussion about their emotions, which provides support and helps address their psychological needs.
B. "You remind me of my mother, she is always frustrated when she is ill." This response is not focused on the patient’s needs and shifts attention away from their concerns.
C. "I am concerned about your mental health; I will call your family." While mental health is important, calling the family without first addressing the patient’s immediate concerns might feel intrusive or premature.
D. "You need to be more careful after this stroke or you could fall." This response addresses safety but does not provide emotional support or acknowledge the patient’s feelings of frustration.
Correct Answer is B
Explanation
A. The client who is recovering from a motor vehicle collision. This situation involves an acute stressor related to trauma, which is significant but not a developmental stressor.
B. The client that is recently divorced. Divorce is a significant life event that can contribute to developmental stress, especially if it involves major life changes and adjustment issues.
C. The client experiencing the symptoms of menopause. Menopause is a normal developmental phase, though it can be stressful. However, it is less likely to be classified as a significant risk factor compared to other life events.
D. The client newly diagnosed with lung cancer. A new cancer diagnosis is a major stressor and can contribute to significant emotional and psychological stress, but it is more of an acute stressor than a developmental one.
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