TEACH FOR NURSES LESSON PLAN
Chapter 24: Neurologic System
CHAPTER OBJECTIVES
1. Name the two parts of the nervous system.
2. Describe the various functions of the central nervous system.
3. Describe the function of the peripheral nervous system.
4. Relate the name and function of each of the 12 cranial nerves.
5. Relate the term dermatome to the spinal nerves.
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STUDENT RESOURCES
understand
• Online: Physical Examination and Health Assessment Online*
• Video clips (Evolve)
• Textbook Chapter 24
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
• Answer Keys: Study Guide & Lab Manual
• Audio glossary (Evolve)
• Pocket Companion for Physical Examination and Health Assessment*
apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
synthesize
• SimChart*
• Simulation Learning System*
INSTRUCTOR RESOURCES
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in class
• Discussion Topics (below)
• PowerPoint Presentations (Evolve)
after class
• Test Bank (Evolve)
• HESI Practice Tests*
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
THE CENTRAL NERVOUS
SYSTEM (CNS)
Provide students with a
drawing of the cerebral
cortex and have them label
Bring in a brain model with
removable pieces to better
explain brain function.
Invite a bald model to class
and draw the parts of the
brain with washable
marker.
• Online Activity: Have students research online and watch a clip of the sensory pathways in the brain.
• Discussion Topic: Have students discuss whether they know someone who had a serious brain injury,
stroke, or disease and what bodily functions were affected.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
brain for dissection and
explain the areas of the
brain as the dissection
progresses.
Review the major
modifiable risk factors for
Autonomic Nervous
System
DEVELOPMENTAL
COMPETENCE
Invite a chiropractor to
speak about the vertebrae
and spinal nerves and their
connections to certain
body segments.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
stroke. Display a map
showing the “stroke belt.”
Additional History for the
Aging Adult
of Alzheimer disease listed
Review the illnesses in the
pregnant woman that
could cause neurologic
damage to her fetus.
Demonstrate how to
assess deep tendon
reflexes, and assess for
clonus.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Cranial Nerve V—
Trigeminal Nerve
Cranial Nerve VII—Facial
Nerve
Cranial Nerve XII—
Hypoglossal Nerve
Emphasize that if the
patient has pain with
clenching of the teeth, a
dental examination should
be considered.
Posterior (Dorsal) Column
INSPECT AND PALPATE
THE MOTOR SYSTEM
Muscles
Discuss how to assess
muscle size, strength,
tone, and involuntary
movements, focusing on
• Small Group Activity: Have students, working in pairs, perform a complete neurologic assessment on
one another. Using chart forms from clinical facilities used by the school, have students document
the examination completed on a peer.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Tract
TEST THE REFLEXES
Diabetic Neuropathy
Screening
DEVELOPMENTAL
COMPETENCE
Infants (Birth to 12
Months)
patients.
Bring in documentation for
a patient with sensory
sensation in the
extremities, the problems
it causes, and the ways the
person compensates to
function properly.
Allow students to test the
reflexes of a partner in
class. Evaluate their
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
acceptable to the mother,
allow students to perform
some of the examination.
Emphasize giving the aging
adult additional time to
respond to your
examination requests.
Emphasize the importance
IN-CLASS/ONLINE CASE STUDY
D.F. is a 37-year–old woman who presents to the emergency department after having a seizure.
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Subjective Data
PMH: Seizures, unknown type
Headache
Housewife
Feels weak
No loss of consciousness
Objective Data
Vital signs: T 37 P 72 R 18 BP 114/64
Questions
1. What other questions should the nurse ask about the seizures?
2. What other assessments are necessary for this patient?
3. What are some of the causes of seizures?
4. Develop a problem list from objective and subjective data.
5. What should be included in the plan of care?
6. What other risk factors are associated with this presentation?
7. Based on the readings and the subjective and objective data, this patient most likely had what type of seizure?
Answers
1. Questions or assessments associated with seizures include the following:
24–10
4. The problems list includes the following:
NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Patient-Centered Care/Human Flourishing
o The Aging Adult
• Teamwork and Collaboration/Professional Identity
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NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the “Download by Resource Type” folder on Evolve.
THEME: Protection and Movement
• Concept: Sensory Perception
THEME: Mood and Cognition
• Concept: Cognitive
o Exemplar: Culture and Genetics
THEME: Nursing Attributes and Roles
• Concept: Clinical Judgment
o Exemplar: Stretch, or Deep Tendon Reflexes (DTRs)
THEME: Care Competencies
24–12
BSN ESSENTIALS
• Essential III: Scholarship for Evidence-Based Practice
o Culture and Genetics
• Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes
o Subjective Data
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.