A nurse is collecting data from a newly admitted client. Which of the following questions should the nurse ask to assess the client's abstract thinking ability?

"Who is the current President of the United States?"

"What does the phrase 'butterflies in my stomach' mean?"

"Can you count backward from 20 to 1?"

"Can you draw a clock that shows the hands at 4:30?"

Answer and Explanation

The Correct Answer is B

A. Asking about the current President of the United States assesses the client's orientation to time and place but does not directly assess abstract thinking.
B. Asking what the phrase 'butterflies in my stomach' means assesses the client's ability to

interpret and understand abstract concepts, as it requires the client to interpret a metaphorical expression.
C. Asking the client to count backward from 20 to 1 assesses attention and concentration but does not directly assess abstract thinking.
D. Asking the client to draw a clock that shows the hands at 4:30 assesses cognitive function, spatial orientation, and memory but does not directly assess abstract thinking.

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Correct Answer is D

Explanation

A. Contacting the provider to prescribe more pain medication may be necessary if the client's pain is not adequately controlled; however, reevaluation of the client's response to the initial dose should be done first.
B. Teaching relaxation techniques for acute pain management may be helpful, but it is not the priority at this moment when the client's pain is not adequately controlled.
C. Documenting the client's reaction to the medication is important but should not delay immediate action to address the client's unrelieved pain.
D. Reevaluating the client's response to the medication is the priority to determine if additional interventions are needed to manage the client's pain effectively.

A. Suction device B. Infusion pump C. Disposable feeding bag D. Sterile gloves

Correct Answer is A

Explanation

A. A suction device is necessary for the nasogastric tube insertion procedure to remove gastric contents and ensure the tube is correctly placed in the stomach.
B. An infusion pump is not typically required for nasogastric tube insertion.
C. A disposable feeding bag is used for enteral feeding and is not directly related to the insertion of a nasogastric tube.
D. Sterile gloves are not typically used during nasogastric tube insertion, as it is a clean procedure rather than a sterile one.

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A nurse is collecting data from a newly admitted client. Which of the following questions should the nurse ask to assess the client's abstract thinking ability?

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