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 B

Explanation

A. Incorrect. While living in a rural location may present challenges, cataract surgery typically does not require an interdisciplinary care conference unless there are significant complicating factors.
B. Correct. A client who has hemiparesis and lives alone likely requires coordination of care from multiple disciplines to address safety concerns, functional limitations, and support needs. C. Incorrect. While assistance with dressing supplies may require coordination with social services or financial assistance programs, it does not necessarily warrant an interdisciplinary care conference.
D. Incorrect. While medication administration instructions are important, they can typically be addressed by the nursing staff without requiring an interdisciplinary care conference.

A. Check the client's ability to use the call light. B. Document the client's risk in the medical record. C. Request a referral for physical therapy. D. Place a gait belt in the client's room.

Correct Answer is A

Explanation

A. "Check the client's ability to use the call light." This is the first action to take because ensuring the client can call for assistance if needed is crucial for their safety. If the client has impaired mobility and is at risk for falls, they should be able to summon help easily if they need to move or if assistance is required.

B. "Document the client's risk in the medical record." While documentation is important, ensuring the client can call for help should be prioritized to address immediate safety needs. Documenting the risk can occur after addressing immediate needs.

C. "Request a referral for physical therapy." While physical therapy may be indicated later, the priority is to ensure the client’s immediate safety by confirming they can call for help if needed.

D. "Place a gait belt in the client's room." A gait belt can be useful for assisting with mobility, but the immediate concern is ensuring the client can call for help if they need it, rather than preparing for assistance with mobility.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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