During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

gather information from a family member accompanying the patient.

omit the interview and proceed to a physical examination.

repeat the questions at the end of the visit to cross check for accuracy of data.

reassure the patient that forgetfulness is a normal part of the aging process.

Answer and Explanation

The Correct Answer is A

A.   Gathering information from a family member can help obtain a more accurate history, especially when the patient has difficulty recalling specific details due to age-related memory changes.
B.   Omitting the interview would lead to incomplete information and potentially delay appropriate care.
C.   Repeating the questions may be helpful but may not always yield reliable data if the patient struggles to remember key details.
D.   While forgetfulness can be normal with aging, healthcare providers need to ensure accurate information is collected to provide optimal care.

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Correct Answer is A

Explanation

A. The patient should stand 20 feet away from the Snellen chart to accurately measure visual acuity, which is the standard procedure.

B. The number beside the largest print is not the correct visual acuity score; the patient must read progressively smaller lines.
C. Testing with reading glasses is appropriate only for patients who need them for close-up vision, but the Snellen test typically measures distance vision.
D. The distance should be 20 feet, not 50 feet, to ensure proper testing conditions.

A. listens to the apical pulse for 1 full minute. B. records the findings on the graphic sheet. C. takes the pulse for 30 seconds on the other wrist. D. takes the pulse for 1 full minute on the other wrist.

Correct Answer is A

Explanation

A. Listening to the apical pulse for one full minute provides a more accurate reading of the heart rate and rhythm, especially when the radial pulse is irregular.
B. Recording the findings on the graphic sheet is necessary, but it doesn’t address the irregularity of the pulse.
C. Taking the pulse on the other wrist does not provide the necessary information about the apical pulse.
D. Taking the pulse for one full minute on the other wrist is not necessary unless the pulse is absent on the first wrist.

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During a health interview, an older adult patient has difficulty remembering information about the health history. In order to get the information more reliably, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse tells a patient that he will be performing a visual acuity test using the Snellen eye chart. The patient asks how the test is done. The nurse's best reply is:

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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