The nurse is assessing a patient's eyes for the accommodation response and would expect to see which normal finding?
Constriction of the pupils
Disconjugate movement of the eyes
Consensual light reflex
Dilation of the pupils
The Correct Answer is A
A. Constriction of the pupils is the correct response. When testing for accommodation, the pupils constrict as the patient focuses on a near object, demonstrating normal accommodation.
B. Disconjugate movement of the eyes (where the eyes do not move together) is an abnormal finding. The eyes should move symmetrically and conjugately (together).
C. Consensual light reflex refers to the pupillary response to light in one eye causing a constriction in both eyes, but this is not part of the accommodation test.
D. Dilation of the pupils is the opposite of what should occur during accommodation. The pupils should constrict when focusing on a near object.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Telling involves providing information to the patient in a one-way manner without significant interaction or involvement from the patient in performing the task.
B. Reinforcing is when the nurse encourages or praises the patient for performing the task correctly, but this does not involve active participation in the task itself.
C. Participating is the correct answer. This approach involves the nurse and patient working together. The nurse provides guidance while the patient is actively performing the task, fostering skill development and confidence.
D. Entrusting involves allowing the patient to take responsibility for their care and making decisions independently, typically after initial guidance. This does not match the scenario where the nurse is still guiding the patient.
Correct Answer is C
Explanation
A. Being a patient advocate would involve respecting Mrs. Miller’s autonomy and ensuring that her rights are considered, including the right to refuse treatment. The nurse’s actions do not demonstrate advocacy for Mrs. Miller's personal wishes.
B. Not being sympathetic is part of the scenario, but the main issue is the lack of respect for the patient's autonomy rather than a lack of sympathy.
C. Being unethical in caring is the most accurate answer. The nurse's actions violate Mrs. Miller’s right to make decisions about her care. Autonomy is a fundamental ethical principle in healthcare, and the nurse should have engaged in discussion with the patient, offering education and exploring reasons for her refusal, rather than making her take the medication.
D. Adequate practice because the nurse was busy is not an appropriate justification. Ethical care requires respect for the patient’s rights and choices, regardless of the nurse's workload.
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