The nurse is conducting a psychosocial assessment. Which of the following would be included in this assessment? (Select all that apply)
CAGE assessment
Heinrich Fall Scale
Mini-Mental Status Exam
Activities of Daily Living Tool
Correct Answer : C,D
The Mini-Mental Status Exam assesses cognitive function, which is often included in the psychosocial assessment, and the Activities of Daily Living Tool assesses the patient's ability to perform daily tasks, which is also important to understand the patient's level of functioning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A visual acuity of 20/25 means that the patient can read letters on an eye chart at 20 feet away, which is the same as what someone with normal vision can read at 25 feet away. This indicates that the patient's visual acuity is slightly below average, but still within the normal range.
Correct Answer is B
Explanation
A.This option is appropriate for children under the age of 3. Pulling the pinna down and back straightens the ear canal in young children, but it does not align the canal correctly in adults.
B.For an adult, the correct method to straighten the ear canal during examination is to pull the pinna (outer part of the ear) up and back. This maneuver aligns the ear canal for better visualization of the tympanic membrane (eardrum) and inner structures.
C.Pulling the pinna down and forward is incorrect for both adults and children. This action would not provide a clear view of the ear canal and could make examination difficult.
D.Pulling the pinna straight back does not fully straighten the ear canal in adults and may make the examination less effective. The correct technique is up and back for adults to fully straighten the canal and enhance visualization.
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