The nurse is preparing to assess the visual acuity of a 16-year-old patient. How would the nurse proceed?
Ask the patient to read the print on a handheld Jaeger card.
Use the Snellen chart positioned 20 feet away from the patient.
Determine the patient's ability to read newsprint at a distance of 12 to 14 inches.
Perform the confrontation test.
The Correct Answer is B
A. The Jaeger card is typically used to assess near vision, not visual acuity at a distance, and would be more appropriate for an adult or someone with suspected near-vision issues.
B. The Snellen chart is used to assess distance visual acuity, and it is the standard tool for visual acuity testing for both adults and adolescents. The chart should be positioned 20 feet away from the patient to measure their ability to see at a distance.
C. Determining the ability to read newsprint is a test for near vision, not visual acuity for distance.
D. The confrontation test is a screening for peripheral vision, not for visual acuity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The parents will be able to understand CPR skills is a vague goal. Understanding is important but does not demonstrate competency or mastery of the skills needed in an emergency situation.
B. The infant will not require further hospitalization is not a realistic learning goal for parents, as it is outside their control and pertains more to the child's medical condition, not their ability to perform CPR.
C. The parents will call the hospital if the infant stops breathing is useful but does not encompass the full goal of CPR training, which is to equip parents with the skills to immediately intervene.
D. The parents will demonstrate infant CPR skills is the most appropriate goal because it is specific, measurable, and directly reflects the learning objective: to teach parents the hands-on skill of performing infant CPR.
Correct Answer is C
Explanation
A. Detachment is not a teaching method; it may result in the patient feeling disconnected or unsupported.
B. While analogies can be helpful for explaining concepts, they may not be the most effective method for teaching a practical skill like self-administering tube feeding.
C. Demonstration is the best approach for teaching a physical skill. The nurse can show the patient the correct technique for administering the tube feeding, allowing the patient to observe before attempting the procedure themselves.
D. Role play is more suited for situations involving decision-making or communication, rather than teaching a physical procedure like tube feeding.
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