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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Providing presence by sitting down, making eye contact, and offering a comforting presence is a key aspect of caring practice. It helps Mrs. Miller feel heard and supported, showing empathy.
B. Avoiding touch may not be necessary unless the patient expresses discomfort with physical contact. Offering a caring presence, including appropriate touch, can help build rapport and show compassion.
C. Telling Mrs. Miller that everything is alright may dismiss her feelings, even if the nurse means well. Acknowledge the patient's emotions and offer emotional support instead of minimizing her experience.
D. Telling Mrs. Miller that the nurse is busy and will return later may seem dismissive of her current emotional state, rather than offering immediate emotional support.

A. Pupillary constriction when looking at a near object B. Changes in peripheral vision in response to bright light C. Involuntary blinking in the presence of bright light D. Pupillary dilation when looking at a distant object

Correct Answer is A

Explanation

A. Visual accommodation is the process by which the eye changes its focus from a distant object to a near one. Pupillary constriction occurs when focusing on a near object, as part of this accommodation response.
B. This describes the response to light, not accommodation.
C. Involuntary blinking in bright light is related to the blink reflex, not accommodation.
D. Pupillary dilation occurs when focusing on a distant object, not during accommodation to a near object.

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The nurse is preparing to assess the visual acuity of a 16-year-old patient. How would the nurse proceed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is testing a patient's visual accommodation. How is accommodation assessed?

Correct Answer is A

Explanation

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