The nurse is testing a patient's visual accommodation. How is accommodation assessed?
Pupillary constriction when looking at a near object
Changes in peripheral vision in response to bright light
Involuntary blinking in the presence of bright light
Pupillary dilation when looking at a distant object
The Correct Answer is A
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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Related Questions
Correct Answer is D
Explanation
A. Appreciating unique meanings refers to understanding the cultural or personal significance of the patient's health experience, which is important but not the primary behavior in this scenario.
B. Meeting affiliation needs involves providing support for social connections and relationships. While teaching the family could enhance their relationship with the patient, this is more about practical care.
C. Providing presence refers to being physically and emotionally present with the patient. While this is important in care, the scenario is about teaching specific skills for a practical need.
D. Meeting basic human needs is the most fitting answer because the nurse is providing the family with the tools and knowledge they need to assist with a physical care task, which directly addresses a basic need for the patient’s health and well-being.
Correct Answer is C
Explanation
A. Psychomotor learning refers to learning that involves physical skills and is less relevant when educating a patient about managing a chronic condition like diabetes, especially in this case.
B. Developmental stage refers to a patient’s cognitive and physical development, but this may not be the highest concern for an adult patient with diabetes.
C. Health literacy is critical in this case because the patient needs to understand the instructions for medication, therapy, and appointments to manage their diabetes effectively. Homeless patients may face barriers in accessing information or understanding it fully, so ensuring the patient has a clear understanding is a priority.
D. Motivation is important, but addressing health literacy (ensuring the patient understands the information) is likely a more immediate concern, as lack of understanding could prevent motivation from having an effect.
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