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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Head circumference should be greater than chest circumference at birth is correct. In a newborn, the head is typically larger than the chest circumference, which is normal due to the large size of the brain relative to the rest of the body at birth.
B. When the anterior fontanel closes at 2 months, the head will be more proportioned to the body is incorrect. The anterior fontanel typically closes between 12 to 18 months, not 2 months, and the head size gradually becomes more proportionate as the child grows.
C. At birth, the head is one fifth the total length is inaccurate. The head is about one-quarter of the newborn's total length, not one-fifth.
D. The head size reaches 90% of its final size when the child is 3 years old is inaccurate. The head reaches approximately 80-85% of its final size by age 2, not 3.
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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