The nurse plans to assess a client's ability to think abstractly. Which question or statement is likely to provide the best information about the client's abstract thinking?

"Count backwards by 7, starting with 100."

"Has anyone come to visit you today?"

"In what year were you born?"

"What does, "The early bird catches the worm," mean?"

Answer and Explanation

The Correct Answer is D

A. "Count backwards by 7, starting with 100.": This question assesses concentration, attention span, and mathematical ability but does not evaluate abstract thinking. It is typically used in cognitive or mental status exams to assess focus and processing speed.

B. "Has anyone come to visit you today?": This is a straightforward question assessing recent memory or orientation but has no abstract component. It provides little insight into higher-order thinking or interpretation skills.

C. "In what year were you born?": This question evaluates remote memory, not abstract reasoning. It is factual and concrete, requiring only recollection, not interpretation or deeper thought.

D. "What does, 'The early bird catches the worm,' mean?": This is a proverb that requires interpretation beyond its literal meaning. Asking for its meaning helps assess abstract thinking by evaluating the client’s ability to understand figurative language and draw broader conclusions.

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Correct Answer is B

Explanation

A. Ask questions in a vague, nonspecific format: Vague questions can lead to unclear or incomplete answers and may confuse the client. A structured, clear, and respectful approach helps establish trust and encourages more honest responses over time.

B. Begin with questions that are less sensitive in nature: Starting with general or less personal questions helps build rapport and comfort with the client. Once trust is established, the client may feel more at ease discussing sensitive topics like family mental health history or personal concerns.

C. Share personal values to put the client at ease: Nurses should maintain professional boundaries during assessments. Sharing personal values may introduce bias or shift focus from the client’s needs and feelings, making it harder for them to open up.

D. Get the most difficult questions over with first: Jumping into sensitive or emotionally charged questions too early may make the client feel threatened or uncomfortable, especially if the topic is already distressing. A gradual approach helps promote openness and trust.

A. Observe the client's eye movements through the cardinal fields of vision. B. Observe the client's pupillary response to a penlight. C. Observe the client's optic disc through an ophthalmoscope. D. Assess the client's ability to read a Snellen chart from a distance of 20 feet.

Correct Answer is D

Explanation

A. Observe the client's eye movements through the cardinal fields of vision: This test evaluates extraocular muscle function and cranial nerves III, IV, and VI. It helps detect muscle weakness or nerve damage but does not measure visual acuity or diagnose legal blindness.

B. Observe the client's pupillary response to a penlight: This assesses the integrity of the optic and oculomotor nerves and reflexes, such as pupil constriction. While useful in neurological assessments, it does not determine the level of visual acuity needed to confirm legal blindness.

C. Observe the client's optic disc through an ophthalmoscope: Direct visualization of the optic disc can reveal issues like glaucoma or optic atrophy. However, it does not quantify vision loss or determine functional blindness as defined by acuity measurements.

D. Assess the client's ability to read a Snellen chart from a distance of 20 feet: This is the standard method for evaluating visual acuity. Legal blindness is defined in the U.S. as visual acuity of 20/200 or worse in the better eye with corrective lenses, making this test the most appropriate for supporting the client’s statement.

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The nurse plans to assess a client's ability to think abstractly. Which question or statement is likely to provide the best information about the client's abstract thinking?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A client states, "I am legally blind." Which assessment technique should the nurse use to obtain data to support the client's statement?

Correct Answer is D

Explanation

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