To assess a client’s ability to concentrate, the nurse would instruct the client to do which of the following?
Repeat the days of the week backward.
Describe what their typical day is like.
Explain what "a rolling stone gathers no moss" means.
Name the last three presidents.
The Correct Answer is A
Choice A reason: Repeating the days of the week backward requires sustained attention, working memory, and mental sequencing. It is a direct and effective method for assessing concentration.
Choice B reason: Describing a typical day assesses memory and insight but does not challenge the client’s ability to focus or maintain attention on a cognitive task.
Choice C reason: Explaining a proverb assesses abstract thinking, not concentration. It evaluates cognitive complexity and interpretation skills.
Choice D reason: Naming past presidents tests long-term memory recall, not concentration. It does not require sustained mental effort or attention.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The death of a spouse is a socially recognized and supported loss. It typically elicits sympathy and rituals that validate the grieving process. Therefore, it is not disenfranchised.
Choice B reason: Disenfranchised grief occurs when the loss is not openly acknowledged, socially supported, or publicly mourned. Miscarriage, especially early in pregnancy, is often minimized or misunderstood by others, leaving the grieving individual without adequate support or validation.
Choice C reason: The death of a child is a profound and socially recognized loss. It is typically met with strong support and acknowledgment, making it a conventional form of grief.
Choice D reason: Amputation is a physiological loss and may lead to grief, but it is not disenfranchised unless the emotional impact is dismissed or unsupported. However, it is not the best example compared to miscarriage.
Correct Answer is D
Explanation
Choice A reason: Displaying one type of expression, such as a serious or somber look, may suggest a restricted affect, but it does not capture the slowed or minimal responsiveness seen in blunted affect. Blunted affect involves more than just limited variety—it includes reduced intensity and delayed emotional expression.
Choice B reason: A full range of emotional expressions indicates a normal affect. This is the opposite of blunted affect, which is characterized by diminished emotional responsiveness. Therefore, this choice is incorrect.
Choice C reason: Showing no facial expression is more consistent with flat affect, which is a more severe reduction in emotional expression than blunted affect. Blunted affect allows for minimal or slow responses, not complete absence.
Choice D reason: Blunted affect refers to a noticeable reduction in the intensity and speed of emotional expression. The client may show delayed or minimal facial responses to emotional stimuli. This is a hallmark of certain psychiatric conditions such as schizophrenia or major depressive disorder.
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