When administering the TWEAK questions as part of the nursing health assessment, which letter in the acronym directs the nurse to ask, "Has a friend or family member ever told you about things you said or did that you could not remember?"
K
A
W
T
E
The Correct Answer is B
A. K: "K" in the TWEAK tool refers to Kut down, which asks if the client feels the need to cut down on drinking, not about memory loss.
B. A: "A" stands for Amnesia, which specifically addresses memory blackouts — this is where the nurse asks if a friend or family member ever told the client about things they said or did that they could not remember.
C. W: "W" represents Worried, where the nurse asks if friends or relatives have ever worried about the client’s drinking.
D. T: "T" is for Tolerance, assessing how many drinks it takes for the client to feel high.
E. E: "E" represents Eye-opener, asking if the client needs a drink in the morning to steady nerves or relieve a hangover.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The patient can read the chart from 20 feet with the left eye and 30 feet with the right eye: Snellen chart results do not measure each eye’s distance separately in this way. Instead, the fraction compares the patient’s vision at 20 feet with what a person with normal vision sees at a standard distance.
B. The patient can read from 30 feet what a person with normal vision can read from 20 feet: This reverses the meaning of the Snellen fraction. It would describe someone with better than normal vision, which is not the case with a 20/30 result.
C. The patient can read at 20 feet what a person with normal vision can read at 30 feet: A 20/30 vision score indicates mildly reduced visual acuity. The patient must be closer to the chart to see the same detail that a person with normal vision can see from farther away.
D. At 30 feet the patient can read the entire chart: Snellen testing is standardized at 20 feet in the United States. The fraction is not based on the ability to read the chart at 30 feet, so this does not represent the meaning of the result.
Correct Answer is A
Explanation
A. Decreased gastric acid secretions: Aging commonly leads to reduced gastric acid production, which can impair digestion and absorption of nutrients such as vitamin B12, calcium, and iron. This change contributes to increased risk of anemia and other nutritional deficiencies in older adults.
B. Increased salivation: Salivary secretion usually decreases with age, not increases. Reduced salivation can cause dry mouth, difficulties with chewing and swallowing, and may contribute to dental problems in the elderly.
C. Increased peristalsis: Peristalsis typically slows with aging, leading to delayed intestinal transit. This reduced motility is a contributing factor to constipation, which is a frequent complaint among older adults.
D. Increased esophageal emptying: Esophageal emptying generally becomes slower with age due to decreased motility and weaker sphincter control. This slowing can increase the risk of aspiration and gastroesophageal reflux, making increased emptying an inaccurate option.
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