When the nurse assesses the Cranial Nerve VII, which would the nurse ask the patient to perform? (Select all that apply)

Choice A reason: Reading handheld print tests reading near vision, not standard visual acuity, which requires distance assessment. The Snellen chart at 20 feet is the standard, so this is incorrect for acuity testing.

Choice B reason: The Snellen chart, positioned 20 feet away, is the standard method for assessing visual acuity in adolescents, providing a reliable measure of distance vision. This is the correct procedure for the nurse.

Choice C reason: The confrontation test assesses peripheral vision, not central acuity. The Snellen chart measures sharpness of vision, so this is incorrect for the purpose of visual acuity assessment.

Choice D reason: Reading newsprint at 12–14 inches tests near vision, not distance acuity, which is the standard for screening. The Snellen chart at 20 feet is appropriate, so this is incorrect.

Choice A reason: Checking with the physician delays addressing the patient’s misunderstanding. The HPV vaccine does not treat existing infections or warts, as it is preventive, making this response less direct and informative than needed.

Choice B reason: The HPV vaccine is not limited to those not yet sexually active; it is recommended up to age 26, even for those with sexual history. This statement is outdated and incorrect, as vaccination can still benefit some with prior exposure.

Choice C reason: The HPV vaccine prevents new HPV infections but does not treat existing infections or genital warts, which are caused by specific HPV strains. Since the patient already has warts, the vaccine won’t help, making this the correct response.

Choice D reason: While the HPV vaccine is approved for ages 9–26, it does not treat existing infections or warts. Starting it without clarifying its preventive role misleads the patient, making this an incorrect and misleading response.