A charge nurse is discussing examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select the 3 that apply.)
To assess cognitive ability, ask the client to write a sentence.
To assess mood, observe facial expression.
To assess cognitive ability, ask the client to count backward by sevens.
To assess appearance, take note of the client's nutritional status.
To assess recent memory, have the client repeat a list of objects.
To assess the client's abstract thinking, ask the client to identify our most recent presidents.
Correct Answer : A,D,E
Choice A reason: The correct answer is a) because asking the client to write a sentence helps assess cognitive ability, including language and writing skills.
Choice B reason: Observing facial expression assesses mood, but it is not one of the three selected for understanding cognitive ability.
Choice C reason: Counting backward by sevens assesses cognitive function, but it is not selected in this question.
Choice D reason: The correct answer is d) because taking note of the client's nutritional status is part of assessing appearance.
Choice E reason: The correct answer is e) because asking the client to repeat a list of objects assesses recent memory.
Choice F reason: Asking the client to identify recent presidents assesses abstract thinking but is not one of the three selected for understanding the teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The correct answer is a) because the nurse is supporting the client's right to make an informed decision about their treatment.
Choice B reason: Beneficence involves doing good and acting in the best interest of the client, but the focus here is on supporting the client's decision-making.
Choice C reason: Fidelity refers to being faithful and keeping promises, which is not the primary focus in this scenario.
Choice D reason: Veracity refers to truthfulness, but the primary focus here is on supporting the client's autonomy.
Correct Answer is C
Explanation
Choice A reason: Remaining with the client while family members visit is appropriate for ensuring safety.
Choice B reason: Asking for assistance during lunch is appropriate to maintain continuous observation.
Choice C reason: The correct answer is c) because leaving the client alone to ambulate the roommate indicates that the LPN is not maintaining constant observation, which is crucial for suicide precautions.
Choice D reason: Accompanying the client to therapy ensures continuous observation and is appropriate.
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