A nurse is collecting data from a client who has open-angle glaucoma. Which of the following symptoms should the nurse expect the patient to report?

Gradual loss of peripheral vision

Gradual loss of central vision

Sudden headache and nausea

Cloudy blurred vision

Answer and Explanation

The Correct Answer is A

Choice A reason: Gradual loss of peripheral vision is a characteristic symptom of open-angle glaucoma, which is the most common type of glaucoma. It occurs when the drainage angle of the eye becomes blocked, causing increased intraocular pressure and damage to the optic nerve.

Choice B reason: Gradual loss of central vision is more typical of age-related macular degeneration, which is a condition that affects the macula, the central part of the retina. It is not a symptom of open-angle glaucoma.

Choice C reason: Sudden headache and nausea are signs of acute angle-closure glaucoma, which is a medical emergency that requires immediate treatment. It occurs when the drainage angle of the eye suddenly closes, causing a rapid rise in intraocular pressure and severe pain.

Choice D reason: Cloudy blurred vision is a symptom of cataract, which is a condition that causes the lens of the eye to become cloudy and opaque. It is not a symptom of open-angle glaucoma.

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Correct Answer is C

Explanation

Choice A reason: An open wound is a concern for a diabetic client, as it can increase the risk of infection and delay the healing process. However, it does not require an immediate focused assessment, unless it is bleeding profusely, infected, or showing signs of tissue damage.

Choice B reason: Depression is a common complication of diabetes, as it can affect the client's mood, self-care, and adherence to treatment. However, it does not require an immediate focused assessment, unless the client is suicidal, psychotic, or unable to function.

Choice C reason: Chest pain is a symptom that can indicate a life-threatening condition, such as a heart attack, pulmonary embolism, or aortic dissection. It requires an immediate focused assessment, as it can compromise the client's cardiac and respiratory function and lead to death.

Choice D reason: Diabetes is a chronic condition that affects the client's blood glucose levels and can cause various complications, such as neuropathy, nephropathy, and retinopathy. However, it does not require an immediate focused assessment, unless the client is experiencing a hyperglycemic or hypoglycemic crisis.

A. Identification B. Denial C. Displacement D. Rationalization

Correct Answer is D

Explanation

Choice A reason: Identification is a defense mechanism where the person adopts the characteristics or behaviors of someone else, usually someone more powerful or successful, to cope with feelings of inadequacy or insecurity.

Choice B reason: Denial is a defense mechanism where the person refuses to accept or acknowledge the reality of a situation or a problem, to avoid dealing with the negative emotions or consequences.

Choice C reason: Displacement is a defense mechanism where the person transfers their feelings or impulses from the original source to a less threatening or more acceptable one, to reduce the anxiety or guilt.

Choice D reason: Rationalization is a defense mechanism where the person uses logical or plausible explanations to justify or excuse their actions or behaviors, to avoid facing the true motives or reasons.

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A nurse is collecting data from a client who has open-angle glaucoma. Which of the following symptoms should the nurse expect the patient to report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A diabetic client states he feels depressed, is complaining of chest pain, and has an open wound. Which of these complaints would require an immediate focused assessment?

Correct Answer is C

Explanation

A nurse is caring for a client who states, "I did not take my medication because my partner forgot to remind me." The nurse should identify that the client is demonstrating which of the following defense mechanisms?

Correct Answer is D

Explanation

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