A nurse is collecting data from a newly admitted client. Which of the following questions should the nurse ask to assess the client's abstract thinking ability?
"Who is the current President of the United States?"
"What does the phrase 'butterflies in my stomach' mean?"
"Can you count backward from 20 to 1?"
"Can you draw a clock that shows the hands at 4:30?"
The Correct Answer is B
A. Asking about the current President of the United States assesses the client's orientation to time and place but does not directly assess abstract thinking.
B. Asking what the phrase 'butterflies in my stomach' means assesses the client's ability to
interpret and understand abstract concepts, as it requires the client to interpret a metaphorical expression.
C. Asking the client to count backward from 20 to 1 assesses attention and concentration but does not directly assess abstract thinking.
D. Asking the client to draw a clock that shows the hands at 4:30 assesses cognitive function, spatial orientation, and memory but does not directly assess abstract thinking.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Placing the crib in front of the window can pose a risk of injury if the infant gains access to the window blinds or falls out of the window.
B. Hanging toys across the crib rails can pose a risk of strangulation or choking if the infant becomes entangled in them.
C. Keeping the door to the bathroom closed prevents the infant from accessing potentially hazardous items such as medications, cleaning products, or small objects that may pose a choking hazard.
D. Setting the hot water heater at 140 degrees Fahrenheit increases the risk of scald burns for the infant. The water temperature should be set at or below 120 degrees Fahrenheit to prevent burns.
Correct Answer is D
Explanation
A. Washing the newborn's head under a stream of running water is not recommended, as it could startle the newborn or lead to water entering the ears or eyes. Instead, the head should be washed gently using a damp cloth or sponge.
B. Bathing the newborn within 30 minutes after a feeding is not advisable. This could increase the risk of regurgitation or discomfort during the bath. It is better to bathe the newborn when they are calm and not immediately after feeding.
C. Starting the bath by washing the diaper area first is incorrect. The newborn’s face and head should be washed first to avoid spreading bacteria from the diaper area to other parts of the body.
D. The bath water should be 100 to 103 degrees Fahrenheit, as this is a safe and comfortable temperature for the newborn. It prevents chilling or burns and ensures the bath is soothing for the baby.
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