During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

"Are you able to feed yourself?"

"Do you do your own laundry?"

"Do you shop for groceries?"

"Do you manage your own money?"

Answer and Explanation

Correct Answer : B,C,D

A. "Are you able to feed yourself?": This question relates to basic activities of daily living (ADLs), not instrumental activities of daily living (IADLs).

B. "Do you do your own laundry?": This question assesses the ability to perform IADLs, which include tasks like laundry, managing household chores, and other tasks beyond basic self-care.

C. "Do you shop for groceries?": This question evaluates the client’s ability to perform IADLs, such as shopping for groceries.

D. "Do you manage your own money?": This question is also relevant for assessing IADLs, which include financial management.

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Correct Answer is D

Explanation

A. External Eye Structures: This assessment involves examining the visible parts of the eye and surrounding structures, not the distance vision.

B. Near Vision: Near vision is typically assessed using a reading chart held at a close distance, not a chart mounted on the wall.

C. Peripheral Vision: Peripheral vision assessments involve testing the field of vision to detect loss or abnormalities, rather than focusing on distant vision.

D. Distant Vision: Standing 20 feet from a chart to read letters tests distant vision, as it assesses the ability to see objects clearly at a distance.

A. Facial, Trigeminal, Vestibulocochlear B. Oculomotor, Trochlear, and Abducens C. Spinal Accessory, Facial, Trigeminal D. Glossopharyngeal, Vagus, Hypoglossal

Correct Answer is B

Explanation

A. Facial, Trigeminal, Vestibulocochlear: The Facial nerve (VII) is primarily responsible for facial expressions and taste sensation. The Trigeminal nerve (V) is involved in facial sensation and chewing. The Vestibulocochlear nerve (VIII) deals with hearing and balance, not eye movements.

B. Oculomotor, Trochlear, and Abducens: The Oculomotor nerve (III) controls most of the eye's movements, including constriction of the pupil. The Trochlear nerve (IV) innervates the superior oblique muscle, enabling downward and outward eye movements. The Abducens nerve (VI) controls the lateral rectus muscle, responsible for lateral eye movement.

C. Spinal Accessory, Facial, Trigeminal: The Spinal Accessory nerve (XI) controls neck and shoulder movements, not eye movements. The Facial nerve (VII) and Trigeminal nerve (V) are also not involved in eye movements.

D. Glossopharyngeal, Vagus, Hypoglossal: The Glossopharyngeal nerve (IX) is involved in taste and salivation. The Vagus nerve (X) controls parasympathetic functions and throat muscles. The Hypoglossal nerve (XII) controls tongue movements. None of these nerves are responsible for eye movements.

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During a health history, which of the following can the nurse ask to determine an older adult client's abilities to conduct instrumental activities of daily living? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What eye function is the nurse preparing to assess when the client is asked to stand 20 feet from a specific chart that is mounted on the examination room wall?

Correct Answer is D

Explanation

Cranial nerves involved in eye movements are:

Correct Answer is B

Explanation

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