During the mental status assessment, the nurse hands the client a piece of paper that reads "Please raise your left hand." If the client follows the command, the nurse has just assessed which ability of the client
Abstract thinking
Memory
General knowledge
Reading ability
The Correct Answer is D
Choice A rationale: Abstract thinking involves the ability to think conceptually and comprehend concrete concepts such as proverbs.
Choice B rationale: Memory assesses the client’s ability to recall previously experienced or learned information and is not directly assessed by the client's ability to follow a written command.
Choice C rationale: General knowledge refers to the ability of a client to answer questions on common topics and facts and is not assessed by the client's response to a written command.
Choice D rationale: The ability to follow a written command, such as "Please raise your left hand," assesses the client's ability to read and understand written instructions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: the nurse is not the primary focus of a therapeutic relationship and does not focus on their personal or professional needs. However, they should always maintain appropriate boundaries and avoid becoming too emotionally involved or attached to the client.
Choice B rationale: the client is the primary focus of a therapeutic relationship hence the care provided should meet the client’s needs, well-being, and expectations.
Choice C rationale: a therapeutic relationship is not focused on establishing a friendship but on developing a working alliance between the nurse and the client.
Choice D rationale: The plan of care is an important tool for guiding the therapeutic relationship, but it is not the focus of the relationship.
Correct Answer is C
Explanation
Choice A rationale: fats are directly related to lithium therapy and does not require any special monitoring during the drug’s intake.
Choice B rationale: proteins do not affect the blood levels of lithium hence they do not require any special monitoring during the drug’s intake.
Choice C rationale: Lithium is a salt that can affect the fluid and electrolyte balance in the body and competes with sodium for their reabsorption in the kidneys.
Therefore, if the client consumes too much or too little sodium, it can alter the level of lithium in the blood and cause toxicity or ineffectiveness hence the need for close monitoring.
Choice D rationale: potassium does not affect the blood levels of lithium hence no special monitoring during intake is required.
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