When shown an Amsler grid, the client reports seeing wavy, distorted lines. The client also states his center of vision is dark and he has no sense of depth perception. The nurse suspects the client has which of the following conditions?

Cataracts

Glaucoma

Macular degeneration

Retinal detachment

Answer and Explanation

The Correct Answer is C

Choice A reason: Cataracts are a condition that causes the lens of the eye to become cloudy and opaque. They can cause symptoms such as blurred vision, glare, halos, and reduced color perception. They do not affect the shape of the lines on the Amsler grid or the center of vision.

Choice B reason: Glaucoma is a condition that causes increased pressure in the eye and damage to the optic nerve. It can cause symptoms such as gradual loss of peripheral vision, tunnel vision, and eye pain. It does not affect the shape of the lines on the Amsler grid or the center of vision.

Choice C reason: Macular degeneration is a condition that affects the macula, the central part of the retina. It can cause symptoms such as distorted vision, dark spots, and loss of central vision. It can affect the shape of the lines on the Amsler grid and the center of vision.

Choice D reason: Retinal detachment is a condition that occurs when the retina separates from the back of the eye. It can cause symptoms such as flashes, floaters, and a curtain-like vision loss. It does not affect the shape of the lines on the Amsler grid or the center of vision.

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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.

A. Encourage the patient to wait for 24 hours before applying new knowledge B. Organize the content from complex to simple C. Repeat the key concepts D. Ask the patient to hold questions until after the lesson is completed

Correct Answer is C

Explanation

Choice A reason: Encouraging the patient to wait for 24 hours before applying new knowledge is not an effective strategy to promote learning. It may cause the patient to forget or lose interest in the information. The RN should encourage the patient to apply new knowledge as soon as possible to reinforce learning and improve retention.

Choice B reason: Organizing the content from complex to simple is not an effective strategy to promote learning. It may confuse or overwhelm the patient with too much information at once. The RN should organize the content from simple to complex, starting with the most essential and relevant information and building on it gradually.

Choice C reason: Repeating the key concepts is an effective strategy to promote learning. It helps the patient to remember and recall the important information and clarify any misunderstandings. The RN should repeat the key concepts at the beginning, during, and at the end of the lesson.

Choice D reason: Asking the patient to hold questions until after the lesson is completed is not an effective strategy to promote learning. It may discourage the patient from asking questions or expressing concerns that may affect their learning. The RN should encourage the patient to ask questions at any time and provide feedback and answers.

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When shown an Amsler grid, the client reports seeing wavy, distorted lines. The client also states his center of vision is dark and he has no sense of depth perception. The nurse suspects the client has which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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