The nurse is using the Snellen chart. Which patient is the nurse assessing?
a. A patient who frequently reports the incorrect time from the clock across the room.
b. A patient who is having difficulty remembering how to perform familiar tasks.
c. A patient who turns the television up as loud as possible.
d. A patient who has trouble saying words.
ANS: A
The Snellen chart is used to assess vision. Difficulty remembering how to perform familiar tasks indicates the need to further assess mental and cognitive status. Turning the television up louder indicates the need for a hearing assessment. For a patient having trouble saying words a picture board/chart may be used.
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