Which assessment question should the nurse ask to best understand how visual alterations are affecting the patient's self-care ability?
a. "Have you stopped reading books or switched to books on audiotape?"
b. "What do you do to protect yourself from injury at work?"
c. "Are you able to prepare a meal or write a check?"
d. "How does your vision impairment make you feel?"
ANS: C
To best understand how vision is affecting self-care ability, the nurse wants to target questions to encompass what self-care tasks the patient has difficulty doing, such as preparing meals and writing checks. Switching to books on audiotape gives the nurse an idea of the severity of the deficit but not its impact on activities of daily living. Assessing whether the patient is taking measures for protection is important, but this does not address self-care activities. Emotional assessment of a patient is also important but does not properly address the goal of determining the effect of visual alterations on self-care ability.
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