When measuring visual acuity, you are assessing cranial nerve:
a. I.
b. II.
c. IV.
d. VI.
B
Visual acuity is controlled by cranial nerve II. Cranial nerve I deals with the sense of smell. Cranial nerve IV deals with accommodation. Cranial nerve VI deals with lateral eye muscle movements.
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An alcohol dependent patient says, "Drinking helps me cope with being a single parent.". Which response by the nurse would help the patient conceptualize the drinking more objectively?
a. "Sooner or later, alcohol will kill you. Then what will happen to your children?" b. "I hear a lot of defensiveness in your voice. Do you really believe this?" c. "If you were coping so well, why were you hospitalized again?" d. "Tell me what happened the last time you drank.".
A client is admitted with suspected avian influenza. The family asks the nurse what kind of care the client will get. Which statement by the nurse is correct?
a. "He will be given standard antibiotic agents and will be placed in contact isola-tion." b. "He will be placed on airborne and contact isolation." c. "Oseltamivir (Tamiflu) will reduce com-plications of this infection." d. "All family members should be tested for evidence of the same disease."
The nurse understands that caregivers, as well as clients, have a potential for violent behavior. Which one of the following employees is at increased risk for expressing violent behavior?
A) Quentin, a 24-year-old new grad nurse who is quiet and does not ask questions. B) Tom, a 70-year-old part-time nurse who has been progressively making medication errors over the past year. C) Ming, a 21-year-old unit clerk who has difficulty attending to her job requirements although she just completed a month-long orientation. D) Clarice, a 42-year-old experienced nurse who often calls in sick and has been having performance issues for the past two weeks.
The nurse is planning client education for an older adult being prepared for discharge home after hospitalization for a cardiac problem. Which nursing action addresses the most commonly deter-mined need for this age-group?
1. Suggest that he purchase an emergency in-home alert system. 2. Arrange for the client to receive meals delivered to his home daily. 3. Encourage the client to use a compartmentalized pill storage container for his dai-ly medications. 4. Provide a written document describing the medications the client is currently pre-scribed.