A nurse is assessing a middle-aged adult for cognitive skills. The patient has difficulty with seriation tests. What action by the nurse is most appropriate?
a. Document the findings and continue the assessment.
b. Perform another test for fluid intelligence.
c. Consult with the provider about dementia screening.
d. Ask the patient about family medical history.
ANS: B
Middle-aged adults (especially younger ones) often have trouble with math processing (fluid intelligence) because of the prevalence of calculators and computers and dependence upon them to do work formerly done by the individual. The nurse should conduct other tests for fluid intelligence. The findings should be documented, but this is not the only action needed. Dementia screening is not indicated with one test result. Family medical history should be part of all screenings but is not directly related to this issue.
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