The nurse is assessing a patient's cognitive abilities. She tells the patient a list of three items to repeat after 5 minutes pass. What cognitive ability is the nurse assessing?
a. abstract reasoning c. judgment
b. memory d. thought process and content
B
The nurse is assessing immediate recall (memory). To assess abstract reasoning, ask the patient to describe the meaning of a familiar fable, proverb, or metaphor such as "the squeaky wheel gets the grease." Presenting hypothetical situations and asking the patient to make decisions as to what her response would be is an assessment of judgment. For example, "What would you do if you saw a house burning?" To assess thought process and content, observe the patient's pattern of thought for relevance, consistency, coherence, logic, and organization.
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