An action that the nurse should take to use a wide base of support when assisting a client to get up in a chair is:

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Question 1 of 5

An action that the nurse should take to use a wide base of support when assisting a client to get up in a chair is:

Correct Answer: C

Rationale: Spreading feet apart creates a wide base of support, stabilizing the nurse's center of gravity when lifting a client from bed to chair. This enhances balance, reducing fall risk e.g., shoulder-width stance supports a 70-kg patient. Bending at the waist risks back strain, lacking leg leverage, and no base is specified. Facing the client, bending knees, and holding forearms uses proper mechanics but omits base width less explicit. Tightening pelvic muscles aids core strength, not base stability. A wide stance, per ergonomic principles, ensures safe transfer, protecting nurse and client, making it the essential action in this context.

Question 2 of 5

The nurse asked the client to read the Snellen chart. Which of the following is tested:

Correct Answer: A

Rationale: The Snellen chart tests vision, linked to the optic nerve (Cranial Nerve II).

Question 3 of 5

During a Romberg test, the nurse asks the patient to assume which position?

Correct Answer: B

Rationale: The Romberg test assesses balance while standing with eyes open and closed.

Question 4 of 5

The most common psychogenic disorder among elderly persons is:

Correct Answer: A

Rationale: Depression is the most prevalent psychogenic issue in older adults.

Question 5 of 5

Which of these statements, when made by the nurse, is most effective when communicating with a 4-year-old?

Correct Answer: A

Rationale: For a 4-year-old, 'Tell me where you hurt' is most effective simple, direct, and age-appropriate, encouraging the child to express pain in their own words, aligning with their concrete thinking stage per Piaget. Option B uses peer pressure, ineffective for this age; C's metaphor may confuse rather than clarify; and D's confidentiality concept is too abstract.

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