The nurse asks the client to explain the meaning of the phrase, ...

[james9437]

The nurse asks the client to explain the meaning of the phrase, Every cloud has a silver lining. Which of the following is this part of the examination designed to measure?
 
  a. Knowledge
  b. Judgement
  c. Association
  d. Abstract thinking

Question 2

Which of the following terms describes an unexpected occurrence when the unit documentation is a critical pathway?
 
  a. Incident
  b. Variance
  c. Deviation
  d. Charting by exception

[isabelt_18]

Answer to Question 1

D
Interpreting abstract ideas or concepts, such as in explaining the meaning of this phrase, reflects the capacity for abstract thinking. The client with altered mentation will likely interpret the phrase literally or merely rephrase the words.
An example of assessing knowledge would be asking the client the reason for seeking health care. The example of the phrase in the question is not designed to measure knowledge.
The nurse is not attempting to measure judgement in this example. An example of assessing judgement would be to ask the client what he or she would do if he or she suddenly became ill when alone at home.
The nurse is not attempting to measure association in this example. An example of assessing as-sociation would be to ask the client to complete a phrase such as, A dog is to a beagle as a cat is to a _____.

Answer to Question 2

B

Feedback
A Incident is not the term used for an unexpected occurrence when using critical pathways.
B Critical pathways eliminate the need for nurses' notes, flow sheets, and nursing care plans because the pathway document integrates all relevant information. Unexpected occurrences, unmet goals, and interventions not specified within the clinical pathway time frame are called variances.
C Deviation is not the term used for an unexpected occurrence when using critical pathways.
D Charting by exception is a type of standardized charting and is not the term used for an unexpected occurrence when using critical pathways.