During the Health History Interview with a 78-Year-Old Man, His

question 30

Multiple Choice

During the health history interview with a 78-year-old man, his wife states that he occasionally has problems with short-term memory loss and confusion: "He can't even remember how to button his shirt." When assessing his sensory system, which action by the nurse is most appropriate?

• A)The nurse would not test the sensory system as part of the examination because the results would not be valid.
• B)The nurse would perform the tests, knowing that mental status does not affect sensory ability.
• C)The nurse would proceed with an explanation of each test, making certain that the wife understands.
• D)Before testing, the nurse would assess the patient's mental status and ability to follow directions.

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