The Nurse Is Performing a Focused Interview and Eye Assessment

question 31

Multiple Choice

The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client's is experiencing a vision problem?

• A) The client is frowning and squinting while she is reading the Snellen chart.
• B) The client exhibits a symmetrical pupillary light reflex response.
• C) As the nurse checks for accommodation, the pupils remain dilated.
• D) The client's near vision acuity is 14/14 bilaterally.
• E) When the cornea is lightly touched in the right eye, both eyelids close.

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Definitions:

Disorders

Conditions or diseases that disrupt normal physiological or psychological functions.

Faulty Perception

Erroneous or distorted interpretation of sensory information.

Delusion

A false belief held with strong conviction despite superior evidence to the contrary, often symptomatic of psychiatric disorders.

Hallucination

A perceptual experience that occurs in the absence of an external stimulus, often vivid and clear, with the full force and impact of a normal perception.