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NUR |/ 211 |/Final |/exam |/questions |/with
|/answers
A |/nurse |/caring |/for |/a |/client |/with |/sickle |/cell |/disease |/(SCD) |/reviews |/the |/client's |/laboratory |/work. |/Which |/finding |/should |/the |/nurse |/report |/to |/the |/provider? A. |/Creatinine: |/2. B. |/Hematocrit: |/30% C. |/Sodium: |/ 147 D. |/WBC: |/12,000 |/- |/CORRECT |/ANSWERS |/✔✔A. |/Creatinine: |/2. An |/elevated |/creatinine |/indicates |/kidney |/damage, |/which |/occurs |/in |/SCD. |/A |/hematocrit |/level |/of |/30% |/is |/an |/expected |/finding, |/as |/is |/a |/slightly |/elevated |/white |/blood |/cell |/count. |/A |/sodium |/of |/147, |/although |/slightly |/high, |/is |/not |/concerning A |/client |/hospitalized |/with |/sickle |/cell |/crisis |/frequently |/asks |/for |/opioid |/pain |/medications, |/often |/shortly |/after |/receiving |/a |/dose. |/The |/nurses |/on |/the |/unit |/believe |/the |/client |/is |/drug |/seeking. |/When |/the |/client |/requests |/pain |/medication, |/what |/action |/by |/the |/nurse |/is |/best? A. |/Give |/the |/client |/pain |/medication |/if |/it |/is |/time |/for |/another |/dose. B. |/Instruct |/the |/client |/not |/to |/request |/pain |/medication |/too |/early. C. |/Request |/the |/provider |/to |/leave |/a |/prescription |/for |/a |/placebo
D. |/Tell |/the |/client |/it |/is |/too |/early |/to |/have |/more |/pain |/medication |/- |/CORRECT |/ANSWERS |/✔✔A. |/Give |/the |/client |/pain |/medication |/it |/it |/is |/time |/for |/another |/dose. Clients |/with |/sickle |/cell |/crisis |/often |/have |/severe |/pain |/that |/is |/managed |/with |/up |/to |/ 48 |/hours |/of |/IV |/opioid |/analgesics. |/Even |/if |/the |/client |/is |/addicted |/and |/drug |/seeking, |/he |/or |/she |/is |/still |/in |/extreme |/pain. |/If |/the |/client |/can |/receive |/another |/doe |/of |/medication, |/the |/nurse |/should |/provide |/it, |/The |/other |/options |/are |/judgmental |/and |/do |/not |/address |/the |/client's |/pain. |/Giving |/placebos |/is |/unethical. A |/client |/in |/sickle |/cell |/crisis |/is |/dehydrated |/and |/in |/the |/emergency |/department. |/The |/nurse |/plans |/to |/start |/an |/IV. |/Which |/fluid |/choice |/is |/best? A. |/0.45% |/normal |/saline B. |/0.9% |/normal |/saline C. |/Dextrose |/50% |/(D50) D. |/Lactated |/Ringers |/solution |/- |/CORRECT |/ANSWERS |/✔✔A. |/0.45% |/normal |/saline Because |/clients |/in |/sickle |/cell |/crisis |/are |/often |/dehydrated, |/the |/fluid |/of |/choice |/is |/a |/hypotonic |/solution |/such |/as |/0.45% |/normal |/saline. |/).9% |/normal |/saline |/and |/lactated |/ringers |/solution |/are |/isotonic. |/D50 |/is |/hypertonic |/and |/not |/used |/for |/hydration.
|/further |/decrease |/perfusion. |/Elastic |/bandage |/wraps |/are |/not |/indicated |/and |/may |/constrict |/perfusion |/in |/the |/legs A |/client |/admitted |/for |/sickle |/cell |/crisis |/is |/distraught |/after |/learning |/her |/child |/also |/has |/the |/disease. |/What |/response |/by |/the |/nurse |/is |/best? A. |/Both |/you |/and |/the |/father |/are |/equally |/responsible |/for |/passing |/it |/on. B. |/I |/can |/see |/you |/are |/upset. |/I |/can |/stay |/here |/with |/you |/awhile |/if |/you |/like C. |/It's |/not |/your |/fault; |/there |/is |/no |/way |/to |/know |/who |/will |/have |/this |/disease D. |/There |/are |/many |/good |/treatments |/for |/sickle |/cell |/disease |/these |/days. |/- |/CORRECT |/ANSWERS |/✔✔B. |/I |/can |/see |/you |/are |/upset. |/I |/can |/stay |/here |/with |/you |/awhile |/if |/you |/like. |/ The |/best |/response |/is |/for |/the |/nurse |/to |/offer |/self, |/a |/therapeutic |/communication |/technique |/that |/uses |/presence. |/Attempting |/to |/assign |/blame |/to |/both |/parents |/will |/not |/help |/the |/client |/feel |/better. |/There |/is |/genetic |/testing |/available, |/so |/it |/is |/inaccurate |/to |/state |/there |/is |/no |/way |/to |/know |/who |/will |/have |/the |/disease. |/Stating |/that |/good |/treatments |/exist |/belittles |/the |/client's |/feelings. A |/client |/with |/sickle |/cell |/disease |/(SCD) |/takes |/hydroxyurea |/(Droxia). |/The |/client |/presents |/to |/the |/clinic |/reporting |/an |/increase |/in |/fatigue. |/What |/laboratory |/result |/should |/the |/nurse |/report |/immediately?
A. |/Hematocrit: |/25% B. |/Hemoglobin: |/9. C. |/Potassium: |/3. D. |/WBC: |/38,000 |/- |/CORRECT |/ANSWERS |/✔✔D. |/WBC: |/38, Although |/individuals |/with |/SCD |/often |/have |/elevated |/WBC |/counts, |/this |/extreme |/elevation |/could |/indicate |/leukemia, |/a |/complication |/of |/taking |/hydoxyurea. |/The |/nurse |/should |/report |/this |/finding |/immediately. |/Alternatively, |/it |/could |/indicate |/infection, |/a |/serious |/problem |/for |/clients |/with |/SCD. |/Hematocrit |/and |/hemoglobin |/levels |/are |/normally |/low |/in |/people |/with |/SCD. |/The |/potassium |/level, |/while |/slightly |/low, |/is |/not |/worrisome |/as |/the |/WBCs. A |/nurse |/working |/with |/clients |/with |/sickle |/cell |/disease |/teaches |/about |/self-management |/to |/prevent |/exacerbations |/and |/sickle |/cell |/crisis. |/What |/factors |/should |/clients |/be |/taught |/to |/avoid? |/(Select |/all |/that |/apply) A. |/Dehydration B. |/Exercise C. |/Extreme |/stress D. |/High |/altitudes E. |/Pregnancy |/- |/CORRECT |/ANSWERS |/✔✔A,C,D,E
C. |/Keep |/the |/room |/temperature |/at |/80F D. |/Transfuse |/red |/blood |/cells |/(RBCs) |/- |/CORRECT |/ANSWERS |/✔✔C. |/Keep |/the |/room |/temperature |/at |/ 80 |/F Keeping |/the |/room |/warm |/can |/be |/used |/as |/a |/complementary |/therapy |/to |/relieve |/the |/pain |/of |/a |/sickle |/cell |/crisis. |/Cold |/can |/act |/as |/a |/factor |/in |/causing |/a |/crisis. |/Analgesia |/is |/an |/important |/prt |/of |/receiving |/pain. |/The |/analgesia |/routine |/should |/be |/followed |/on |/an |/around-the-clock |/basis |/and |/should |/consist |/of |/IV |/opioids |/for |/severe |/pain, |/followed |/by |/treatment |/with |/oral |/doses |/of |/opioids |/of |/NSAIDs. |/High-volume |/intravenous |/fluids |/be |/administered |/to |/minimize |/pain |/during |/sickle |/cell |/crisis. The |/nurse |/is |/transfusing |/red |/blood |/cells |/to |/a |/client |/who |/has |/sickle |/cell |/disease. |/Which |/laboratory |/result |/indicates |/that |/the |/nurse |/should |/discontinue |/the |/transfusion? A. |/Hematocrit: |/32% B. |/Hemoglobin |/88% C. |/Serum |/iron |/level: |/ 300 D. |/WBC: |/12,000 |/- |/CORRECT |/ANSWERS |/✔✔C. |/Serum |/iron |/level: |/ 300 Clients |/with |/sickle |/cell |/disease |/are |/anemic |/but |/are |/not |/iron |/deficient. |/Transfusions |/are |/prescribed |/cautiously |/to |/prevent |/iron |/overload |/with |/repeated |/transfusions. |/Iron |/overload |/damages |/the |/heart, |/liver, |/and |/endocrine |/organs. |/monitor |/the |/client's |/serum |/ferritin, |/serum
|/iron, |/and |/total |/iron-binding |/capacity |/during |/transfusion |/therapy. |/the |/other |/laboratory |/values |/should |/not |/result |/in |/discontinuation |/of |/the |/transfusion |/by |/the |/nurse. A |/client |/is |/newly |/diagnosed |/with |/sickle |/cell |/anemia. |/Which |/information |/does |/the |/nurse |/include |/in |/the |/clients |/discharge |/instructions? A. |/Eat |/a |/diet |/high |/in |/iron B. |/Take |/hydoxyurea |/every |/morning C. |/Be |/aware |/of |/the |/early |/symptoms |/of |/crisis D. |/Do |/not |/use |/any |/oral |/contraceptives |/- |/CORRECT |/ANSWERS |/✔✔C. |/Be |/aware |/of |/the |/early |/symptoms |/of |/crisis Clients |/need |/to |/know |/the |/early |/symptoms |/of |/crisis |/so |/that |/treatment |/can |/be |/started |/early |/to |/prevent |/pain, |/complications, |/and |/permanent |/tissue |/damage. |/The |/iron |/level |/is |/not |/low |/in |/sickle |/cell |/anemia. |/Hydroxyurea |/is |/used |/in |/the |/hospital |/during |/sickle |/cell |/crisis. |/The |/use |/of |/oral |/contraceptives |/is |/controversial |/because |/they |/kay |/enhance |/clot |/formation, |/predisposing |/the |/client |/to |/crisis. A |/client |/who |/has |/sickle |/cell |/anemia |/is |/admitted |/to |/the |/hospital. |/The |/client |/reports |/severe |/pain. |/Which |/action |/will |/the |/nurse |/take |/first? A. |/Administer |/one |/unit |/of |/packed |/red |/blood |/cells B. |/Administer |/prescribe |/hydroxyurea
|/cardiac |/disorders |/with |/mixed |/blood |/flow |/or |/decreased |/pulmonary |/blood |/flow, |/RBC |/production |/continues |/secondary |/to |/tissue |/hypoxia. What |/condition |/occurs |/when |/the |/normal |/adult |/hemoglobin |/is |/partly |/or |/completely |/replaced |/by |/abnormal |/hemoglobin? A. |/Aplastic |/anemia B. |/Sickle |/cell |/anemia C. |/Thalassemia |/major D. |/Iron |/deficiency |/anemia |/- |/CORRECT |/ANSWERS |/✔✔B. |/Sickle |/cell |/anemia Sickle |/cell |/anemia |/is |/one |/of |/the |/group |/of |/diseases |/collectively |/called |/hemoglobinopathies, |/in |/which |/normal |/adult |/hemoglobin |/is |/replaced |/by |/abnormal |/hemoglobin. |/Aplastic |/anemia |/is |/a |/lack |/of |/cellular |/elements |/being |/produced. |/Thalassemia |/major |/refers |/to |/a |/variety |/of |/inherited |/disorders |/characterized |/by |/deficiencies |/in |/production |/of |/certain |/globulin |/chains. |/Iron-deficiency |/anemia |/affects |/red |/blood |/cell |/size |/and |/depth |/of |/color |/but |/does |/not |/involve |/abnormal |/hemoglobin. The |/parents |/of |/a |/child |/with |/sickle |/cell |/anemia |/are |/concerned |/about |/subsequent |/children |/having |/the |/disease. |/What |/statement |/most |/accurately |/reflects |/inheritance |/of |/SCA? A. |/SCA |/is |/not |/inherited B.All |/siblings |/will |/have |/SCA
C. |/Each |/sibling |/has |/a |/25% |/chance |/of |/having |/SCA D. |/There |/is |/a |/50% |/chance |/of |/siblings |/having |/SCA |/- |/CORRECT |/ANSWERS |/✔✔C. |/Each |/sibling |/has |/a |/25% |/chance |/of |/having |/SCA SCA |/is |/inherited |/as |/an |/autosomal |/recessive |/disorder. |/In |/this |/inheritance |/pattern, |/each |/child |/born |/to |/these |/parents |/has |/a |/25% |/chance |/of |/having |/the |/disorder, |/a |/25% |/chance |/of |/have |/neither |/SCA |/nor |/the |/trait, |/and |/a |/50% |/chance |/of |/being |/heterozygous |/for |/SCA. |/SCA |/is |/an |/inherited |/hemoglobinopathy The |/clinical |/manifestations |/of |/sickle |/cell |/anemia |/(SCA) |/are |/primarily |/the |/result |/of |/which |/physiologic |/alteration? A. |/Decreased |/blood |/viscosity B. |/Deficiency |/in |/coagulation C. |/Increased |/RBC |/destruction D. |/Greater |/affinity |/for |/oxygen |/- |/CORRECT |/ANSWERS |/✔✔C. |/Increased |/RBC |/destruction The |/clinical |/features |/of |/SCA |/are |/primarily |/the |/result |/of |/increased |/RBC |/destruction |/and |/obstruction |/caused |/by |/the |/sickle-shaped |/RBCs. |/When |/the |/sickle |/cells |/change |/shape, |/they |/increase |/the |/viscosity |/in |/the |/area |/where |/they |/are |/involved |/in |/the |/microcirculation. |/SCA |/dose |/not |/have |/a |/coagulation |/deficit. |/Sickled |/red |/cells |/have |/decreased |/oxygen-carrying |/capacity |/and |/transform |/into |/the |/sickle |/shape |/in |/conditions |/of |/low |/oxygen |/tension
A |/child |/with |/sickle |/ell |/anemia |/develops |/severe |/chest |/pain |/and |/back |/pain, |/fever, |/cough, |/and |/dyspnea. |/What |/should |/be |/the |/first |/action |/by |/the |/nurse? A. |/Administer |/100% |/oxygen |/to |/relieve |/hypoxia B. |/Notify |/the |/practitioner |/because |/chest |/syndrome |/is |/suspected C. |/Infuse |/intravenous |/antibiotics |/as |/soon |/as |/cultures |/are |/obtained D. |/Give |/ordered |/pain |/medication |/to |/relieve |/symptoms |/of |/pain |/episode |/- |/CORRECT |/ANSWERS |/✔✔B. |/Notify |/the |/practitioner |/because |/chest |/syndrome |/is |/suspected These |/are |/the |/symptoms |/of |/chest |/syndrome, |/which |/is |/a |/medical |/emergency. |/Notifying |/the |/practitioner |/is |/the |/priority |/action. |/Oxygen |/may |/be |/indicated; |/however, |/it |/does |/not |/reverse |/the |/sickling |/that |/has |/occurred. |/Antibiotics |/are |/not |/indicated |/initially. |/Pain |/medications |/may |/be |/required, |/but |/evaluation |/by |/ht |/practitioner |/is |/the |/priority. In |/a |/child |/with |/sickle |/cell |/anemia, |/adequate |/hydration |/is |/essential |/to |/minimize |/sickling |/and |/delay |/the |/vaso-occlusion |/and |/hypoxiaischemia |/cycle. |/What |/information |/should |/the |/nurse |/share |/with |/parents |/in |/a |/teaching |/plan? A. |/Encourage |/drinking B. |/Keep |/accurate |/records |/of |/output C. |/Check |/for |/moist |/mucous |/membranes D. |/Monitor |/the |/concentration |/of |/the |/child's |/urine |/- |/CORRECT |/ANSWERS |/✔✔C. |/Check |/fr |/moist |/mucous |/membranes.
Children |/with |/SCA |/have |/impaired |/kidney |/function |/and |/cannot |/concentrate |/urine. |/Parents |/are |/taught |/signs |/of |/dehydration |/and |/ways |/to |/minimize |/loss |/of |/fluid |/of |/fluid |/to |/the |/environment. |/Encouraging |/drinking |/is |/not |/specific |/enough |/for |/parents. |/The |/nurse |/should |/give |/the |/parents |/and |/child |/a |/target |/fluid |/amount |/for |/each |/24-hour |/period. |/Accurate |/monitoring |/of |/output |/may |/not |/reflect |/the |/child's |/fluid |/needs. |/Without |/the |/ability |/to |/concentrate |/urine, |/the |/child |/needs |/additional |/intake |/to |/compensate. |/Dilute |/urine |/and |/specific |/gravity |/are |/not |/valid |/signs |/of |/hydration |/status |/in |/children |/with |/SCA. A |/5-year-old |/child |/is |/admitted |/to |/the |/hospital |/in |/a |/sickle |/cell |/crisis. |/The |/child |/has |/been |/alert |/and |/oriented |/but |/in |/severe |/pain. |/The |/nurse |/notes |/that |/the |/child |/is |/complaining |/of |/headache |/and |/is |/having |/unilateral |/hemiplegia. |/What |/action |/should |/the |/nurse |/implement? A. |/Notify |/the |/health |/care |/provider B. |/Place |/the |/child |/on |/bed |/rest C. |/Administer |/a |/dose |/of |/hydrocodone |/(Vicodin) D. |/Start |/Ó |/per |/the |/hospitals |/protocol. |/- |/CORRECT |/ANSWERS |/✔✔A. |/Notify |/the |/health |/care |/provider Any |/number |/of |/neurologic |/symptoms |/can |/indicate |/a |/minor |/cerebral |/insult, |/such |/as |/headache, |/aphasia, |/weakness, |/convulsions, |/visual |/disturbances, |/or |/unilateral |/hemiplegia. |/Loss |/of |/vision |/is |/usually |/the
Frequently, |/heat |/to |/the |/affected |/area |/is |/soothing. |/Cold |/compresses |/are |/not |/applied |/to |/the |/area |/because |/doing |/so |/enhances |/vasoconstriction |/and |/occlusion. |/bed |/rest |/is |/usually |/well |/tolerated |/during |/a |/crisis, |/altho |/the |/actual |/ret |/obtained |/depends |/a |/great |/deal |/on |/pain |/alleviation |/and |/the |/use |/of |/organized |/schedules |/of |/nursing |/care. |/Although |/the |/objective |/of |/bed |/rest |/s |/to |/minimize |/oxygen |/consumption, |/some |/activity, |/particularly |/passive |/range |/of |/motion |/exercises, |/is |/beneficial |/to |/promote |/circulation. |/Usually |/the |/best |/course |/is |/to |/let |/children |/determine |/their |/activity |/tolerance. |/elevating |/the |/extremity |/will |/not |/help |/in |/sickle |/cell |/disease. The |/nurse |/is |/caring |/for |/a |/patient |/with |/increased |/intracranial |/pressure. |/Which |/action |/is |/considered |/unsafe? A. |/Aligning |/the |/neck |/with |/the |/body B. |/Clustering |/many |/nursing |/activities C. |/Elevating |/the |/head |/of |/the |/bed |/ 30 |/degrees D. |/Providing |/stool |/softeners |/or |/laxatives |/as |/ordered |/- |/CORRECT |/ANSWERS |/✔✔B. |/Clustering |/many |/nursing |/activities It |/is |/important |/to |/minimize |/stress |/and |/activities |/that |/could |/increase |/ICP. |/Combining |/many |/nursing |/activities |/could |/increase |/oxygen |/demand |/and |/ICP. |/This |/would |/not |/be |/safe. |/Interventions |/which |/can |/promote |/venous |/outflow |/can |/help |/decrease |/ICP. |/The |/stress |/of |/constipation |/or |/bowel |/movements |/can |/increase |/ICP; |/stool |/softener |/or |/laxatives |/can |/minimize |/this.
The |/earliest |/and |/most |/sensitive |/assessment |/finding |/that |/would |/indicate |/an |/alteration |/in |/intracranial |/regulation |/would |/be A. |/Change |/in |/level |/of |/consciousness B. |/Inability |/to |/focus |/visually C. |/Loss |/of |/primitive |/reflexes D. |/Unequal |/pupil |/size |/- |/CORRECT |/ANSWERS |/✔✔A. |/Change |/in |/level |/of |/consciousness A |/change |/in |/the |/level |/of |/consciousness |/is |/the |/earliest |/and |/most |/sensitive |/indication |/of |/a |/change |/in |/intracranial |/processing. |/This |/is |/assessed |/with |/the |/GCS, |/which |/assess |/eye |/opening |/and |/verbal |/and |/motor |/response. |/The |/inability |/to |/focus |/may |/indicate |/a |/change, |/but |/it |/is |/not |/one |/of |/the |/earliest |/indicators |/or |/a |/component |/of |/the |/GCS. |/Primitive |/reflexes |/refers |/to |/those |/reflexes |/found |/in |/a |/normal |/infant |/that |/disappear |/with |/maturation. |/These |/reflexes |/may |/reappear |/with |/frontal |/lobe |/dysfunction |/and |/may |/be |/tested |/for |/with |/a |/suspected |/brain |/injury, |/so |/it |/would |/be |/a |/reappearance |/of |/primitive |/reflexes. |/A |/change |/in |/pupil |/size |/or |/unequal |/pupils |/may |/indicate |/a |/change, |/but |/they |/are |/not |/one |/of |/the |/earliest |/indicators |/or |/a |/component |/of |/the |/GCS. When |/caring |/for |/the |/patient |/after |/a |/head |/injury, |/the |/nurse |/would |/be |/most |/concerned |/with |/assessment |/findings |/which |/included |/respiratory |/changes A. |/Hypertension, |/and |/bradycardia B. |/Hypertension, |/and |/tachycardia
|/with |/alterations |/in |/ICP |/in |/infants, |/but |/this |/is |/not |/part |/of |/the |/coma |/scale. Primary |/prevention |/strategies |/to |/reduce |/the |/occurrence |/of |/head |/injuries |/would |/include A. |/Blood |/pressure |/control B. |/Smoking |/cessation C. |/Maintaining |/a |/healthy |/weight D. |/Violence |/prevention |/- |/CORRECT |/ANSWERS |/✔✔D. |/Violence |/prevention Injury |/prevention |/measures |/such |/as |/wearing |/a |/seat |/belt, |/helmet |/use, |/firearm |/safety, |/and |/violence |/prevention |/programs |/reduce |/the |/risk |/of |/traumatic |/brain |/injuries. |/Blood |/pressure |/control |/and |/exercising |/can |/decrease |/the |/risk |/of |/vascular |/disease, |/impacting |/the |/cerebral |/arteries, |/rather |/than |/head |/injuries. |/Smoking |/cessation |/is |/one |/primary |/prevention |/strategy |/which |/can |/decrease |/the |/risk |/of |/vascular |/disease. |/Maintaining |/a |/healthy |/weight |/can |/decrease |/the |/risk |/of |/vascular |/disease. A |/nurse |/plans |/care |/for |/a |/client |/who |/has |/a |/hypoactive |/response |/to |/a |/test |/of |/deep |/tendon |/reflexes. |/Which |/intervention |/should |/the |/nurse |/include |/in |/this |/client's |/plan |/of |/care? A. |/Check |/bath |/water |/temperature |/wit |/a |/thermometer B. |/Provide |/the |/client |/with |/assistance |/when |/ambulating
C. |/Place |/elastic |/support |/hose |/on |/the |/client's |/legs D. |/Assess |/the |/client's |/feet |/for |/wounds |/each |/shift. |/- |/CORRECT |/ANSWERS |/✔✔B. |/Provide |/the |/client |/with |/assistance |/when |/ambulating Hypoative |/deep |/tendon |/reflexes |/and |/loss |/of |/vibration |/sense |/can |/impair |/balance |/and |/coordination, |/predisposing |/the |/client |/to |/falls. |/The |/nurse |/should |/plan |/to |/provide |/the |/client |/with |/ambulation |/assistance |/to |/prevent |/injury. |/The |/other |/interventions |/do |/not |/address |/the |/clients |/problem. A |/nurse |/assesses |/a |/client's |/recent |/memory. |/Which |/client |/statement |/confirms |/that |/the |/clients |/remote |/memory |/is |/intact? A. |/A |/young |/girl |/wrapped |/in |/a |/shroud |/fell |/asleep |/on |/a |/bed |/of |/clouds B. |/I |/was |/born |/on |/April |/3rd, |/1967, |/in |/Jonhstown |/Community |/Hospital C. |/Apple, |/chair, |/and |/pencil |/are |/the |/words |/you |/just |/stated D. |/I |/ate |/oatmeal |/with |/wheat |/toast |/and |/orange |/juice |/for |/breakfast |/- |/CORRECT |/ANSWERS |/✔✔D. |/I |/ate |/oatmeal |/with |/wheat |/toast |/and |/orange |/juice |/for |/breakfast Asking |/clients |/about |/recent |/events |/that |/can |/be |/verified, |/such |/as |/what |/the |/client |/ate |/for |/breakfast, |/assesses |/the |/client's |/recent |/memory. |/The |/client's |/ability |/to |/make |/up |/a |/rhyme |/tests |/not |/memory, |/bu |/rather |/a |/higher |/level |/of |/cognition. |/Asking |/clients |/about |/certain |/facts |/from |/the |/past |/can |/be |/verified |/assesses |/remote |/or |/long-term
