A medical assistant is interviewing a patient who has been newly diagnosed with severe vision impairment. The patient seems uneasy. Which of the following actions should the assistant take?
Stand to the side of the patient.
Provide large-print materials.
Use exaggerated gestures.
Increase voice tone.
The Correct Answer is B
A. Stand to the side of the patient: Standing to the side may make communication more difficult for a patient with vision impairment.
B. Provide large-print materials: Large-print materials can help the patient read and understand information more easily, accommodating their vision impairment.
C. Use exaggerated gestures: Exaggerated gestures can be confusing or unnecessary and do not address the specific needs of a patient with vision impairment.
D. Increase voice tone: Increasing the volume of speech is not typically helpful for a patient with vision impairment; they need visual aids rather than auditory adjustments.
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Correct Answer is C
Explanation
A. Stand 25 feet from the Snellen chart. The standard distance for testing visual acuity with a Snellen chart is 20 feet, not 25 feet. Testing at 25 feet would not provide accurate results.
B. Allow them to squint if necessary. Squinting can artificially improve vision, leading to inaccurate results. The patient should be instructed to avoid squinting during the test.
C. Keep both eyes open while using the occluder. The patient should use the occluder to cover one eye but keep both eyes open during the test. This ensures that each eye is tested individually without any pressure or distortion from closing the other eye.
D. Start with the bottom line of the Snellen chart and work upward. The patient should start from the top of the Snellen chart and work downward. Starting from the bottom would likely result in frustration and inaccurate assessment as the lines become increasingly difficult.
Correct Answer is D
Explanation
A. The patient reports the receptionist was rude to them. This is not relevant to the patient’s medical care and should not be documented in the health record.
B. The patient states that there is an error on their bill. Billing issues are not related to the clinical care of the patient and should not be documented in the health record.
C. The patient states their insurance might be changing soon. This is administrative information and does not pertain to the clinical aspect of the patient’s care.
D. The patient reports they recently developed a strawberry allergy. This is relevant medical information that could affect the patient’s treatment and should be documented in the health record.