When measuring distance visual acuity, the medical assistant should instruct the patient to do which of the following?
Stand 25 feet from the Snellen chart.
Allow them to squint if necessary.
Keep both eyes open while using the occluder.
Start with the bottom line of the Snellen chart and work upward.
The Correct Answer is C
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.
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Correct Answer is A
Explanation
A. Home health care: Home health care services include assistance with personal care and meal preparation for individuals who need help with daily activities but do not require 24-hour medical supervision.
B. Hospice care: Hospice care is focused on end-of-life comfort and pain management, not on routine personal care or meal preparation.
C. Assisted living facility: Assisted living facilities provide residential care and help with daily activities but are not arranged directly for home-based care.
D. Skilled nursing facility: Skilled nursing facilities provide more intensive medical care and supervision, which is beyond the level of personal care and meal preparation needed.
Correct Answer is D
Explanation
A. Left bundle branch: The left bundle branch is stimulated after the atrioventricular node and bundle of His, not immediately after the sinoatrial node.
B. Purkinje fibers: The Purkinje fibers are stimulated later in the conduction pathway, after the bundle branches.
C. Right bundle branch: The right bundle branch is also stimulated after the atrioventricular node and bundle of His.
D. Atrioventricular node: After the sinoatrial node initiates the heartbeat, the electrical impulse travels to the atrioventricular node, which then passes the signal to the bundle of His and down to the bundle branches.