To assess a patient's ability to think abstractly, which question could a nurse practitioner ask?

Asking a patient about the meaning of a common proverb is an effective way to assess their ability to think abstractly. Proverbs often convey deeper meanings and philosophies that go beyond their literal interpretation. When a patient can explain the significance of a saying such as "a bird in the hand is worth two in the bush," it indicates their capacity to understand abstract concepts, make connections, and apply critical thinking skills.

This question challenges the patient to transcend straightforward logic and engage with symbolic language and implications, which are fundamental aspects of abstract thinking. By interpreting proverbs, the patient demonstrates their cognitive skills, such as inferential reasoning and contextual understanding, which are integral components of abstract thought.

The other options, while assessing different aspects of cognitive function—such as practical decision-making, arithmetic skills, or verbal skills—do not specifically evaluate abstract thinking. Counting backwards or spelling a word backward focuses more on memory and attention rather than abstract comprehension. Similarly, asking about actions in a fire scenario assesses practical reasoning and immediate problem-solving rather than the ability to interpret abstract ideas.