QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS GRADED A++
The nurse completes an assessment of a 67-year-old female patient who comes
to the clinic for the first time. She is not attentive as the nurse asks questions. At
one point, she shouts answers to questions about her diet. However, as the nurse
speaks, the patient consistently smiles and nods in agreement. Which
assessment would the nurse make regarding this patient?
The patient has a visual deficit.
The patient is normal.
The patient has a hearing deficit.
The patient has sensory overload.
The patient has a hearing deficit
After an assessment, the nurse finds that a patient has reduced tactile sensation.
How does the nurse improve the patient's tactile sensation?
By avoiding rubbing the back of the patient
By providing touch therapy to the patient
,By avoiding turning and repositioning
By recommending special wrist splints
By providing touch therapy to the patient
Which health promotion intervention is important to teach parents and children to
prevent hearing impairment?
Avoid activities in which there may be crowds.
Delay childhood immunizations until hearing can be verified.
Prophylactically administer antibiotics to reduce the incidence of infections.
Use protective devices when involved in activities associated with high-intensity
noises.
Use protective devices when involved in activities associated with high-intensity noises.
A patient has reduced taste sensation and is finding food less appealing. The
nurse would instruct the patient to avoid which activity?
Smelling baked bread
Smelling cooked garlic
Blending or mixing foods
Eating food of different textures
Blending or mixing foods
Which patient is most likely to experience sensory deprivation?
A 79-year-old visually impaired resident of a nursing home who enjoys taking part
, in different hobbies and activities
A 14-year-old isolated in the hospital because of severe immune system
suppression
A hearing impaired 66-year-old woman who lives in an assisted-living agency
A 9-year-old boy who is deaf and uses sign language to communicate with his
friends, family, and teachers
A 14-year-old isolated in the hospital because of severe immune system suppression
A 72-year old patient with bilateral hearing loss wears a hearing aid in the left ear.
Which approach best facilitates communication with the patient?
Speak directly into the patient's left ear.
Approach the patient from behind and speak frequently.
Face the patient when speaking; speak slower and in a normal volume.
Face the patient when speaking; use a louder-than-normal tone of voice.
Face the patient when speaking; speak slower and in a normal volume.
The nurse finds that a patient is very sensitive to visual glare. Which appropriate
nursing intervention is helpful for the patient? Select all that apply.
Use blinds on the windows
Use a telescopic lens
Use a pocket magnifier
Wear sunglasses outside
Use yellow or amber lenses