Correct Verified Answers With Rationales
1. Which health care professionals have the greatest control over
the level of sensory input in the hospital?
1. Physicians
2. Administrators
3. Nurses
4. Planners: -Answer:-3
Rationale 1: Nurses have the greatest amount of control over the
level of sensory input in the hospital. Nurses can decrease sensory
overload by controlling lights, noise, odors, and pain. Nurses can
also increase sensory input by stimulating the client as appropriate.
Administrators, planners, and physicians are not at the bedside as
much as nurses.
Rationale 2: Nurses have the greatest amount of control over the
level of sensory input in the hospital. Nurses can decrease sensory
overload by controlling lights, noise, odors, and pain. Nurses can
also increase sensory input by stimulating the client as appropriate.
Administrators, planners, and physicians are not at the bedside as
much as nurses.
,Rationale 3: Nurses have the greatest amount of control over the
level of sensory input in the hospital. Nurses can decrease sensory
overload by controlling lights, noise, odors, and pain. Nurses can
also increase sensory input by stimulating the client as appropriate.
Administrators, planners, and physicians are not at the bedside as
much as nurses.
Rationale 4: Nurses have the greatest amount of control over the
level of sensory input in the hospital. Nurses can decrease sensory
overload by controlling lights, noise, odors, and pain. Nurses can
also increase sensory input by stimulating the client as appropriate.
Administrators, planners, and physicians are not at the bedside as
much as nurses.
2. The nurse documents that a client is fully conscious. What did
the nurse assess in this client?
Standard Text: Select all that apply.
1. Client responded to verbal stimuli.
2. Client responded to written words.
3. Client oriented to time, place, and person.
4. Client demonstrated poor memory.
,5. Client alert.: -Answer:-1,2,3,5
Rationale 1: A characteristic of being fully conscious is responding
to verbal stimuli.
Rationale 2: A characteristic of being fully conscious is responding
to written words.
Rationale 3: A characteristic of being fully conscious is being
oriented to time, place, and person.
Rationale 4: Demonstrating poor memory is a characteristic of
being confused.
Rationale 5: A characteristic of being fully conscious is being alert.
3. A client asks the nurse to please close the door when entering
or exiting the room because the noise is more than the client is used
to since he lives alone. The nurse identifies the reason for this
clients response to sensory stimuli as being due to:
1. Lifestyle.
2. Developmental stage.
3. Culture.
4. Illness.: -Answer:-1
, Rationale 1: Lifestyle influences the quality and quantity of
stimulation to which an individual is accustomed. A client who lives
alone is exposed to fewer, less diverse stimuli.
Rationale 2: There is no information to support that the clients
response to sensory stimuli is because of developmental stage.
Rationale 3: There is no information to support that the clients
response to sensory stimuli is because of culture.
Rationale 4: There is no information to support that the clients
response to sensory stimuli is because of illness.
4. The nurse is concerned that a client is experiencing sensory
deprivation when what is assessed?
Standard Text: Select all that apply.
1. Excessive sleeping.
2. Confusion at night.
3. Anger over minor issues.
4. Easily distracted.
5. Sitting quietly reading a book.: Rationale 1: A clinical
manifestation of sensory deprivation is excessive sleeping.