M3 Yoost Chapter 31: Cognitive and
Sensory Alterations Questions and
Actual Answers.
1. Which area of the brain is involved if a patient is unable to distinguish the shape of an object?
A .Frontal lobes
B .Parietal lobes
c. Temporal lobes
d. Occipital lobes - Answer ANS: B Parietal lobes
The parietal lobes are responsible for the sense of touch, distinguishing the shape and texture
of objects. The frontal lobes are responsible for voluntary motor function, concentration,
communication, decision making, and personality. The temporal lobes are concerned with
hearing and smell. The occipital lobes process visual information.
2. Which patients should be monitored with the Mini Mental State Examination?
a. Patients with cognitive alterations
b.Patients exhibiting signs of depression
c.Patients showing loss of motor function
d.Patients complaining of auditory changes - Answer ANS: A Patients with cognitive alterations
The Mini Mental State Examination tests the patient's orientation, language ability, spatial
orientation, and attention as well as the ability to calculate and recall.
3. What is an appropriate nursing intervention for a patient with expressive aphasia?
a.Direct questions to family members since the patient cannot speak.
b. Make factual statements rather than asking questions.
c.Stand in front of the patient and speak loudly.
d.Use questions with "yes" and "no" answers. - Answer ANS: D Use questions with "yes" and
"no" answers.
, 4. Identify one concern for patients with peripheral neuropathy:
a. burns
b. dizziness
c.confusion
d. visual deficits - Answer ANS: A burns
Patients with peripheral neuropathy suffer damage to peripheral nerves, altering the ability to
feel extremes of hot and cold. Dizziness can be related to central nervous system disorders or to
problems with the inner ear. Confusion is a cognitive deficit. Visual deficits are related to
problems with the eye, blood vessels in the eye, or the optic nerve.
5. In a patient with gustatory alterations, which nursing intervention is appropriate?
a.Removal of cerumen
b.Dimming bright lights
c.Turning every two hours
d.Oral hygiene twice daily - Answer ANS: D Oral hygiene twice daily
Patients with gustatory alterations have problems with taste. Removal of cerumen improves
conductive hearing. Keeping the mouth clean and fresh has a positive impact on taste. Dimming
bright lights helps decrease sensory overload. Turning every 2 hours prevents pressure ulcers.
6. Which family statement indicates understanding of teaching regarding presbycusis?
a."I should change positions quickly to stabilize the inner ear."
b."There are no precautions if I take motion sickness medications."
c."I should play soft music to distribute vestibular sound."
d."My family should speak clearly and distinctly." - Answer ANS: D "My family should speak
clearly and distinctly."
The patient with presbycusis has hearing loss and should be spoken to clearly and distinctly.
Position changes will not affect the hearing loss. Soft music will not be heard by patients with
hearing loss and has no advantages. Patients taking motion sickness medication should refrain
from driving.
Sensory Alterations Questions and
Actual Answers.
1. Which area of the brain is involved if a patient is unable to distinguish the shape of an object?
A .Frontal lobes
B .Parietal lobes
c. Temporal lobes
d. Occipital lobes - Answer ANS: B Parietal lobes
The parietal lobes are responsible for the sense of touch, distinguishing the shape and texture
of objects. The frontal lobes are responsible for voluntary motor function, concentration,
communication, decision making, and personality. The temporal lobes are concerned with
hearing and smell. The occipital lobes process visual information.
2. Which patients should be monitored with the Mini Mental State Examination?
a. Patients with cognitive alterations
b.Patients exhibiting signs of depression
c.Patients showing loss of motor function
d.Patients complaining of auditory changes - Answer ANS: A Patients with cognitive alterations
The Mini Mental State Examination tests the patient's orientation, language ability, spatial
orientation, and attention as well as the ability to calculate and recall.
3. What is an appropriate nursing intervention for a patient with expressive aphasia?
a.Direct questions to family members since the patient cannot speak.
b. Make factual statements rather than asking questions.
c.Stand in front of the patient and speak loudly.
d.Use questions with "yes" and "no" answers. - Answer ANS: D Use questions with "yes" and
"no" answers.
, 4. Identify one concern for patients with peripheral neuropathy:
a. burns
b. dizziness
c.confusion
d. visual deficits - Answer ANS: A burns
Patients with peripheral neuropathy suffer damage to peripheral nerves, altering the ability to
feel extremes of hot and cold. Dizziness can be related to central nervous system disorders or to
problems with the inner ear. Confusion is a cognitive deficit. Visual deficits are related to
problems with the eye, blood vessels in the eye, or the optic nerve.
5. In a patient with gustatory alterations, which nursing intervention is appropriate?
a.Removal of cerumen
b.Dimming bright lights
c.Turning every two hours
d.Oral hygiene twice daily - Answer ANS: D Oral hygiene twice daily
Patients with gustatory alterations have problems with taste. Removal of cerumen improves
conductive hearing. Keeping the mouth clean and fresh has a positive impact on taste. Dimming
bright lights helps decrease sensory overload. Turning every 2 hours prevents pressure ulcers.
6. Which family statement indicates understanding of teaching regarding presbycusis?
a."I should change positions quickly to stabilize the inner ear."
b."There are no precautions if I take motion sickness medications."
c."I should play soft music to distribute vestibular sound."
d."My family should speak clearly and distinctly." - Answer ANS: D "My family should speak
clearly and distinctly."
The patient with presbycusis has hearing loss and should be spoken to clearly and distinctly.
Position changes will not affect the hearing loss. Soft music will not be heard by patients with
hearing loss and has no advantages. Patients taking motion sickness medication should refrain
from driving.
