Sensory Alterations Discussion Paper

Sensory Alterations Discussion Paper
9. When communicating with a patient who has expressive
aphasia, the highest priority for the nurse is:
1. To ask open-ended questions.
2. To understand that the patient will be uncooperative.
3. To coach the patient to respond.
4. To offer pictures or a communication board so the patient
can point.
10. A patient with a history of a hearing deficit comes to the
medical clinic for a routine checkup. His wife died 2 years ago,
and he admits to feeling lonely much of the time. Interventions
the nurse uses to reduce loneliness include: (Select all that
apply.)
1. Reassuring the patient that loneliness is a normal part of
aging.
2. Providing information about local social groups in the
patient’s neighborhood.
3. Maintaining distance while talking to avoid overstimulating
the patient.
4. Recommending that the patient consider making living
arrangements that will put him closer to family or
friends.
11. A nurse is performing an assessment on a patient admitted to
the emergency department with eye trauma. The nurse’s priority interventions include which of the following? (Select all
that apply.)
1. Conducting a home safety assessment and identifying
hazards in the patient’s living environment
2. Reinforcing eye safety at work and in activities that place
the patient at risk for eye injury
3. Placing necessary objects such as the call light and water in
front of the patient to prevent falls due to reaching
4. Orienting the patient to the environment to reduce anxiety
and prevent further injury to the eye
12. Which patient is most likely to experience sensory
deprivation?
1. A 79-year-old visually impaired resident of a nursing home
who enjoys taking part in different hobbies and activities
2. A 14-year-old girl isolated in the hospital because of severe
immune system suppression
3. A hearing-impaired 66-year-old woman who lives in an
assisted-living facility
4. A 9-year-old boy who is deaf and uses sign language to
communicate with his friends, family, and teachers
13. The medical record of an older adult reveals a stroke affecting
the right hemisphere of the brain. Which of these assessment
findings should the nurse expect to find? (Select all that apply.)
1. Visual spatial alterations such as loss of half of a visual field
2. Loss of sensation and motor function on the right side of
the body
3. Inattention and neglect, especially to the left side
4. Cloudy or opaque areas in part of the lens or the entire lens
14. A nurse is performing a home care assessment on a patient
with a hearing impairment. The patient reports, “I think my
hearing aid is broken. I can’t hear anything.” Which of the following teaching strategies should not be implemented?
1. Demonstrating hearing aid battery replacement
2. Reviewing method to check volume on hearing aid
3. Discussing measures for cleaning battery
4. Turning dial to minimum setting and, in a louder-thannormal voice, asking the patient, “Is this voice clear?”
15. When assessing a 45-year-old patient’s sensory status, which
of the following assessment findings does the nurse consider a
normal part of aging?
1. Presbyopia and the need for glasses for reading
2. Reduced sensitivity to odors
3. Impaired balance and coordination
4. Reduced taste discrimination

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