Deck 16: Diseases Affecting Vision and Hearing

Question 1

The children of an older man believe he is too old to drive a car.Which assessment information about the man warrants further investigation by the nurse to determine his fitness to drive a car safely?

A) Increased rate of tripping on curbs
B) Increased frequency of getting lost
C) Multiple bruises on lower extremities
D) Restricts reading to a well-lit sunroom
E) Socializes with a partner's bridge group
F)Cooks gourmet meals for entertainment

Answer 1

Increased rate of tripping on curbs
Increased frequency of getting lost
Multiple bruises on lower extremities
Restricts reading to a well-lit sunroom

Question 2

The nurse plans the care of an older female resident of a nursing home who has experienced a sudden deterioration in visual acuity.Which intervention should the nurse complete first?

A) Prevent behavioral and social decline.
B) Tell her to hold onto the rails during ambulation.
C) Examine her mood and functional status.
D) Use problem solving involving the resident.

Answer 2

Examine her mood and functional status.

Question 3

When preparing a patient teaching session on retinopathy,the nurse should include which intervention(s)when discussing treatments for slowing the progression of the disease?

A) Glucose control
B) Blood pressure control
C) Laser therapy
D) Cornea transplant

Answer 3

Glucose control
Blood pressure control
Laser therapy

Question 4

The most detrimental illness or condition that an older adult with deafness that occurred at birth can experience is which one of the following?

A) Aphasia
B) Cataracts
C) Glaucoma
D) Osteoarthritis

Question 5

The nurse is teaching older adults about maintaining health and wellness.Which recommendation should the nurse include in the teaching to maintain optimal vision?

A) Take 50,000 units of vitamin A daily.
B) Wear sunglasses that block sun rays.
C) Read in good light to avoid eye strain.
D) Visit the ophthalmologist every 5 years.

Question 6

The nurse recognized which of the following as symptoms of wet age-related macular degeneration (AMD)?

A) Rarely causes severe visual impairment
B) Yellow deposits under the retina
C) Decrease in central vision
D) Visual distortion

Question 7

An older adult complains about experiencing dry eyes daily.Which of the following should the nurse assess to help determine the cause of the patient's complaint?

A) Vitamin B deficiency
B) Use of humidifier at home
C) History of diabetes mellitus
D) Prescription antihistamine use

Question 8

A medical illustration shows a man with the blunt end of a tuning fork pressed to the center of his forehead.The man is being tested for which of the following?

A) Sensorineural hearing loss
B) Presbycusis
C) Tinnitus
D) Unilateral conductive hearing loss

Question 9

An older man who has tinnitus complains to the nurse that it is very annoying.Which should the nurse implement to alleviate the stress he is experiencing from tinnitus?

A) Irrigate the bilateral Eustachian tubes.
B) Assess for modifiable risk factors.
C) Propose a hearing aid and a masker.
D) Use white noise to override the tinnitus.

Question 10

Persons with normal age-related sensory changes are likely to have the most difficulty distinguishing which of the following?

A) Spoken pairs of phrases like "she's praised" and "fees raised"
B) Orange towel hanging on a beige wall
C) "Go" and "to" in lowercase letters in fine print
D) Spoken word pairs like "cupful" and "capful"

Question 11

Which of the following interventions should the nurse use when communicating with a hearing impaired older patient.

A) Stand beside the patient's chair when speaking.
B) Always clearly identify yourself and others with you.
C) Exaggerate your voice, depending on the cause of the hearing loss.
D) Select colors for paint, furniture, and pictures with rich intensity.

Question 12

On the following illustration,mark the area of the eye where glaucoma causes fluid to accumulate.

Question 13

Which of the following is used to treat the most common cause of impairment to an older person's hearing?

A) Hearing aids
B) Cochlear implants
C) Ear canal irrigation
D) Sign language

Question 14

Which of the following diseases affects the eyesight of an older adult by damaging the central part of the retina?

A) Glaucoma
B) Presbyopia
C) Cataract
D) Macular degeneration

Question 15

Which population groups are most at risk for developing macular degeneration?

A) African American
B) Asian American
C) Caucasian
D) Hispanic