Deck 14: Sensory Function

Question 1

In evaluating the care plan developed for your elderly client with the diagnosis of Disturbed sensory perception: hearing,which progress notes would suggest improvement toward resolution of the diagnosis?

A) "Client refuses to wear his hearing aid."
B) "Client reported the nursing assistants were 'talking about him.'"
C) "Client attended Friendly Social Group this morning."
D) "Client read in his room and then took a nap."

Answer 1

"Client attended Friendly Social Group this morning."

Question 2

You are assessing your elderly client for tinnitus.Which statement correctly describes this symptom?

A) It is characterized by hissing,buzzing,or ringing in the ears.
B) It is never related to metabolic conditions.
C) It always accompanies hearing loss.
D) It is characterized by silence.

Answer 2

It is characterized by hissing,buzzing,or ringing in the ears.

Question 3

Your client describes an alteration she has recently experienced in her eyesight.She says "It's fuzzy in the middle,but everything else looks sharp like always." You arrange for her to visit an ophthalmologist,realizing that the disorder she is describing may be:

A) cataract development.
B) retinal detachment.
C) glaucoma.
D) macular degeneration.

Answer 3

macular degeneration.

Question 4

What is a common pathophysiological cause of decreased olfaction in older adults?

A) Increased number of sensory cells
B) Lower thresholds for common odors
C) Injury of the olfactory mucosa
D) Increased neurotransmitters

Question 5

You are preparing a 78-year-old client with an alteration in olfaction for discharge home.Which topics should be included in the patient education plan to prepare for discharge? (Choose all that apply.)

A) Date and label all foods.
B) Remove trash from home weekly.
C) Place natural gas detectors near gas heater or stove.
D) Use perfumes and colognes in moderation.

Question 6

Considering his sensory changes with aging,planning an ideal environment for your newly admitted elderly client would include choosing:

A) a brightly lit room with green walls,blue floor,and green cozy throw rugs.
B) a room with ivory walls,orange carpeting,and bright incandescent lighting.
C) a brightly lit room with blue walls and a blue EZ-Glide wax floor.
D) a combination television/children's playroom with cute pastel wall hangings.

Question 7

An 86-year-old nursing home resident is being evaluated for a hearing disorder.What is the most common and easily corrected of all interferences in the hearing of older adults?

A) Otosclerosis
B) Tinnitus
C) Cerumen impaction
D) Ototoxic drug therapy

Question 8

An appropriate psychosocial nursing diagnosis for your elderly client experiencing a hearing loss might include all except:

A) anxiety.
B) chronic low self-esteem.
C) social isolation.
D) risk for falls.

Question 9

In altered perceptual organization,disorientation usually occurs first in which domain?

A) Time
B) Person
C) Place
D) Situation

Question 10

A 69-year-old patient reports that she is having difficulty hearing.Which interventions would the nurse perform? (Select all that apply.)

A) Perform a Rinne test.
B) Eliminate extraneous noise in the environment.
C) Speak in an extra loud tone of voice.
D) Review prescribed medications.