Deck 19: Visual and Auditory Changes

Question 1

The most detrimental illness or condition that an older person with prelingual deafness can experience is which one of the following?

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

Answer 1

Cataracts

Question 2

Which of the following factors may exacerbate tinnitus?

A)Hearing aids
B)A diet high in calcium
C)Alcohol and cigarettes
D)History of brain injury

Answer 2

Alcohol and cigarettes

Question 3

The children of an older male adult feel that his vision may be impaired and they are worried about him driving a car.Which sign/behaviour has research shown to indicate that there may be vision problems in this patient?

A)This older person has complained of squinting and a greater sensitivity to light.
B)This older person recently began taking a prescription medication for high blood pressure.
C)This older person has decreased his socialization with his bridge group.
D)This older person has shown decreased interest in making meals.

Answer 3

This older person has complained of squinting and a greater sensitivity to light.

Question 4

The nurse plans care for 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 behavioural and social decline.
B)Tell the resident to hold rails during ambulation.
C)Examine the resident's mood and functional status.
D)Use problem solving involving the resident.

Question 5

The etiology of glaucoma is variable and often unknown.Which type of glaucoma in the older person is the most urgent and requires medical attention?

A)Primary open-angle glaucoma
B)Acute angle-closure glaucoma
C)Low tension glaucoma
D)Normal tension glaucoma

Question 6

Management of glaucoma involves medications (oral or topical eye drops) to decrease intraocular pressure (IOP).Which of the following medications would be prescribed to the older person to control and reduce the IOP in acute angle-closure glaucoma?

A)Antihistamines
B)Vasodilators
C)Beta blockers
D)Bronchodilators

Question 7

According to the Canadian National Institute for the Blind (CNIB), age-related macular degeneration (AMD) is the leading cause of severe vision loss in older persons in Canada.The CNIB suggests that older persons can change several modifiable risk factors to reduce or prevent AMD.Which of the following demonstrates modification of a risk factor for AMD?

A)Consume few or no alcoholic beverages.
B)Stop smoking.
C)Avoid direct sunlight.
D)Consume foods high in vitamin C.

Question 8

Glaucoma is a major public health problem.It is estimated that 250,000 Canadians were living with glaucoma in 2009.Mr.Gonzalez, 70 years of age, has told the nurse that he is experiencing frequent headaches, poor vision in dimly lit areas, increased sensitivity to glare, "tired eyes," and some impaired peripheral vision, especially when he is driving.Which type of glaucoma is Mr.Gonzalez experiencing?

A)Primary open-angle glaucoma
B)Acute angle-closure glaucoma
C)Low tension glaucoma
D)Normal tension glaucoma

Question 9

Which disease creates pressure within the eye and potential optic nerve damage in the older person?

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

Question 10

An older male adult who has tinnitus complains to the nurse that it is very annoying.The nurse should implement which one of the following to alleviate the stress this patient is experiencing from tinnitus?

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