Deck 42: Hearing,Speech,and Vision Problems

Question 1

A person has severe hearing loss.Which is correct?

A) Speech is not affected by hearing loss.
B) Awareness of surroundings requires hearing.
C) Responding to others does not require hearing,only seeing.
D) Safety is not typically affected by hearing loss.

Answer 1

Awareness of surroundings requires hearing.

Question 2

A person has Ménière's disease.You must protect the person from which of the following?

A) Infection
B) Hearing loss
C) Falls
D) Low lights

Answer 2

Falls

Question 3

Vertigo means :

A) Dizziness
B) Ringing in the ears
C) A sign language
D) Hearing loss

Answer 3

Dizziness

Question 4

Which of the following is common with otitis media?

A) Skin rash
B) Headache
C) Tinnitus
D) Vomiting

Question 5

Ménière's disease involves the:

A) Middle ear
B) Inner ear
C) Optic nerve
D) Lens of the eye

Question 6

Which signals otitis media in children?

A) The child tugs at the ears.
B) The child sleeps a lot.
C) The child is generally happy.
D) The child has problems speaking.

Question 7

The major symptoms of Ménière's disease are:

A) Tinnitus,hearing loss,vertigo,and pressure in the ear
B) Pain,hearing loss,tinnitus,and fever
C) Fever,pain,and light-headedness
D) Drainage from the ear,pain,fever,and headache

Question 8

Symptoms of hearing loss include which of the following?

A) Wax in the ears
B) Speaking clearly
C) Excessive sleeping
D) Asking for words to be repeated

Question 9

The total or partial loss of the ability to use or understand language is:

A) Braille
B) Cerumen
C) Aphasia
D) Tinnitus

Question 10

During conversations,a resident leans forward toward the person speaking.The resident's answers seem inappropriate.Sometimes he seems to control conversations.He is showing signs of:

A) Hearing loss
B) Suspicious and paranoid behavior
C) Tinnitus and vertigo
D) Ménière's disease

Question 11

The person experiencing vertigo must:

A) Lie down
B) Drink plenty of fluids
C) Wear a hearing aid
D) Stop smoking

Question 12

A patient is speech-impaired.When communicating with the person,you should ask the person to:

A) Avoid pointing or gesturing.
B) Write down key words or the message.
C) Ask questions only once.
D) Avoid repeating and rephrasing statements.

Question 13

Braille is:

A) A touch reading and writing system that uses raised dots
B) A dog guide
C) A hearing assistance dog
D) A method of writing for persons who have aphasia

Question 14

Which is an infection of the middle ear?

A) Otitis media
B) Ménière's disease
C) Cataract
D) Glaucoma

Question 15

A person has severe hearing loss.Which is correct?

A) The person may feel lonely and left out.
B) The person may become sick.
C) A hearing aid will not help the person.
D) The person's hearing loss does not affect speech.

Question 16

Which statement about otitis media is correct?

A) It often begins with infections that cause sore throats or colds.
B) Permanent hearing loss does not occur.
C) Air builds up in the ear.
D) It is always acute.

Question 17

Earwax is also known as:

A) Tinnitus
B) Cerumen
C) Otitis
D) Dysarthria

Question 18

Otitis media is most common in:

A) Infants and children between 4 months and 4 years of age
B) Teenagers
C) Adults
D) Older persons

Question 19

Tinnitus is:

A) Dizziness
B) A ringing,roaring,hissing,or buzzing in the ears or head
C) A sign language
D) Hearing loss

Question 20

Cerumen is:

A) Earwax
B) Pain in the ear
C) A tumor
D) Fluid in the ear

Question 21

A patient has hearing loss.To communicate with the person,you need to do which of the following?

A) State the topic of conversation first.
B) Use long,open-ended statements.
C) Shout when talking to the person.
D) Discuss all of your ideas at once.

Question 22

Another term for expressive aphasia is:

A) Broca's aphasia
B) Mixed aphasia
C) Wernicke's aphasia
D) Global aphasia

Question 23

A resident has a cataract in the left eye.The person's treatment is likely to be:

A) Surgery
B) An artificial eye
C) Drug therapy
D) Corrective lenses

Question 24

Age-related macular degeneration (AMD)is:

A) Damage to the optic nerve
B) A disease that blurs central vision
C) A clouding of the lens
D) A painful eye infection

Question 25

Receptive aphasia relates to:

A) Difficulty sending out thoughts
B) Problems with thinking and reasoning
C) Difficulty understanding language
D) Difficulty using the muscles needed for speech

Question 26

A person has speech disorder.The goal of rehabilitation is to:

A) Allow the person to return to work
B) Help the nursing team learn how to communicate with the person
C) Improve the person's ability to communicate
D) Teach the person to use a computer for communication

Question 27

Dysarthria means :

A) Inability to use muscles needed for speech
B) Difficult or poor speech
C) Hearing loss
D) Speech and hearing impairment

Question 28

A resident has age-related macular degeneration (AMD).Which is correct?

A) The disease is usually sudden in onset.
B) The disease is painful.
C) The risk of getting AMD increases with age.
D) Wet AMD is more common than dry AMD.

Question 29

A resident has a hearing aid.To properly care for the device,you need to:

A) Follow the manufacturer's instructions
B) Wash it with soap and water
C) Put it in your ear to see if it is working
D) Keep the battery in all the time

Question 30

Which statement about speech disorders is correct?

A) Persons with speech impairments cannot communicate.
B) Persons with speech impairments are also hearing impaired.
C) Persons with speech impairments are developmentally disabled.
D) The person's willingness and ability to learn affect the amount of improvement possible.

Question 31

A resident has glaucoma.Which is correct?

A) Glaucoma causes damage to the optic nerve.
B) Surgery can correct prior damage.
C) The person cannot develop other eye disorders.
D) A lens implant will correct the problem.

Question 32

The leading cause of blindness in persons 60 years of age and older is:

A) Glaucoma
B) Cataract
C) Eye infections
D) Age-related macular degeneration

Question 33

A resident thinks her hearing aid is not working.What should you do first?

A) Ask her simple questions.If she answers correctly,the hearing aid is working.
B) Tell the nurse.
C) Check to see if the hearing aid is on.
D) Put it in your ear to see if it is working.

Question 34

A resident has glaucoma.What do you know about the person's sight?

A) Print and colors appear faded.
B) The person cannot see to the side.
C) The person is blind in the affected eye.
D) The person's vision is cloudy.

Question 35

Which statement about vision loss is correct?

A) Vision loss occurs only in the older adult.
B) Blindness is the absence of light.
C) Vision loss is gradual or sudden in onset.
D) Both eyes are always affected.

Question 36

A patient has hearing loss.To communicate with the person,you need to do which of the following?

A) Avoid repeating and rephrasing statements.
B) Be aware of your body language.
C) Provide some background noise.
D) Write everything on notebook paper.

Question 37

A resident has a hearing assistance dog.You know that the dog is:

A) The person's pet
B) Trained to alert the person to certain sounds
C) Trained to assist the person with ADL
D) Part of the person's treatment and therapies

Question 38

A resident has a hearing aid.Which is correct?

A) The hearing aid corrects the person's hearing problem.
B) Hearing aids are disposable and inexpensive.
C) Batteries are removed when the person can no longer hear you.
D) When not in use,the hearing aid is turned off.

Question 39

Expressive aphasia relates to:

A) Difficulty sending out thoughts
B) Problems with thinking and reasoning
C) Difficulty understanding language
D) Difficulty using the muscles needed for speech

Question 40

The person with apraxia of speech:

A) Does not understand speech
B) Cannot use speech muscles to produce understandable speech
C) Does not know what to say
D) Has hearing loss and aphasia

Question 41

Which will decrease the risk of age-related macular degeneration?

A) Eating a high-fat diet
B) Smoking
C) Avoiding wearing sunglasses
D) Having regular eye exams

Question 42

A resident has contact lenses.To properly care for them,you need to:

A) Follow the manufacturer's instructions
B) Clean them with water and tissues
C) Label them with the person's name and room number
D) Remove the batteries before storing them

Question 43

A resident you are caring for wears contact lenses.You need to:

A) Report eye redness to the nurse
B) Remove and clean the lenses daily
C) Use mild soap and water to clean the lenses
D) Remove and clean the lenses on the person's bath day

Question 44

Corrective lenses are treated like:

A) Other valuables
B) A drug
C) A delegated task
D) An artificial eye

Question 45

A resident is blind.The person is moving about in the lounge.What should you do?

A) Ask if you can help the person.
B) Lead the person to the closest chair.
C) Assist the person back to his room.
D) Offer an arm and walk quickly ahead of the person.

Question 46

A resident's artificial eye is removable.Proper care of the eye involves which of the following?

A) Labeling it with the person's name and room number
B) Placing it in a lined container that is filled with water or saline
C) Storing the container with the urinal in the bedside stand
D) Keeping the artificial eye at the nurses' station at night

Question 47

A resident is blind.When speaking to the person,you need to:

A) Speak loudly or shout
B) Use simple words and short sentences
C) Face the person
D) Avoid using "see," "look," or "read"

Question 48

Hearing,speech,and vision are important for safety and security.

Question 49

These statements are about blindness.Which is correct?

A) The legally blind person has no vision.
B) It is very challenging for blind persons to learn to read braille.
C) A person uses a white cane with a red tip.The person is blind.
D) A person has a therapy dog.The person must be blind.

Question 50

A patient is blind.You are assisting the person with ambulation.Which action is unsafe?

A) Telling the person when you are coming to a curb or steps
B) Telling the person when to step up or down
C) Having the person walk slightly behind you
D) Using phrases like "over here" or "over there"

Question 51

Which person is at risk for low vision?

A) A person with diabetes
B) A person who wears eyeglasses
C) A person with Broca's aphasia
D) A person with apraxia

Question 52

Glaucoma has no cure.

Question 53

A resident is blind.To gain the person's attention,you need to:

A) Approach the person from behind
B) Lightly touch the person's arm
C) Pet the person's guide dog
D) Identify yourself by name and title when you enter the person's room

Question 54

A patient is not wearing his eyeglasses.Before storing them,you need to:

A) Put them in a container with cool water
B) Put them in their case
C) Remove the battery
D) Turn the device off

Question 55

A patient is not wearing his eyeglasses.Where should you store them?

A) At the nurses' station
B) In the top drawer of the bedside stand
C) In the person's closet
D) In the person's trunk

Question 56

A resident is blind.When assisting with the person's care needs,you need to do which of the following?

A) Provide only natural light.
B) Ask how much the person can see.
C) Keep the blinds and shades closed.
D) Keep the room door partly open.

Question 57

A resident is blind.Which measure is unsafe for the person?

A) Rearranging the person's furniture and equipment
B) Keeping hallways and walkways free of equipment and clutter
C) Keeping the person's call light within reach
D) Letting the person perform self-care as able

Question 58

A resident's artificial eye is removed.Proper care of the eye socket involves:

A) Washing the socket with soap and warm water
B) Washing the socket with warm water or saline
C) Washing the socket with a cleaning solution
D) Washing the eyelid and eyelashes with antiseptic soap

Question 59

A patient is blind.When serving the person's meals,you should do which of the following?

A) Explain the location of food and beverages using your fingers.
B) Tell the person the food is laid out the same way it is every day.
C) Open cartons,cut meat,and so on as needed.
D) Ask the person what the food smells like.

Question 60

A patient wears eyeglasses.You need to clean them:

A) Daily and when needed
B) Every shift
C) With water and tissues
D) With a special cleaning solution

Question 61

White canes with a red tip and dog guides are used worldwide by persons who are blind.

Question 62

Low vision is eyesight that can be corrected with eyeglasses or surgery.

Question 63

Everyone with diabetes is at risk for diabetic retinopathy.