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Chapter 43: Sensory Functioning

Alexandra Bozan 15 Fragen

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  1. 1A nurse who is assessing an older female patient in a long-term care facility notes that the patient is at risk for sensory deprivation related to severe rheumatoid arthritis limiting her activity. Which interventions would the nurse recommend based on this finding?
    1. AUse a lower tone when communicating w/the patient
    2. BProvide interaction w/children and pets
    3. CDecrease environmental noise
    4. DEnsure that the patient shares meals w/other patients
    5. EDiscourage the use of sedatives
    6. FProvide adequate lighting and clear pathways of clutter
  2. 2A nurse is assessing a 78 year old male patient for kinesthetic and visceral disturbances. Which techniques would the nurse use for this assessment?
    1. AThe nurse asks the patient if he is bored, and if so why
    2. BThe nurse asks the patient if anything interferes w/the functioning of his senses
    3. CThe nurse asks the patient if he noticed any changes in the way he perceives his body
    4. DThe nurse asks the patient if he has found it difficult to communicate verbally
    5. EThe nurse notes if the patient w/draws from being touched
    6. FThe nurse notes if the patient seems unsure of his body parts and/or position
  3. 3A nurse asks a patient to close her eyes, state when she feels something, and describe the feeling. The nurse then brushes the patient's skin w/a cotton ball, and touches the patient's skin with both sides of a safety pin. Which sense is the nurse assessing?
    1. Agustatory
    2. Bolfactory
    3. Ctactile
    4. Dkinesthetic
  4. 4A nurse observes that a patient who has cataracts is sitting closer to the television than usual. The nurse would interpert that the etiologic basis of the sensory problem is an alteration in
    1. Aenvironmental stimuli
    2. Bsensory reception
    3. Cnerve impulse conduction
    4. Dimpulse transaltion
  5. 5A patient is in the late stages of AIDS, which is now affecting his brain as well as other major organ systems. The patient confides to the nurse that he feels terribly alone because most of his friends are afraid to visit. The nurse determines that the least likely underlying etiology for his sensory problems would be
    1. Astimulation
    2. Breception
    3. Ctransmission-perception-reaction
    4. Demotional response
  6. 6Which action would be most important for a nurse to include in the plan of care for a patient who is 85 years old and has presbycusis?
    1. AObtaining large-print written material
    2. BSpeaking distinctly, using lower frequencies
    3. Cdecreasing tactile stimulation
    4. Dinitiating a safety program to prevent falls
  7. 7Which patient would a nurse assess as being at greatest risk for sensory deprivation?
    1. AAn older man confined to bed at home after a stroke
    2. BAn adolescent in an oncology unit working on homework supplied by friends
    3. Ca woman in a labor
    4. Da toddler in a playroom awaiting same day surgery
  8. 8A patient is in an intensive care burn unit for 1 week is in pain much of the time and has his face and both arms heavily bandaged. His wife visits every evening for 15 minutes at 6, 7, and 8pm. A heart monitor beeps for a patient on one side, and another patient moans frequently. Assessment would suggest that the patient is probably experiencing
    1. Asufficient sensory stimulation
    2. Bdeficient sensory stimulation
    3. Cexcessive sensory stimulation
    4. Dboth sensory deprivation and overload
  9. 9A patient's spinal cord was severed, and he is paralyzed from the waist down. When obtaining data about this patient, which component of the sensory experience would be most important for the nurse to assess?
    1. ATransmission of tactile stimuli
    2. BAdequate stimulation in the environment
    3. Creception of visual and auditory stimuli
    4. Dgeneral orientation and ability to follow commands
  10. 10A nurse is diagnosing an 11 year old 6th grade student following a physical assessment. The nurse notes that the student's grades have dropped, she has difficulty completing her work on time, and she frequently rubs her eyes and squints. Her visual acuity on a Snellen's eye chart is 160/20. Which nursing diagnosis would be most appropriate?
    1. ADeficient Knowledge related to visual impairment
    2. BIneffective Role Performance (student) related to visual impairment
    3. CDisturbed Body Image related to visual impairment
    4. DDelayed Growth and Develoment related to visual impairment

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Beschreibung
Unit VII: Promoting Healthy Psychosocial Responses Chapter 43: Sensory Functioning
Sprache
English
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