Exam (elaborations)
NUR 168: CHAPTER 44: Sensory Functioning Questions With Complete Solutions
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NUR 168: CHAPTER 44: Sensory Functioning Questions With Complete Solutions
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NUR 168: CHAPTER 44: Sensory FunctioningQuestions With Complete Solutions
1. A nurse is assessing a patient in a long-term care facility. The
nurse notes that the patient is at risk for sensory deprivation due
to limited activity related to severe rheumatoid arthritis. Which
interventions would the nurse recommend based on this finding?
Select all that apply.
A) Use a lower tone when communicating with the patient.
B) Provide interaction with children and pets.
C) Decrease environmental noise.
D) Ensure that the patient shares meals with other patients.
E) Discourage the use of sedatives.
F) Provide adequate lighting and clear pathways of clutter
Correct Answers B) Provide interaction with children and pets.
D) Ensure that the patient shares meals with other patients.
E) Discourage the use of sedatives.
10. A nurse is diagnosing an 11-year-old 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. Based on this assessment
data, which alteration would the nurse document for this patient?
A) Self-care deficit
B) Altered Role Performance (Student)
C) Disturbed Body Image
D) Delayed Growth and Development Correct Answers B)
Altered Role Performance (Student)
,11. A nurse is caring for a man with a severe hearing deficit who
is able to read lips and use sign language. Which nursing
intervention would best prevent sensory alterations for this
patient?
A) Turn the radio or television volume up very loud and close
the door to his room.
B) Prevent embarrassment and emotional discomfort as much as
possible.
C) Provide daily opportunity for him to participate in a social
hour with 6 to 8 people.
D) Encourage daily participation in exercise and physical
activity. Correct Answers C) Provide daily opportunity for him
to participate in a social hour with 6 to 8 people.
12. In a group home in which most patients have slight to
moderate visual or hearing impairment and some are
periodically confused, what would be a nurse's first priority in
caring for sensory concerns?
A) Maintaining safety and preventing sensory deterioration
B) Insisting that every patient participate in as many self-care
activities as possible
C) Emphasizing and reinforcing individual patient strengths
D) Encouraging reminiscence and life review in groups Correct
Answers A) Maintaining safety and preventing sensory
deterioration
13. A nurse assessing an 8-month-old infant suspects the infant
is experiencing sensory deprivation related to inadequate
parenting. Since this assessment, both parents have attended
parenting classes. However, both parents work while the infant
stays with a grandparent, who has reduced vision. The parents
, provide appropriate stimulation in the evening. At an evaluation
conference at the age of 11 months, the infant lies on the floor,
rocking back and forth and has a dull facial expression with few
vocalizations. Which nursing action would be appropriate for
this patient and family?
A) Explore why the infant's parents lack motivation to provide
necessary stimulation.
B) Remove the infant from the grandmother's care as the child
has not progressed.
C) Suggest counseling since the infant's sensory deprivation is
still severe.
D) No action is needed, as this is normal behavior for an 11-
month-old infant. Correct Answers C) Suggest counseling
since the infant's sensory deprivation is still severe.
14. An older adult in a long-term care facility walked out the
door unobserved and was lost for several hours. Upon
assessment, the nurse notes that the patient is confused and
documents: chronic sensory deprivation related to the effects of
aging. Which interventions would be most effective for this
patient? Select all that apply.
A) Ignore the patient's confusion, or go along with it to prevent
embarrassment.
B) Reduce the number and type of stimuli in the patient's room.
C) Orient the patient to time, place, and person frequently.
D) Provide daily contact with children, community people, and
pets.
E) Decrease background or loud noises in the environment.
F) Provide a radio and television in the patient's room. Correct
Answers C) Orient the patient to time, place, and person
frequently.
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