Question 1

The nurse is caring for a patient with depression. Which statement by the patient indicates a need for further education?

Accepted Answer

A)  "Depression can be caused by chemical changes in the brain." 
B)  "Depression is always treated with medication." 
C)  "Depression is a mood disorder." 
D)  "Depression can have a rapid onset." 
A)  "Depression can be caused by chemical changes in the brain." 
B)  "Depression is always treated with medication." 
C)  "Depression is a mood disorder." 
D)  "Depression can have a rapid onset."

Question 2

The nurse is caring for a patient who is complaining of tingling in her hands and fingers. The nurse knows this is a sign of what electrolyte imbalance?

Accepted Answer

A)  Hyponatremia 
B)  Hypernatremia 
C)  Hypocalcemia 
D)  Hypercalcemia 
A)  Hyponatremia 
B)  Hypernatremia 
C)  Hypocalcemia 
D)  Hypercalcemia

Question 3

The nurse is preparing discharge instructions for a patient who has tactile alterations in his legs. Which instructions should be included? (Select all that apply.)

Accepted Answer

A)  Verify bath water temperature is approximately 39.5° C. 
B)  Do not use hot or cold therapy on any extremity. 
C)  Use sturdy shoes when walking outside or on hard surfaces. 
D)  Report any changes in skin color on your legs to your health care provider. 
E)  Set your water heater so that scalding is not possible. 
A)  Verify bath water temperature is approximately 39.5° C. 
B)  Do not use hot or cold therapy on any extremity. 
C)  Use sturdy shoes when walking outside or on hard surfaces. 
D)  Report any changes in skin color on your legs to your health care provider. 
E)  Set your water heater so that scalding is not possible.

Question 4

The nurse notices her 50-year-old patient is holding his lunch menu at arm's length while trying to read his choices. This is an indication of:

Accepted Answer

A)  retinopathy. 
B)  presbyopia. 
C)  cataracts. 
D)  macular degeneration. 
A)  retinopathy. 
B)  presbyopia. 
C)  cataracts. 
D)  macular degeneration.

Question 5

The nurse is preparing discharge instructions for a patient who has equilibrium alterations. Which instructions should be included? (Select all that apply.)

Accepted Answer

A)  Use grab bars in the tub and/or shower at home. 
B)  Keep rooms well lit and focus ahead when walking. 
C)  Change positions quickly to avoid dizziness. 
D)  Use a cane or walker for stability. 
E)  Ride in the back seat of the car and look ahead. 
A)  Use grab bars in the tub and/or shower at home. 
B)  Keep rooms well lit and focus ahead when walking. 
C)  Change positions quickly to avoid dizziness. 
D)  Use a cane or walker for stability. 
E)  Ride in the back seat of the car and look ahead.

Exam 31: Cognitive and Sensory Alterations

The nurse is caring for a patient with depression. Which statement by the patient indicates a need for further education?

The nurse is caring for a patient who is complaining of tingling in her hands and fingers. The nurse knows this is a sign of what electrolyte imbalance?

The nurse is preparing discharge instructions for a patient who has tactile alterations in his legs. Which instructions should be included? (Select all that apply.)

The nurse notices her 50-year-old patient is holding his lunch menu at arm's length while trying to read his choices. This is an indication of:

The nurse is preparing discharge instructions for a patient who has equilibrium alterations. Which instructions should be included? (Select all that apply.)

Nursing, Theory, and Professional Practice

Values, Beliefs, and Caring

Communication

Critical Thinking in Nursing

Introduction to the Nursing Process

Assessment

Nursing Diagnosis

Planning

Implementation and Evaluation

Documentation, Electronic Health Records, and Reporting

Ethical and Legal Considerations

Leadership and Management

Evidence-Based Practice and Nursing Research

Health Literacy and Patient Education

Nursing Informatics

Health and Wellness

Human Development: Conception through Adolescence

Human Development Young Adult to Older Adult

Vital Signs

Health History and Physical Assessment

Ethnicity and Cultural Assessment

Spiritual Health

Public Health, Community Base, and Home Health Care

Human Sexuality

Safety

Asepsis and Infection Control

Hygiene and Personal Care

Activity, Immobility, and Safe Movement

Skin Integrity and Wound Care

Nutrition

Stress and Coping

Sleep

Diagnostic Testing

Medication Administration

Pain Management

Perioperative Nursing Care

Oxygenation and Tissue Perfusion

Fluid, Electrolytes, and Acid-Base Balance

Bowel Elimination

Urinary Elimination

Death and Loss

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