Exam 49: Sensory Alterations

The nurse is caring for a patient with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?

A nurse is caring for a patient with presbycusis. Which assessment finding indicates an adaptation to the sensory deficit?

The nurse will be $\bold{most}$ concerned about the risk of malnutrition for a patient with which sensory deficit?

The nurse is caring for a group of patients and is monitoring for sensory deprivation. Which patient will the nurse monitor $\bold{most}$ closely?

Which assessment question should the nurse ask to best understand how visual alterations are affecting the patient's self-care ability?

A nurse is caring for an older-adult patient who was in a motor vehicle accident because the patient thought the stoplight was green. The patient asks the nurse "Should Istop driving?" Which response by the nurse is most therapeutic?

A new nurse is caring for a patient who is undergoing chemotherapy for cancer. The patient is becoming malnourished because nothing tastes good. Which recommendation by the nurse will be $\bold{most}$ appropriate for this patient?

The nurse is creating a plan of care for a patient with glaucoma. Which nursing diagnosis will the nurse include in the care plan to address a safety complication of the sensory deficit?

A nurse is caring for an older-adult patient on bed rest with potential sensory deprivation. Which action will the nurse take?

A home health nurse is assembling a puzzle with an older-adult patient and notices that the patient is having difficulty connecting two puzzle pieces. Which aspect of sensory deprivation will the nurse document as being most affected?