Question 1

Which of the following sensory changes are normal with aging?

Accepted Answer

A) Impaired night vision. 
B) Difficulty hearing low pitch. 
C) Increase in taste discrimination. 
D) Heightened sense of smell. 
A) Impaired night vision. 
B) Difficulty hearing low pitch. 
C) Increase in taste discrimination. 
D) Heightened sense of smell.

Question 2

A nurse is caring for a patient with a nursing diagnosis of Hearing deficit related to presbycusis.Which assessment of the patient would indicate an adaptation to the sensory deficit?

Accepted Answer

A) The patient frequently cleans out his or her ears with a cotton swab. 
B) The patient turns one ear toward the nurse during conversation. 
C) The patient isolates himself or herself from social situations. 
D) The patient asks the nurse to speak loudly during conversations. 
A) The patient frequently cleans out his or her ears with a cotton swab. 
B) The patient turns one ear toward the nurse during conversation. 
C) The patient isolates himself or herself from social situations. 
D) The patient asks the nurse to speak loudly during conversations.

Question 3

The nurse is caring for a patient who is a well-known surgeon at the hospital.Because of his status,all the hospital's physicians want to be sure to pay him a visit.The nurse notices the patient becoming more agitated and withdrawn with each group of visitors.The nurse asks the patient if he would like a "Do not disturb" sign placed on the door.A few hours later,the nurse notices a physician who is not involved in the patient's care attempting to enter the room.Which response by the nurse is most appropriate?

Accepted Answer

A) Allowing the physician to enter because he has higher authority than the nurse. 
B) Calling for security to remove the visitor. 
C) Firmly explaining that the patient does not wish to have visitors at this time,so do not enter the room. 
D) Scolding the physician for not obeying the signs on the door and respecting the patient's wishes. 
A) Allowing the physician to enter because he has higher authority than the nurse. 
B) Calling for security to remove the visitor. 
C) Firmly explaining that the patient does not wish to have visitors at this time,so do not enter the room. 
D) Scolding the physician for not obeying the signs on the door and respecting the patient's wishes.

Question 4

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 would be most appropriate for this patient?

Accepted Answer

A) "Practice good oral hygiene to keep your taste buds well hydrated." 
B) "Blend foods together in interesting flavour combinations." 
C) "Eat soft foods that are easy to chew and swallow." 
D) "Avoid adding spices or aromatic ingredients to food to prevent nausea." 
A) "Practice good oral hygiene to keep your taste buds well hydrated." 
B) "Blend foods together in interesting flavour combinations." 
C) "Eat soft foods that are easy to chew and swallow." 
D) "Avoid adding spices or aromatic ingredients to food to prevent nausea."

Question 5

A nurse is caring for a patient who recently had a stroke and is going to be discharged at the end of the week.The nurse notices that the patient is having difficulty with eating his meal and is becoming tearful.The nurse includes which intervention in the patient's plan of care?

Accepted Answer

A) Teach the patient about special devices used to assist patients with eating meals. 
B) Order the patient food that does not require utensils. 
C) Place a consult for a home health nurse. 
D) Obtain an order for antidepressant medications. 
A) Teach the patient about special devices used to assist patients with eating meals. 
B) Order the patient food that does not require utensils. 
C) Place a consult for a home health nurse. 
D) Obtain an order for antidepressant medications.

Question 6

A nurse is caring for an older patient who was in a motor vehicle accident because he thought the traffic light was green.The patient asks the nurse if he should no longer drive.Which response by the nurse is most therapeutic?

Accepted Answer

A) "Yes,you should stop driving.As you age,your cognitive function declines,and becoming confused puts everyone else on the road at risk." 
B) "Yes,you should ask family members to drive you around from now on.Your reflex skills have declined so much you can't avoid an accident." 
C) "No,as you age,you lose the ability to see colours.You need to think about traffic lights in a new way.If the top is illuminated,it means stop,and if the bottom is illuminated,it means go." 
D) "No,instead you should see your ophthalmologist and get some glasses to help you see better." 
A) "Yes,you should stop driving.As you age,your cognitive function declines,and becoming confused puts everyone else on the road at risk." 
B) "Yes,you should ask family members to drive you around from now on.Your reflex skills have declined so much you can't avoid an accident." 
C) "No,as you age,you lose the ability to see colours.You need to think about traffic lights in a new way.If the top is illuminated,it means stop,and if the bottom is illuminated,it means go." 
D) "No,instead you should see your ophthalmologist and get some glasses to help you see better."

Exam 47: Sensory Alterations

Which of the following sensory changes are normal with aging?

A nurse is caring for a patient with a nursing diagnosis of Hearing deficit related to presbycusis.Which assessment of the patient would indicate an adaptation to the sensory deficit?

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 would be most appropriate for this patient?

A nurse is caring for a patient who recently had a stroke and is going to be discharged at the end of the week.The nurse notices that the patient is having difficulty with eating his meal and is becoming tearful.The nurse includes which intervention in the patient's plan of care?

A nurse is caring for an older patient who was in a motor vehicle accident because he thought the traffic light was green.The patient asks the nurse if he should no longer drive.Which response by the nurse is most therapeutic?

Health and Wellness

The Canadian Health Care Delivery System

The Development of Nursing in Canada

Community Health Nursing Practice

Theoretical Foundations of Nursing Practice

Evidence-Informed Practice

Nursing Values and Ethics

Legal Implications in Nursing Practice

Global Health

Indigenous Health

Nursing Leadership, management, and Collaborative Practice

Critical Thinking in Nursing Practice

Nursing Assessment, diagnosis, and Planning

Implementing and Evaluating Nursing Care

Documenting and Reporting

Nursing Informatics and Canadian Nursing Practice

Communication and Relational Practice

Patient-Centred Care: Interprofessional Collaborative Practice

Family Nursing

Patient Education

Developmental Theories

Conception Through Adolescence

Young to Middle Adulthood

Older Persons

The Experience of Loss, death, and Grief

Self-Concept

Sexuality

Spirituality in Health and Health Care

Stress and Adaptation

Vital Signs

Pain Assessment and Management

Health Assessment and Physical Examination

Infection Control

Medication Administration

Complementary and Alternative Approaches in Health Care

Activity and Exercise

Quality and Patient Safety

Hygiene

Cardiopulmonary Functioning and Oxygenation

Fluid, electrolyte, and Acid-base Balances

Sleep

Nutrition

Urinary Elimination

Bowel Elimination

Mobility and Immobility

Skin Integrity and Wound Care

Care of Surgical Patients

Filters