Deck 30: Sensation,Perception, Cognition

Question 1

Which intervention is helpful when caring for a patient with impaired vision?

A) Suggest the patient use bright overhead lighting.
B) Advise the patient to avoid wearing sunglasses when outdoors.
C) Do not offer large-print books, as this may embarrass the patient.
D) Place the patient's eyeglasses within easy reach.

Answer 1

Place the patient's eyeglasses within easy reach.

Question 2

A patient who sustained a head injury in a motor vehicle accident has damage to the temporal lobe.This injury places the patient at risk for which type of hearing loss?

A) Otosclerosis
B) Conduction deafness
C) Presbycusis
D) Central deafness

Answer 2

Central deafness

Question 3

The nurse has been teaching a parent about stimuli to develop her infant's auditory nervous system.Which behavior by a parent toward the child provides evidence that learning occurred?

A) Cuddling
B) Speaking
C) Feeding
D) Soothing

Answer 3

Speaking

Question 4

A patient comes to the clinic complaining of a taste disturbance.Which medication that the patient is currently prescribed is most likely responsible for this disturbance?

A) Furosemide, a diuretic
B) Phenytoin, an anticonvulsant
C) Glyburide, an antidiabetic
D) Heparin, an anticoagulant

Question 5

A patient tells the nurse that since taking a medication he has suffered from excessively dry mouth.Which of the following assessments would be needed to plan interventions for that symptom?

A) Asking the patient whether foods taste different now
B) Checking the patient's sense of smell
C) Having the patient stand to check for balance
D) Assessing for a history of seizures

Question 6

Which instruction should the nurse be certain to include when providing discharge teaching for a patient who has a serious visual deficit?

A) Install blinking lights to alert an incoming phone call.
B) Have gas appliances inspected regularly to detect gas leaks.
C) Wear properly fitting shoes and socks.
D) Avoid using throw rugs on the floors.

Question 7

Which essential oil might the nurse trained in aromatherapy use to uplift and stimulate a patient?

A) Lavender
B) Roman chamomile
C) Rosemary
D) Ylang-ylang

Question 8

After sustaining a stroke,the patient lacks attention to the right side of his body.Which nursing diagnosis best describes the patient's problem?

A) Disturbed Sensory Perception
B) Unilateral Neglect
C) Risk for Peripheral Vascular Dysfunction
D) Acute Confusion

Question 9

Which assessment finding is considered an age-related change?

A) Presbycusis
B) Hyperopia
C) Increased sensitivity to touch
D) Increased sensitivity to taste

Question 10

The nurse checks a patient's pupils using a penlight.Which receptors is the nurse stimulating?

A) Chemoreceptors
B) Photoreceptors
C) Proprioceptors
D) Mechanoreceptors

Question 11

The nurse is caring for a patient with dementia who becomes agitated every evening.Which intervention by the nurse is best for calming this patient?

A) Encouraging family members to visit only during the day
B) Applying wrist restraints during periods of agitation
C) Playing soft, calming music during the evening
D) Administering lorazepam (a tranquilizer)

Question 12

A patient complains to the nurse that since taking a medication he has suffered from excessively dry mouth.What term should the nurse use to document this complaint?

A) Exophthalmos
B) Anosomia
C) Insomnia
D) Xerostomia

Question 13

Which nursing diagnosis has the highest priority for a patient with impaired tactile perception?

A) Self-Care Deficit: Dressing and Grooming
B) Impaired Adjustment
C) Risk for Injury
D) Activity Intolerance

Question 14

The nurse must irrigate the ear of a 4-year-old child.How should the nurse pull the pinna to straighten the child's ear canal?

A) Up and back
B) Straight back
C) Down and back
D) Straight upward

Question 15

A patient diagnosed with macular degeneration asks the nurse to explain his condition.Which statement by the nurse best describes macular degeneration?

A) "The portion of your eye called the macula, which is responsible for central vision, is damaged."
B) "Your lens became cloudy, causing your blurred vision. This cloudiness will increase over time."
C) "The pressure in the anterior cavity of your eye became elevated, shifting the position of your lens."
D) "There's an irregular curvature of your cornea, causing your blurred vision."

Question 16

Which intervention is appropriate for the patient with a nursing diagnosis of Disturbed Sensory Perception: Gustatory?

A) Limit oral hygiene to one time a day.
B) Teach the patient to combine foods in each bite.
C) Assess for sores or open areas in the mouth.
D) Instruct the patient to avoid salt substitutes.

Question 17

The nurse caring for a fussy newborn uses which of the following interventions to calm the baby and reduce sensory overload?

A) Rubbing the baby's back
B) Singing and rocking the baby
C) Hanging a black and white mobile
D) Swaddling the baby tightly

Question 18

Which step should the nurse take first when performing otic irrigation in an adult?

A) Warm the irrigation solution to room temperature.
B) Position the patient so she is sitting with her head tilted away from the affected ear.
C) Straighten the ear canal by pulling up and back on the pinna.
D) Place the tip of the nozzle into the entrance of the ear canal.

Question 19

Which structure within the brain is responsible for consciousness and alertness?

A) Reticular activating system
B) Cerebellum
C) Thalamus
D) Hypothalamus

Question 20

A patient complains of an impaired sense of smell.Which cranial nerve might have been affected?

A) Trigeminal
B) Glossopharyngeal
C) Olfactory
D) Vagus

Question 21

Which of the following medical conditions has a direct effect on sensory function contributing to sensory deficits? Select all that apply.

A) Diabetes
B) Hypertension
C) Multiple sclerosis
D) Breast cancer
E) Zinc deficiency
F) None of the above

Question 22

Sensory changes that occur with aging include which of the following? Select all that apply.

A) Decreased number of nerve conduction fibers results in slower reflexes.
B) The lens of eye becomes less flexible and less able to focus on near objects.
C) Taste buds atrophy and decrease in number, causing decreased ability to perceive taste.
D) Impaired regulation of body temperature causes an increased risk for seizures.
E) The amount and waxiness of cerumen increases with aging.

Question 23

The nurse caring in the intensive care unit suspects that one of her patients is experiencing sensory overload.Which findings would increase her suspicion? Select all that apply.

A) Disorientation
B) Restlessness
C) Hallucinations
D) Depression
E) Preoccupation with somatic complaints

Question 24

Which actions can the nurse take to prevent sensory overload? Select all that apply.

A) Leave the television on low volume to block out other noises.
B) Minimize ambient light in the patient's room.
C) Plan care to provide periods of sleep.
D) Speak with a moderate tone of voice.
E) Restrict caffeine intake during hospitalization.

Question 25

For an unconscious patient,which of the following interventions are necessary to provide for patient safety? Select all that apply.

A) Talk to the patient as you provide care.
B) Incorporate more touch in the plan of care.
C) Give frequent eye care if blink reflex is absent.
D) Keep the siderails up and bed in low position.
E) Perform diligent oral care by irrigating with diluted mouthwash.

Question 26

Which of the following tasks may be delegated to a certified nursing assistant (CNA)? Select all that apply.

A) Irrigating the ear of a child with impacted cerumen
B) Administering eye drops for a patient in a coma
C) Obtaining vital signs every 15 minutes after a seizure
D) Padding the sides of a bed for seizure precautions
E) Suctioning the patient's oropharynx after a seizure

Question 27

The home health nurse is developing a plan of care for her patient with a visual impairment.What is the priority nursing diagnosis for this patient?

A) Self-Neglect
B) Social Isolation
C) Risk for Falls
D) Risk for Imbalanced Nutrition: Less Than Body Requirements

Question 28

The patient at the clinic says to the nurse,"My doctor checked my eyes and told me my vision was 20 over 100 [20/100].What does that mean?" What is the best response by the nurse?

A) "This means that your eye pressure readings are quite high and may be indicative of glaucoma."
B) "These are numbers associated with left and right eye readings for identifying macular degeneration."
C) "This could be nearsightedness. Your vision for seeing objects up close is better than your vision for seeing things in the distance."
D) "This could be that you are farsighted. Your vision for seeing objects in the distance is better than it is for seeing objects up close."

Question 29

The pediatric nurse educator is preparing a teaching plan for seizure prevention for parents of children with seizures.Which of the following can trigger seizures? Select all that apply.

A) Fever
B) Video games
C) Sleep deprivation
D) Food allergens
E) Mood-altering substances
F) None of the above

Question 30

The nurse in the intensive care unit enters her patient's room and observes the patient is experiencing a seizure.What are the most appropriate interventions by the nurse? Select all that apply.

A) Insert a padded tongue depressor in the patient's mouth.
B) Turn the patient to his side.
C) Restrain the patient to control his jerking movements.
D) Loosen any restrictive clothing.
E) Pad the siderails of the patient's bed.

Question 31

The 80-year-old patient on the medical-surgical unit says to the nurse,"My vision is blurry and I see halos around lights.The glare from the sun really bothers me." Upon assessment,the nurse notes a cloudy film over the lens of the eye.Based on the patient's complaints and the nurse's assessment,the nurse associates these findings with which of the following?

A) Strabismus
B) Cataracts
C) Glaucoma
D) Presbyopia

Question 32

Which of the following areas would the nurse include in a mental status assessment for an adult patient? Select all that apply.

A) Behavior
B) Judgment
C) Knowledge
D) Reflexes
E) Appearance
F) None of the above

Question 33

Which of the following populations are considered high risk for sensory deprivation? Select all that apply,

A) The homebound
B) Those in prison
C) Those who are depressed
D) Those experiencing high anxiety
E) Those feeling pain

Question 34

For a patient with hearing loss,it is essential to minimize the risk of further damage to the auditory nerve.Which of the following medications may need to be discontinued if the patient is taking them? Select all that apply.

A) Furosemide, a diuretic
B) Digoxin, a cardiotonic
C) Famotidine, an antacid
D) Aspirin, an analgesic
E) Penicillin, an antibiotic

Question 35

The nurse is assessing an elderly male in the nursing home.What question will the nurse ask this patient to best assess his level of orientation?

A) "Will you please repeat these three words for me: glasses, rocket, truck?"
B) "Can you tell me the date of your retirement from your workplace?"
C) "What is your name and today's date? Can you tell me where you are?"
D) "What did you eat for breakfast this morning?"

Question 36

Which factors in a health history place a patient at risk for hearing loss? Select all that apply.

A) Being an older adult
B) Childhood chickenpox
C) Frequent otitis media
D) Diabetes mellitus
E) Congenital rubella

Question 37

Which of the following interventions are best for preventing sensory deficit for a resident in a long-term care facility? Select all that apply.

A) Talk to the patient as you provide care.
B) Incorporate touch when providing care.
C) Turn on bright, fluorescent light for reading.
D) Encourage waiting to drink water until after the meal.
E) Offer spicy seasoning for the resident to use on food.

Question 38

What are some positive effects of pet therapy for residents in a long-term care facility? Select all that apply.

A) Increases socialization
B) Increases blood pressure
C) Decreases pain
D) Decreases loneliness
E) Decreases insomnia

Question 39

For a patient with dementia,how might the nurse best improve orientation and clarity? Select all that apply.

A) Place personal objects where the patient can see them.
B) Introduce yourself each time you have contact with the patient.
C) Encourage the patient to relax while the nurse gives the bath.
D) Use short sentences with only a few words.
E) Do not offer many choices when it comes to ADLs.