Deck 37: Hearing, Speech, and Vision Problems

Question 1

Cerumen is

A)Earwax
B)Pain in the ear
C)A tumor
D)Fluid in the ear

Answer 1

Earwax

Question 2

Another term for expressive aphasia is _____aphasia.

A)Broca's
B)Mixed
C)Wernicke's
D)Global

Answer 2

Broca's

Question 3

A person has Ménière's disease.You must protect the person from all of the following except

A)Infection
B)Sudden movements
C)Falls
D)Bright lights

Answer 3

Infection

Question 4

Braille is a

A)Touch reading and writing system that uses raised dots
B)Dog guide
C)Hearing assistance dog
D)Method of writing for persons who have aphasia

Question 5

Which is an infection of the middle ear?

A)Otitis media
B)Ménière's disease
C)Cataract
D)Glaucoma

Question 6

All of the following are common with otitis media except

A)Pain
B)Hearing loss
C)Tinnitus
D)Vomiting

Question 7

Which statement about otitis media is incorrect?

A)It often begins with infections that cause sore throats or colds.
B)Permanent hearing loss can occur.
C)Fluid builds up in the ear.
D)It is always acute.

Question 8

During conversations,a resident leans forward toward the person speaking.The resident's answers seem inappropriate.Sometimes he seems to control conversations.He is showing signs of

A)Hearing loss
B)Suspicious and paranoid behavior
C)Tinnitus and vertigo
D)Ménière's disease

Question 9

A resident has severe hearing loss.Which is incorrect?

A)Speech is not affected by hearing loss.
B)Awareness of surroundings requires hearing.
C)Responding to others requires hearing.
D)Safety is affected by hearing loss.

Question 10

Ménière's disease involves the

A)Middle ear
B)Inner ear
C)Optic nerve
D)Lens of the eye

Question 11

A resident has severe hearing loss.Which is incorrect?

A)The person may feel lonely and left out.
B)The person may become suspicious.
C)A hearing aid will not help the person.
D)The person's hearing loss may result in slurred speech.

Question 12

Hearing,speech,and vision are important for safety and security.

Question 13

Vertigo means

A)Dizziness
B)Ringing in the ears
C)A new growth of cells
D)A tumor

Question 14

The major symptoms of Ménière's disease are

A)Tinnitus,hearing loss,vertigo,and pain or pressure in the ear
B)Pain,hearing loss,tinnitus,and fever
C)Fever,pain,and lightheadedness
D)Drainage from the ear,pain,fever,and headache

Question 15

Symptoms of hearing loss include all of the following except

A)Wax in the ears
B)Speaking too loudly
C)Turning and cupping the better ear toward the speaker
D)Asking for words to be repeated

Question 16

Tinnitus is

A)Dizziness
B)A ringing,roaring,or hissing in the ears
C)A new growth of abnormal cells
D)A tumor

Question 17

Earwax is

A)Tinnitus
B)Cerumen
C)Otitis
D)Dysarthria

Question 18

The inability to have normal speech is

A)Braille
B)Cerumen
C)Aphasia
D)Tinnitus

Question 19

The person experiencing vertigo must

A)Lie down
B)Drink plenty of fluids
C)Wear a hearing aid
D)Stop smoking

Question 20

A resident has hearing and speech impairments.When communicating with the person,which is incorrect?

A)Listen carefully.
B)Watch the person's facial expressions,gestures,and body language for clues.
C)After repeating what the person says,ask if you understood correctly.
D)Record the conversation to play back later.

Question 21

Which statement about vision loss is incorrect?

A)Vision loss occurs at all ages.
B)Blindness is the absence of sight.
C)Vision loss is gradual or sudden in onset.
D)Both eyes are always affected.

Question 22

Age-related macular degeneration ( AMD )is

A)Damage to the optic nerve
B)A disease that blurs central vision
C)A clouding of the lens
D)A painful eye infection

Question 23

The leading cause of blindness in persons 60 years of age and older is

A)Glaucoma
B)Cataract
C)Eye infections
D)AMD

Question 24

A resident has glaucoma.What do you know about the person's sight?

A)Print and colors appear faded.
B)The person cannot see to the side.
C)The person is blind in the affected eye.
D)The person's vision is cloudy.

Question 25

A resident has a hearing aid.To properly care for the device,you need to

A)Follow the manufacturer's instructions
B)Wash it with soap and water
C)Put it in your ear to see if it is working
D)Keep the battery in all the time

Question 26

A resident has glaucoma.Which statement is correct?

A)Surgery can correct prior damage.
B)The optic nerve is damaged.
C)The person cannot develop other eye disorders.
D)A lens implant will correct the problem.

Question 27

A resident has a hearing impairment.To communicate with the person,you need to do all of the following except

A)Gain the person's attention by approaching the person from behind
B)Face the person when speaking
C)Stand or sit in good light
D)Stand or sit on the side of the better ear

Question 28

A resident has a hearing aid.Which is incorrect?

A)The hearing aid corrects the person's hearing problem.
B)Hearing aids are costly.
C)Batteries are removed at night.
D)When not in use,the hearing aid is turned off.

Question 29

A resident thinks that her hearing aid is not working.What should you do first?

A)Ask her simple questions.If she answers correctly,the hearing aid is working.
B)Tell the nurse.
C)Check to see if the hearing aid is on.
D)Put it in your ear to see if it is working.

Question 30

A resident has a cataract in the left eye.The person's treatment is likely to be

A)Surgery
B)An artificial eye
C)Drug therapy
D)Corrective lenses

Question 31

A resident has a hearing impairment.To communicate with the person,you need to do all of the following except

A)Repeat and rephrase statements as needed
B)Be aware of your body language
C)Reduce or eliminate background noises
D)Write everything on notebook paper

Question 32

A resident has AMD.Which is correct?

A)The disease is usually sudden in onset.
B)The disease is painful.
C)The risk of getting AMD increases with age.
D)Wet AMD is more common than dry AMD.

Question 33

A resident has a hearing assistance dog.You know that the dog is

A)The person's pet
B)Trained to alert the person to certain sounds
C)Trained to assist the person with ADL
D)Part of the person's treatment and therapies

Question 34

Glaucoma has no cure.

Question 35

Expressive aphasia relates to

A)Difficulty sending out thoughts
B)Problems with thinking and reasoning
C)Difficulty understanding language
D)Difficulty using the muscles needed for speech

Question 36

A resident has a speech disorder.The goal of rehabilitation is to

A)Allow the person to return to work
B)Help the nursing team learn how to communicate with the person
C)Improve the person's ability to communicate
D)Teach the person to use a computer for communication

Question 37

A resident has hearing and speech impairments.When communicating with the person,it is best that both of you

A)Speak clearly,slowly,and distinctly
B)Write down key words
C)Say things in another way
D)Avoid repeating and rephrasing to prevent frustration

Question 38

A resident has a hearing impairment.To communicate with the person,you need to do all of the following except

A)State the topic of conversation first
B)Use simple words and short sentences
C)Shout when talking to the person
D)Keep conversations and discussions short

Question 39

Which statement about speech disorders is correct?

A)Persons with speech impairments cannot communicate.
B)Persons with speech impairments are also hearing impaired.
C)Persons with speech impairments are developmentally disabled.
D)The person's willingness and ability to learn affect the amount of improvement possible.

Question 40

Dysarthria means

A)Inability to use muscles needed for speech
B)Difficult or poor speech
C)Hearing loss
D)Speech and hearing impairment

Question 41

A resident is blind.When speaking to the person,which is correct?

A)Speak loudly or shout.
B)Use simple words and short sentences.
C)Face the person.
D)Avoid using "see," "look," or "read."

Question 42

A resident has an ocular prosthetic.Which statement is incorrect?

A)The ocular prosthetic matches the other eye in shape and color.
B)The person can see out of both eyes.
C)The ocular prosthetic must be protected from loss or damage.
D)Some eye prostheses are permanent.Others are removable.

Question 43

A resident is not wearing his eyeglasses.Before storing them,you need to

A)Put them in a container with cool water
B)Put them in their case
C)Remove the battery
D)Turn the device off

Question 44

Which person is at risk for low vision?

A)A person with diabetes
B)A person who wears eyeglasses
C)A person with Broca's aphasia
D)A person with apraxia

Question 45

Eyeglasses are costly and therefore are treated like

A)Other valuables
B)A drug
C)A delegated task
D)An artificial eye

Question 46

A resident is blind.When serving the person's meals,which is incorrect?

A)Explain the location of food and beverages using the face of a clock.
B)Guide the person's hand to each item on the tray.
C)Open cartons,cut meat,and so on as needed.
D)Ask the person what the food smells like.

Question 47

Low vision is eyesight that can be corrected with eyeglasses or surgery.

Question 48

A resident wears eyeglasses.You need to clean them

A)Daily and when needed
B)Every shift
C)With water and tissues
D)With a special cleaning solution

Question 49

A resident is blind.Which measure is unsafe for the person?

A)Rearranging the person's furniture and equipment
B)Keeping hallways and walkways free of equipment and clutter
C)Keeping the person's signal light within reach
D)Letting the person perform self-care as able

Question 50

A resident is not wearing his eyeglasses.Where should you store them?

A)At the nurses' station
B)In the top drawer of the bedside stand
C)In the person's closet
D)In the person's trunk

Question 51

Everyone with diabetes is at risk for diabetic retinopathy.

Question 52

Which will not decrease the risk of AMD?

A)Eating a healthy diet
B)Smoking
C)Wearing sunglasses
D)Having regular eye exams

Question 53

A resident is blind.To gain the person's attention,which is correct?

A)Approach the person from behind.
B)Lightly touch the person's arm.
C)Pet the person's dog guide.
D)Identify yourself by name and title when you enter the person's room.

Question 54

A resident has contact lenses.To properly care for them,you need to

A)Follow the manufacturer's instructions
B)Clean them with water and tissues
C)Label them with the person's name and room number
D)Remove the batteries before storing them

Question 55

A resident is blind.When assisting with the person's care needs,which is incorrect?

A)Provide lighting as the person prefers.
B)Ask how much the person can see.
C)Adjust blinds and shades to prevent glares.
D)Keep the room door partly open.

Question 56

A resident is blind.You are assisting the person with ambulation.Which action is unsafe?

A)Telling the person when you are coming to a curb or steps
B)Telling the person when to step up or down
C)Having the person walk slightly behind you
D)Using phrases like "over here" or "over there"

Question 57

A resident you are caring for wears contact lenses.Which is correct?

A)Report eye redness to the nurse.
B)Remove and clean the lenses daily.
C)Use mild soap and water to clean the lenses.
D)Remove and clean the lenses on the person's bath day.

Question 58

White canes with a red tip and dog guides are used worldwide by persons who are blind.

Question 59

Which statement about blindness is incorrect?

A)The legally blind person has no vision.
B)Many blind persons learn to read braille.
C)A person uses a white cane with a red tip.The person is blind.
D)The person has a dog guide.The person is blind.

Question 60

Mr.Cook is blind.He is moving about in the lounge.What should you do?

A)Ask if you can help him.
B)Offer him a wheelchair.
C)Assist him back to his room.
D)Offer an arm,and walk slightly ahead of him.

Question 61

A resident's ocular prosthetic is removed.Proper care of the eye socket involves

A)Washing it with soap and warm water
B)Washing it with warm water or saline
C)Washing it with a cleaning solution
D)Rinsing it with clear water

Question 62

A resident's ocular prosthetic is removable.Proper care of the prosthetic involves all of the following except

A)Labeling it with the person's name and room number
B)Placing it in a lined container filled with water or saline
C)Closing the container before storing it
D)Placing the labeled container in the bedside stand