Deck 39: Hearing, speech, and Vision Problems

Question 1

Earwax is

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

Answer 1

Cerumen

Question 2

Which does not signal otitis media in children?

A)The child tugs at the ears.
B)The child sleeps a lot.
C)The child has problems with balance.
D)The child has problems hearing.

Answer 2

The child sleeps a lot.

Question 3

The following are common with otitis media except

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

Answer 3

Vomiting

Question 4

Which is an infection of the middle ear?

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

Question 5

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

Question 6

Cerumen is

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

Question 7

The total or partial loss of the ability to use or understand language is

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

Question 8

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

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

Question 9

A person 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

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 11

Braille is

A)A touch reading and writing system that uses raised dots
B)A dog guide
C)A hearing assistance dog
D)A method of writing for persons who have aphasia

Question 12

Vertigo means

A)Dizziness
B)Ringing in the ears
C)A sign language
D)Hearing loss

Question 13

Ménière's disease involves the

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

Question 14

Otitis media is most common in

A)Infants and children between 4 months and 4 years of age
B)Teenagers
C)Adults
D)Older persons

Question 15

Symptoms of hearing loss include 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

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 17

Tinnitus is

A)Dizziness
B)A ringing,roaring,hissing,or buzzing in the ears or head
C)A sign language
D)Hearing loss

Question 18

The major symptoms of Ménière's disease are

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

Question 19

A person 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 20

The person experiencing vertigo must

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

Question 21

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 22

A patient has a hearing loss.To communicate with the person,you need to do 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 23

Receptive 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 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

Another term for expressive aphasia is

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

Question 27

A person 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 28

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 29

The person with apraxia of speech

A)Does not understand speech
B)Cannot use speech muscles to produce understandable speech
C)Does not know what to say
D)Has hearing loss and aphasia

Question 30

A resident has glaucoma.Which is correct?

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

Question 31

Glaucoma has no cure.

Question 32

A resident thinks 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 33

A patient has a hearing loss.To communicate with the person,you need to do 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 34

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 35

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 36

A patient has a speech impairment.When communicating with the person,it is best that you have the person

A)Speak clearly,slowly,and distinctly
B)Write down key words
C)Say things in another way
D)Avoid having the person repeat and rephrase to prevent frustration

Question 37

Dysarthria means

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

Question 38

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 39

A resident has a hearing loss and a speech impairment.When communicating with the person,you need to do the following except

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)Tape record the conversation to play back later

Question 40

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 41

A resident is blind.When assisting with the person's care needs,you need to do the following except

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 42

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 43

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

A)Glaucoma
B)Cataract
C)Eye infections
D)Age-related macular degeneration

Question 44

A resident is blind.When speaking to the person,you need to

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

Question 45

Which will not decrease the risk of age-related macular degeneration?

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

Question 46

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 47

Everyone with diabetes is at risk for diabetic retinopathy.

Question 48

These statements are about blindness.Which 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 49

A resident is blind.The person is moving about in the lounge.What should you do?

A)Ask if you can help the person.
B)Lead the person to the closest chair.
C)Assist the person back to his room.
D)Offer an arm and walk quickly ahead of the person.

Question 50

A resident has age-related macular degeneration 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 51

A patient 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 52

Corrective lenses are treated like

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

Question 53

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

Question 54

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 55

A patient 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 56

A patient 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 is blind.To gain the person's attention,you need to

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

Question 58

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

Question 59

A patient 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 60

A patient is blind.When serving the person's meals,you should do the following except

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 61

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 62

A resident has an artificial eye.Which is incorrect?

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

Question 63

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

A)Washing the socket with soap and warm water
B)Washing the socket with warm water or saline
C)Washing the socket with a cleaning solution
D)Washing the eyelid and eyelashes with antiseptic soap

Question 64

A resident's artificial eye is removable.Proper care of the eye involves the following except

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

Question 65

A resident you are caring for wears contact lenses.You need to

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