Question 1

A nurse is evaluating the care received by a client who has a hearing deficit. Which statement indicates that the client is effectively addressing variables that may lead to social isolation?

Accepted Answer

A)Evidence that the client is effectively addressing variables that may lead to social isolation would include the client's account of asking others to face him or her when talking. This indicates that the client is taking an active role in improving communication with others. Clients should be encouraged to interact with friends and family on a one-to-one basis in quiet settings. Listening to a loud television at all times is not conducive to good communication. The other responses indicate a reluctance to use an assistive device unless necessary, which does not generally encourage social interaction.
B)Evidence that the client is effectively addressing variables that may lead to social isolation would include the client's account of asking others to face him or her when talking. This indicates that the client is taking an active role in improving communication with others. Clients should be encouraged to interact with friends and family on a one-to-one basis in quiet settings. Listening to a loud television at all times is not conducive to good communication. The other responses indicate a reluctance to use an assistive device unless necessary, which does not generally encourage social interaction.
C)Evidence that the client is effectively addressing variables that may lead to social isolation would include the client's account of asking others to face him or her when talking. This indicates that the client is taking an active role in improving communication with others. Clients should be encouraged to interact with friends and family on a one-to-one basis in quiet settings. Listening to a loud television at all times is not conducive to good communication. The other responses indicate a reluctance to use an assistive device unless necessary, which does not generally encourage social interaction.
D)Evidence that the client is effectively addressing variables that may lead to social isolation would include the client's account of asking others to face him or her when talking. This indicates that the client is taking an active role in improving communication with others. Clients should be encouraged to interact with friends and family on a one-to-one basis in quiet settings. Listening to a loud television at all times is not conducive to good communication. The other responses indicate a reluctance to use an assistive device unless necessary, which does not generally encourage social interaction.

Question 2

The nurse is selecting sensory aids for a client with deficits in hearing and sight. Which aid would address both sensory deficits?

Accepted Answer

A)A flashing alarm clock would be helpful for a client with a hearing deficit, and a clock with large numbers would be helpful for a client with a sight deficit. Adequate room lighting with night lights and large-print reading material help with a sight deficit but not a hearing deficit, and an amplified telephone helps with a hearing deficit but not a sight deficit.
B)A flashing alarm clock would be helpful for a client with a hearing deficit, and a clock with large numbers would be helpful for a client with a sight deficit. Adequate room lighting with night lights and large-print reading material help with a sight deficit but not a hearing deficit, and an amplified telephone helps with a hearing deficit but not a sight deficit.
C)A flashing alarm clock would be helpful for a client with a hearing deficit, and a clock with large numbers would be helpful for a client with a sight deficit. Adequate room lighting with night lights and large-print reading material help with a sight deficit but not a hearing deficit, and an amplified telephone helps with a hearing deficit but not a sight deficit.
D)A flashing alarm clock would be helpful for a client with a hearing deficit, and a clock with large numbers would be helpful for a client with a sight deficit. Adequate room lighting with night lights and large-print reading material help with a sight deficit but not a hearing deficit, and an amplified telephone helps with a hearing deficit but not a sight deficit.

Question 3

What is vertigo?

Accepted Answer

A)Vertigo is a feeling of rotation or imbalance. Nystagmus is involuntary rapid eye movements. Vestibular neuritis is an infection of the vestibular nerve that is a common cause of vertigo. Impaired olfaction, or impaired sense of smell, has nothing to do with vertigo.
B)Vertigo is a feeling of rotation or imbalance. Nystagmus is involuntary rapid eye movements. Vestibular neuritis is an infection of the vestibular nerve that is a common cause of vertigo. Impaired olfaction, or impaired sense of smell, has nothing to do with vertigo.
C)Vertigo is a feeling of rotation or imbalance. Nystagmus is involuntary rapid eye movements. Vestibular neuritis is an infection of the vestibular nerve that is a common cause of vertigo. Impaired olfaction, or impaired sense of smell, has nothing to do with vertigo.
D)Vertigo is a feeling of rotation or imbalance. Nystagmus is involuntary rapid eye movements. Vestibular neuritis is an infection of the vestibular nerve that is a common cause of vertigo. Impaired olfaction, or impaired sense of smell, has nothing to do with vertigo.

Question 4

Which diagnostic test should the nurse use to assess hearing in an infant?

Accepted Answer

A)The otoacoustic emissions test uses an earphone and microphone to play sounds into the ear. Failure to detect an echo indicates hearing loss. This test is almost exclusively performed on infants as part of the routine hearing screening. The Rinne and Weber tests assess bone and air conduction with the use of a tuning fork. The whisper test provides a rough estimate of hearing loss. All three of these other tests involve active participation from the client.
B)The otoacoustic emissions test uses an earphone and microphone to play sounds into the ear. Failure to detect an echo indicates hearing loss. This test is almost exclusively performed on infants as part of the routine hearing screening. The Rinne and Weber tests assess bone and air conduction with the use of a tuning fork. The whisper test provides a rough estimate of hearing loss. All three of these other tests involve active participation from the client.
C)The otoacoustic emissions test uses an earphone and microphone to play sounds into the ear. Failure to detect an echo indicates hearing loss. This test is almost exclusively performed on infants as part of the routine hearing screening. The Rinne and Weber tests assess bone and air conduction with the use of a tuning fork. The whisper test provides a rough estimate of hearing loss. All three of these other tests involve active participation from the client.
D)The otoacoustic emissions test uses an earphone and microphone to play sounds into the ear. Failure to detect an echo indicates hearing loss. This test is almost exclusively performed on infants as part of the routine hearing screening. The Rinne and Weber tests assess bone and air conduction with the use of a tuning fork. The whisper test provides a rough estimate of hearing loss. All three of these other tests involve active participation from the client.

Question 5

What characterizes individuals with achromatopsia?

Accepted Answer

A)Achromatopsia is a rare form of color blindness in which the individual cannot distinguish any color at all and sees only shades of gray. The most common variant of color blindness is the inability to distinguish between red and green. Less common is the inability to distinguish between blue and yellow. Many people with the blue-yellow variant also have problems distinguishing between green and red.
B)Achromatopsia is a rare form of color blindness in which the individual cannot distinguish any color at all and sees only shades of gray. The most common variant of color blindness is the inability to distinguish between red and green. Less common is the inability to distinguish between blue and yellow. Many people with the blue-yellow variant also have problems distinguishing between green and red.
C)Achromatopsia is a rare form of color blindness in which the individual cannot distinguish any color at all and sees only shades of gray. The most common variant of color blindness is the inability to distinguish between red and green. Less common is the inability to distinguish between blue and yellow. Many people with the blue-yellow variant also have problems distinguishing between green and red.
D)Achromatopsia is a rare form of color blindness in which the individual cannot distinguish any color at all and sees only shades of gray. The most common variant of color blindness is the inability to distinguish between red and green. Less common is the inability to distinguish between blue and yellow. Many people with the blue-yellow variant also have problems distinguishing between green and red.

Question 6

Which strategy for communication enhancement incorporates the use of shapes?

Accepted Answer

A)Of the strategies listed, only cued speech incorporates the use of shapes. Specifically, cued speech accompanies oral speech with hand shapes that represent groups of consonant sounds. Both sign language and total communication use signs, not shapes. An oral approach involves only spoken communication and avoids the use of formal signs.
B)Of the strategies listed, only cued speech incorporates the use of shapes. Specifically, cued speech accompanies oral speech with hand shapes that represent groups of consonant sounds. Both sign language and total communication use signs, not shapes. An oral approach involves only spoken communication and avoids the use of formal signs.
C)Of the strategies listed, only cued speech incorporates the use of shapes. Specifically, cued speech accompanies oral speech with hand shapes that represent groups of consonant sounds. Both sign language and total communication use signs, not shapes. An oral approach involves only spoken communication and avoids the use of formal signs.
D)Of the strategies listed, only cued speech incorporates the use of shapes. Specifically, cued speech accompanies oral speech with hand shapes that represent groups of consonant sounds. Both sign language and total communication use signs, not shapes. An oral approach involves only spoken communication and avoids the use of formal signs.

Question 7

A nurse is caring for a client with a genetic nerve disorder who has difficulty when attempting to move her tongue. The nurse recognizes that this may indicate a deficit in the functioning of which cranial nerve?

Accepted Answer

A)The movement of the tongue for speech and swallowing is controlled by cranial nerve (CN)XII, hypoglossal. XI CN (accessory)controls the movement of head and neck as well as proprioception. CN VIII (acoustic/vestibulocochlear)controls hearing and the sense of balance. CN VI (abducens)control eyeball movement and moves eye laterally.
B)The movement of the tongue for speech and swallowing is controlled by cranial nerve (CN)XII, hypoglossal. XI CN (accessory)controls the movement of head and neck as well as proprioception. CN VIII (acoustic/vestibulocochlear)controls hearing and the sense of balance. CN VI (abducens)control eyeball movement and moves eye laterally.
C)The movement of the tongue for speech and swallowing is controlled by cranial nerve (CN)XII, hypoglossal. XI CN (accessory)controls the movement of head and neck as well as proprioception. CN VIII (acoustic/vestibulocochlear)controls hearing and the sense of balance. CN VI (abducens)control eyeball movement and moves eye laterally.
D)The movement of the tongue for speech and swallowing is controlled by cranial nerve (CN)XII, hypoglossal. XI CN (accessory)controls the movement of head and neck as well as proprioception. CN VIII (acoustic/vestibulocochlear)controls hearing and the sense of balance. CN VI (abducens)control eyeball movement and moves eye laterally.

Question 8

The nurse is planning care for an older adult client diagnosed with age-related macular degeneration (AMD)that is nonexudative. Which therapies should the nurse anticipate for this client? Select all that apply.

Accepted Answer

A)High-dose antioxidants and zinc are the treatments of choice for early-to-intermediate dry AMD. Laser surgery is used to treat wet macular degeneration. Eyedrops and eye patches may be used after laser surgery but are not part of the initial treatment for the disorder.
B)High-dose antioxidants and zinc are the treatments of choice for early-to-intermediate dry AMD. Laser surgery is used to treat wet macular degeneration. Eyedrops and eye patches may be used after laser surgery but are not part of the initial treatment for the disorder.
C)High-dose antioxidants and zinc are the treatments of choice for early-to-intermediate dry AMD. Laser surgery is used to treat wet macular degeneration. Eyedrops and eye patches may be used after laser surgery but are not part of the initial treatment for the disorder.
D)High-dose antioxidants and zinc are the treatments of choice for early-to-intermediate dry AMD. Laser surgery is used to treat wet macular degeneration. Eyedrops and eye patches may be used after laser surgery but are not part of the initial treatment for the disorder.
E)High-dose antioxidants and zinc are the treatments of choice for early-to-intermediate dry AMD. Laser surgery is used to treat wet macular degeneration. Eyedrops and eye patches may be used after laser surgery but are not part of the initial treatment for the disorder.

Question 9

Which is the decibel level for mild hearing loss?

Accepted Answer

A)Hearing loss is expressed in terms of decibels, or units of loudness. 41-70 dB is moderate hearing loss, at which most normal conversational sounds are missed. 16-40 dB is mild hearing loss, at which some speech sounds are difficult to perceive. 71-90 dB is severe hearing loss, at which speech sounds cannot be heard at a normal conversational level. 91+ dB is profound hearing loss and constitutes legal deafness.
B)Hearing loss is expressed in terms of decibels, or units of loudness. 41-70 dB is moderate hearing loss, at which most normal conversational sounds are missed. 16-40 dB is mild hearing loss, at which some speech sounds are difficult to perceive. 71-90 dB is severe hearing loss, at which speech sounds cannot be heard at a normal conversational level. 91+ dB is profound hearing loss and constitutes legal deafness.
C)Hearing loss is expressed in terms of decibels, or units of loudness. 41-70 dB is moderate hearing loss, at which most normal conversational sounds are missed. 16-40 dB is mild hearing loss, at which some speech sounds are difficult to perceive. 71-90 dB is severe hearing loss, at which speech sounds cannot be heard at a normal conversational level. 91+ dB is profound hearing loss and constitutes legal deafness.
D)Hearing loss is expressed in terms of decibels, or units of loudness. 41-70 dB is moderate hearing loss, at which most normal conversational sounds are missed. 16-40 dB is mild hearing loss, at which some speech sounds are difficult to perceive. 71-90 dB is severe hearing loss, at which speech sounds cannot be heard at a normal conversational level. 91+ dB is profound hearing loss and constitutes legal deafness.

Question 10

The nurse is providing teaching on the recommended hearing tests for older adults. Which information should be included in this teaching?

Accepted Answer

A)Adults should be screened for hearing at least every 10 years until the age of 50 and then every 3 years. A biannual or annual hearing test is not necessary for this age group. Annual screenings for vision are recommended for adults with diabetes, and for individuals without comorbidities, eye exams should be repeated every 1-3 years for ages 55-64, and every 1- years for ages 65 and above.
B)Adults should be screened for hearing at least every 10 years until the age of 50 and then every 3 years. A biannual or annual hearing test is not necessary for this age group. Annual screenings for vision are recommended for adults with diabetes, and for individuals without comorbidities, eye exams should be repeated every 1-3 years for ages 55-64, and every 1- years for ages 65 and above.
C)Adults should be screened for hearing at least every 10 years until the age of 50 and then every 3 years. A biannual or annual hearing test is not necessary for this age group. Annual screenings for vision are recommended for adults with diabetes, and for individuals without comorbidities, eye exams should be repeated every 1-3 years for ages 55-64, and every 1- years for ages 65 and above.
D)Adults should be screened for hearing at least every 10 years until the age of 50 and then every 3 years. A biannual or annual hearing test is not necessary for this age group. Annual screenings for vision are recommended for adults with diabetes, and for individuals without comorbidities, eye exams should be repeated every 1-3 years for ages 55-64, and every 1- years for ages 65 and above.

Question 11

Which nursing action is most appropriate when communicating with a client who has a hearing deficit?

Accepted Answer

A)Writing ideas and pantomiming as appropriate are acceptable forms of communication for a client who has a hearing deficit. The nurse should not overarticulate words, use short phrases, or vary the volume of voice because these things make it more difficult to understand for the client with a hearing deficit.
B)Writing ideas and pantomiming as appropriate are acceptable forms of communication for a client who has a hearing deficit. The nurse should not overarticulate words, use short phrases, or vary the volume of voice because these things make it more difficult to understand for the client with a hearing deficit.
C)Writing ideas and pantomiming as appropriate are acceptable forms of communication for a client who has a hearing deficit. The nurse should not overarticulate words, use short phrases, or vary the volume of voice because these things make it more difficult to understand for the client with a hearing deficit.
D)Writing ideas and pantomiming as appropriate are acceptable forms of communication for a client who has a hearing deficit. The nurse should not overarticulate words, use short phrases, or vary the volume of voice because these things make it more difficult to understand for the client with a hearing deficit.

Question 12

A nurse is providing teaching to a young adult client who is occasionally exposed to loud explosions on the job site. Which statement on the part of the client indicates that he accurately understands the potential risk to his hearing?

Accepted Answer

A)Hearing loss attributed to loud noises can be profound and is often permanent, regardless of a person's age. With sensorineural hearing loss, the only hope for restoring sound perception might be a cochlear implant; however, this surgery is not appropriate for all cases of sensorineural hearing loss, and even if a client is an ideal candidate, implants aren't always successful. Hearing loss from loud noises has no genetic component.
B)Hearing loss attributed to loud noises can be profound and is often permanent, regardless of a person's age. With sensorineural hearing loss, the only hope for restoring sound perception might be a cochlear implant; however, this surgery is not appropriate for all cases of sensorineural hearing loss, and even if a client is an ideal candidate, implants aren't always successful. Hearing loss from loud noises has no genetic component.
C)Hearing loss attributed to loud noises can be profound and is often permanent, regardless of a person's age. With sensorineural hearing loss, the only hope for restoring sound perception might be a cochlear implant; however, this surgery is not appropriate for all cases of sensorineural hearing loss, and even if a client is an ideal candidate, implants aren't always successful. Hearing loss from loud noises has no genetic component.
D)Hearing loss attributed to loud noises can be profound and is often permanent, regardless of a person's age. With sensorineural hearing loss, the only hope for restoring sound perception might be a cochlear implant; however, this surgery is not appropriate for all cases of sensorineural hearing loss, and even if a client is an ideal candidate, implants aren't always successful. Hearing loss from loud noises has no genetic component.

Question 13

What are the two components of the sensory process?

Accepted Answer

A)The sensory process involves two components: reception and perception. Sensory reception is the process of receiving stimuli or data. Sensory perception involves the conscious organization and translation of the data or stimuli into meaningful information. Stimuli and receptors are aspects of how sensory information is received and perceived. Kinesthesia is awareness of the position and movement of body parts, and stereognosis is the ability to perceive and understand an object through touch. Visual and auditory stimuli are parts of how the body senses the external world.
B)The sensory process involves two components: reception and perception. Sensory reception is the process of receiving stimuli or data. Sensory perception involves the conscious organization and translation of the data or stimuli into meaningful information. Stimuli and receptors are aspects of how sensory information is received and perceived. Kinesthesia is awareness of the position and movement of body parts, and stereognosis is the ability to perceive and understand an object through touch. Visual and auditory stimuli are parts of how the body senses the external world.
C)The sensory process involves two components: reception and perception. Sensory reception is the process of receiving stimuli or data. Sensory perception involves the conscious organization and translation of the data or stimuli into meaningful information. Stimuli and receptors are aspects of how sensory information is received and perceived. Kinesthesia is awareness of the position and movement of body parts, and stereognosis is the ability to perceive and understand an object through touch. Visual and auditory stimuli are parts of how the body senses the external world.
D)The sensory process involves two components: reception and perception. Sensory reception is the process of receiving stimuli or data. Sensory perception involves the conscious organization and translation of the data or stimuli into meaningful information. Stimuli and receptors are aspects of how sensory information is received and perceived. Kinesthesia is awareness of the position and movement of body parts, and stereognosis is the ability to perceive and understand an object through touch. Visual and auditory stimuli are parts of how the body senses the external world.

Question 14

Which client should the nurse identify as having the greatest risk for hearing loss?

Accepted Answer

A)The construction worker is likely to have the greatest risk for hearing loss because the client's occupation and typical work environment probably involve sustained exposure to very loud noises. An adolescent who occasionally listens to loud music on headphones is also at risk for hearing loss, but the exposure to loud sounds is only occasional. The teacher working at a large high school works in a noisy environment but is probably not typically exposed to sounds louder than the human voice. Snowmobiles can be loud enough to present a risk for hearing loss, but the lawyer's exposure to them is only once a year.
B)The construction worker is likely to have the greatest risk for hearing loss because the client's occupation and typical work environment probably involve sustained exposure to very loud noises. An adolescent who occasionally listens to loud music on headphones is also at risk for hearing loss, but the exposure to loud sounds is only occasional. The teacher working at a large high school works in a noisy environment but is probably not typically exposed to sounds louder than the human voice. Snowmobiles can be loud enough to present a risk for hearing loss, but the lawyer's exposure to them is only once a year.
C)The construction worker is likely to have the greatest risk for hearing loss because the client's occupation and typical work environment probably involve sustained exposure to very loud noises. An adolescent who occasionally listens to loud music on headphones is also at risk for hearing loss, but the exposure to loud sounds is only occasional. The teacher working at a large high school works in a noisy environment but is probably not typically exposed to sounds louder than the human voice. Snowmobiles can be loud enough to present a risk for hearing loss, but the lawyer's exposure to them is only once a year.
D)The construction worker is likely to have the greatest risk for hearing loss because the client's occupation and typical work environment probably involve sustained exposure to very loud noises. An adolescent who occasionally listens to loud music on headphones is also at risk for hearing loss, but the exposure to loud sounds is only occasional. The teacher working at a large high school works in a noisy environment but is probably not typically exposed to sounds louder than the human voice. Snowmobiles can be loud enough to present a risk for hearing loss, but the lawyer's exposure to them is only once a year.

Question 15

The nurse suspects that an older adult client has a hearing disorder; however, the client denies not being able to hear, and the family thinks the client is just becoming more absent minded with age. Which initial action by the nurse to assess the client's hearing is appropriate?

Accepted Answer

A)The most telling of these options would be to observe the client's interactions with family. The nurse should assess for frequent requests to repeat, inattention to conversation, turning one ear to the conversation, and lip reading. The Weber and Rinne test and use of an otoscope may be a part of an assessment but will not yield the immediate information that simple observation would. The client has already denied having a hearing problem, so confronting the client with the nurse's suspicion will probably only alienate the client from the nurse.
B)The most telling of these options would be to observe the client's interactions with family. The nurse should assess for frequent requests to repeat, inattention to conversation, turning one ear to the conversation, and lip-reading. The Weber and Rinne test and use of an otoscope may be a part of an assessment but will not yield the immediate information that simple observation would. The client has already denied having a hearing problem, so confronting the client with the nurse's suspicion will probably only alienate the client from the nurse.
C)The most telling of these options would be to observe the client's interactions with family. The nurse should assess for frequent requests to repeat, inattention to conversation, turning one ear to the conversation, and lip-reading. The Weber and Rinne test and use of an otoscope may be a part of an assessment but will not yield the immediate information that simple observation would. The client has already denied having a hearing problem, so confronting the client with the nurse's suspicion will probably only alienate the client from the nurse.
D)The most telling of these options would be to observe the client's interactions with family. The nurse should assess for frequent requests to repeat, inattention to conversation, turning one ear to the conversation, and lip-reading. The Weber and Rinne test and use of an otoscope may be a part of an assessment but will not yield the immediate information that simple observation would. The client has already denied having a hearing problem, so confronting the client with the nurse's suspicion will probably only alienate the client from the nurse.

Question 16

A client is experiencing visual overstimulation. What can the nurse do immediately to reduce this client's visual sensory overload?

Accepted Answer

A)For clients who are at risk of overstimulation, nurses should assist with reducing the number and types of environmental stimuli. Appropriate measures for addressing visual overstimulation include lowering the shades and turning off overhead lights. Dark glasses that block both UVA and UVB rays are also useful. Relaxation techniques would be good for the client to employ but would require teaching for the client to properly implement them. Large-print reading materials would be helpful for a client with visual impairment but not a client who is experiencing visual sensory overload.
B)For clients who are at risk of overstimulation, nurses should assist with reducing the number and types of environmental stimuli. Appropriate measures for addressing visual overstimulation include lowering the shades and turning off overhead lights. Dark glasses that block both UVA and UVB rays are also useful. Relaxation techniques would be good for the client to employ but would require teaching for the client to properly implement them. Large-print reading materials would be helpful for a client with visual impairment but not a client who is experiencing visual sensory overload.
C)For clients who are at risk of overstimulation, nurses should assist with reducing the number and types of environmental stimuli. Appropriate measures for addressing visual overstimulation include lowering the shades and turning off overhead lights. Dark glasses that block both UVA and UVB rays are also useful. Relaxation techniques would be good for the client to employ but would require teaching for the client to properly implement them. Large-print reading materials would be helpful for a client with visual impairment but not a client who is experiencing visual sensory overload.
D)For clients who are at risk of overstimulation, nurses should assist with reducing the number and types of environmental stimuli. Appropriate measures for addressing visual overstimulation include lowering the shades and turning off overhead lights. Dark glasses that block both UVA and UVB rays are also useful. Relaxation techniques would be good for the client to employ but would require teaching for the client to properly implement them. Large-print reading materials would be helpful for a client with visual impairment but not a client who is experiencing visual sensory overload.

Question 17

The nurse is identifying nursing diagnoses appropriate for a client with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting. Which diagnosis would be the lowest priority for this client?

Accepted Answer

A)Possible nursing diagnoses for the patient with hearing impairment may include Impaired Verbal Communication, Social Isolation, and Risk for Injury. Nausea is accurate for a client who has tinnitus, vertigo, and nausea; however, the greater priorities for this client would be safety related to falls, ensuring effective communication, and ensuring that the client does not become socially isolated.
B)Possible nursing diagnoses for the patient with hearing impairment may include Impaired Verbal Communication, Social Isolation, and Risk for Injury. Nausea is accurate for a client who has tinnitus, vertigo, and nausea; however, the greater priorities for this client would be safety related to falls, ensuring effective communication, and ensuring that the client does not become socially isolated.
C)Possible nursing diagnoses for the patient with hearing impairment may include Impaired Verbal Communication, Social Isolation, and Risk for Injury. Nausea is accurate for a client who has tinnitus, vertigo, and nausea; however, the greater priorities for this client would be safety related to falls, ensuring effective communication, and ensuring that the client does not become socially isolated.
D)Possible nursing diagnoses for the patient with hearing impairment may include Impaired Verbal Communication, Social Isolation, and Risk for Injury. Nausea is accurate for a client who has tinnitus, vertigo, and nausea; however, the greater priorities for this client would be safety related to falls, ensuring effective communication, and ensuring that the client does not become socially isolated.

Question 18

Where does perception, or the awareness and interpretation of stimuli, take place?

Accepted Answer

A)Perception, or awareness and interpretation of stimuli, takes place in the brain. The nerve receptors convert stimuli to impulses that travel along nerve pathways to the spinal cord or directly to the brain.
B)Perception, or awareness and interpretation of stimuli, takes place in the brain. The nerve receptors convert stimuli to impulses that travel along nerve pathways to the spinal cord or directly to the brain.
C)Perception, or awareness and interpretation of stimuli, takes place in the brain. The nerve receptors convert stimuli to impulses that travel along nerve pathways to the spinal cord or directly to the brain.
D)Perception, or awareness and interpretation of stimuli, takes place in the brain. The nerve receptors convert stimuli to impulses that travel along nerve pathways to the spinal cord or directly to the brain.

Question 19

A client tells the nurse about having increasing difficulty seeing the print while reading a newspaper. Which tool should the nurse select to assess this client?

Accepted Answer

A)The Rosenbaum eye chart is used to test for near or reading vision. The Snellen chart is used to test far or distant vision. A penlight is used to test extraocular movements and pupillary response. The cover-uncover test is used to assess for eye muscle strength.
B)The Rosenbaum eye chart is used to test for near or reading vision. The Snellen chart is used to test far or distant vision. A penlight is used to test extraocular movements and pupillary response. The cover-uncover test is used to assess for eye muscle strength.
C)The Rosenbaum eye chart is used to test for near or reading vision. The Snellen chart is used to test far or distant vision. A penlight is used to test extraocular movements and pupillary response. The cover-uncover test is used to assess for eye muscle strength.
D)The Rosenbaum eye chart is used to test for near or reading vision. The Snellen chart is used to test far or distant vision. A penlight is used to test extraocular movements and pupillary response. The cover-uncover test is used to assess for eye muscle strength.

Question 20

The nurse is conducting a prenatal assessment on a client. Which finding indicates a risk of sensory impairment in the unborn child?

Accepted Answer

A)Maternal infection with rubella during pregnancy can cause vision impairment in newborns. Thus, lack of immunity to rubella indicates an increased risk of sensory impairment in the newborn. Immunity to varicella is a desirable trait that reduces a mother's chance of illness during pregnancy, thus lessening the likelihood of harm to the newborn. Sensory deficits resulting from maternal otitis media would not be hereditary. Conjunctivitis, or pink eye, is an infection that usually clears up on its own and is not congenital.
B)Maternal infection with rubella during pregnancy can cause vision impairment in newborns. Thus, lack of immunity to rubella indicates an increased risk of sensory impairment in the newborn. Immunity to varicella is a desirable trait that reduces a mother's chance of illness during pregnancy, thus lessening the likelihood of harm to the newborn. Sensory deficits resulting from maternal otitis media would not be hereditary. Conjunctivitis, or pink eye, is an infection that usually clears up on its own and is not congenital.
C)Maternal infection with rubella during pregnancy can cause vision impairment in newborns. Thus, lack of immunity to rubella indicates an increased risk of sensory impairment in the newborn. Immunity to varicella is a desirable trait that reduces a mother's chance of illness during pregnancy, thus lessening the likelihood of harm to the newborn. Sensory deficits resulting from maternal otitis media would not be hereditary. Conjunctivitis, or pink eye, is an infection that usually clears up on its own and is not congenital.
D)Maternal infection with rubella during pregnancy can cause vision impairment in newborns. Thus, lack of immunity to rubella indicates an increased risk of sensory impairment in the newborn. Immunity to varicella is a desirable trait that reduces a mother's chance of illness during pregnancy, thus lessening the likelihood of harm to the newborn. Sensory deficits resulting from maternal otitis media would not be hereditary. Conjunctivitis, or pink eye, is an infection that usually clears up on its own and is not congenital.

Quiz 18: Sensory Perception