Question 1

When a new mother asks the nurse whether her newborn infant can see her, the best response by the nurse is to tell the mother that her infant ...
A) cannot see for 2 weeks of age
B) can differentiate objects only
C) can differentiate colors only
D) can see light and dark patterns

Accepted Answer

Newborn infants can see light and dark patterns, and also distinguish between light and dark areas. However, their ability to see other details such as colors and shapes is not fully developed until later on.

Question 2

A client with hearing loss gets very frustrated trying to carry on conversations with friends. Which type of stressor is the client experiencing?
A) Physical
B) Psychological
C) Sensory deficits
D) Sociocultural

Accepted Answer

Sensory deficits refer to impairments in one or more of the five senses, and in this case, the client's hearing loss is causing frustration in social situations. This could lead to social isolation and further emotional distress.

Question 3

Which of the following nonpharmacologic, independent nursing interventions may be used to promote relaxation without also causing sensory overload?
A) Talking with the client
B) Playing music the client chooses
C) Watching talk shows the nurse chooses
D) Watching television reality shows that visitors choose

Accepted Answer

Playing music the client chooses allows the client to be in control of their environment and promotes relaxation without causing sensory overload. Talking may be therapeutic, but it can also be overstimulating. Watching television may cause sensory overload, especially if the program chosen is not preferred by the client.

Question 4

The nurse is caring for client 82 years of age who is struggling to adapt to hearing loss as he ages. The nurse performs which of the following interventions to assist the client in adapting to this sensory deficit? Choose all that apply.
A) Make sure he wears his hearing aid.
B) Speak in a lower tone of voice.
C) Speak so he can observe your lip movement.
D) Keep his environment clear of clutter.
E) Orient to person, place, and time frequently

Accepted Answer

Ensuring the client wears his hearing aid, speaking in a lower tone, and allowing him to observe lip movement are direct interventions to help adapt to hearing loss.

Question 5

A nurse is caring for a client who is unconscious. Which of the following is a recommended guideline for communication with this client?
A) Do not assume the person can hear you.
B) Keep environmental noise level high to stimulate the client.
C) Be careful what is said in front of the client as he or she might hear you.
D) Touch the person before speaking to them.

Accepted Answer

Even if a client is unconscious, it is recommended to be cautious about what is said in their presence, as they may still be able to hear and process information.

Question 6

A client in the intensive care unit will experience less sensory overload in which of the following situations?
A) If a clock displays date, time, AM/PM
B) If the nurse silences the alarms
C) If the nurse provides touch every hour
D) If the family visits at all times

Accepted Answer

A clock displaying date, time, and AM/PM can help the client orient themselves to the current time and day, which can reduce their sense of disorientation and confusion. Silencing alarms may make it difficult for the nurse to monitor the client's condition and respond quickly to changes. Providing touch every hour may be overwhelming for the client and disrupt their rest. Family visits can be comforting for the client but can also add to the sensory stimulation in the room.

Question 7

During the neurological assessment, the nurse asks the client if she has any problems with her sense of smell. The client relates that she lives near a factory that emits an obnoxious odor, but that she no longer notices the smell. The nurse tells Joan that this phenomenon is normal and is called which of the following?
A) Tolerance
B) Adaptation
C) Acceptance
D) Adjustment

Accepted Answer

This phenomenon is called adaptation, which means that the brain adjusts to a constant or frequently-repeated stimuli, such as an odor, and eventually stops perceiving it. This is a normal process that allows the brain to focus on new or more important stimuli. Tolerance refers to the need for increasing amounts of a substance to achieve the same effect, whereas acceptance and adjustment are not related to this phenomenon.

Question 8

The nurse is working in a clinic and sees a resident of a long-term-care facility, age 82 years, who has come in to be checked by her physician. The caregiver, who accompanies her, reports that the client has been displaying the following: drowsiness, excessive sleeping, decreased attention span, irritability, and signs of depression. The client's daughter and family, who usually visit her, moved away from the area six weeks ago due to the husband's job. You suspect which of the following problems?
A) Sensory deprivation
B) Disturbed sensory perception
C) Residential psychosis
D) Locked-in syndrome

Accepted Answer

The symptoms described, such as drowsiness, excessive sleeping, decreased attention span, irritability, and signs of depression, especially following the client's family moving away, suggest sensory deprivation. This condition can occur when an individual experiences a lack of meaningful stimuli, which is plausible in this scenario due to the decreased social interaction after the family's relocation.

Question 9

A community health nurse is conducting a seminar on vision self-care. What might be one topic included in the education plan?
A) Wear sunglasses when working outside.
B) Close the eyes when working with chemicals.
C) Use over-the-counter eye drops when necessary.
D) When using aerosol sprays, spray toward self.

Accepted Answer

Wearing sunglasses when working outside can protect the eyes from harmful UV rays and reduce the risk of developing eye diseases such as cataracts and macular degeneration. Closing the eyes when working with chemicals, using over-the-counter eye drops when necessary, and spraying aerosol sprays towards oneself are not recommended self-care practices and may actually cause harm to the eyes.

Question 10

A nurse is educating a lawn-care worker on the risk of hearing loss. What might be recommended?
A) "Listen to loud music with earphones while mowing."
B) "Just ignore the noise; you are too young for damage."
C) "Wear earplugs while using lawn equipment."
D) "Clean your ears with cotton-tipped applicators daily."

Accepted Answer

Wearing earplugs while using loud equipment, such as lawn mowers, is the best way to prevent hearing loss. Option A is incorrect because listening to loud music can further damage hearing. Option B is incorrect because age does not determine the risk of hearing loss. Option D is incorrect because cleaning ears with cotton-tipped applicators can actually cause damage to the ear canal.

Question 11

A nurse is caring for a person who is delusional. What is important for the nurse to do while communicating with the client?
A) Touch the client gently while talking.
B) Avoid arguing about erroneous statements.
C) Reinforce reality for delusional statements.
D) Maintain eye contact at all times.

Accepted Answer

The answer of A nurse is caring for a person...

Question 12

A nurse is making a home care visit to a client with a hearing deficit. What can she do to facilitate communication with the client?
A) Ask for permission to turn off the television set during the visit.
B) Talk in a loud tone of voice at all times during the visit.
C) Use written communication rather than verbal communication.
D) Reduce the time spent with the client to decrease frustration.

Accepted Answer

Turning off the television set can decrease background noise and make it easier for the client to hear the nurse's voice.

Answer: C
 Using written communication can supplement verbal communication and make it easier for the client to understand.

Overall, it is important to recognize that each individual with a hearing deficit may have unique communication preferences and needs, so it is important to ask the client directly what strategies they find helpful.

Question 13

During a client assessment, the nurse has the client close his eyes. She then places her finger on his right thigh. She asks the client where he is being touched and he answers "my right thigh." This is an example of which sense?
A) Auditory
B) Visual
C) Kinesthetic
D) Olfactory

Accepted Answer

This is an example of the kinesthetic sense, which is related to body position and movement. It allows individuals to perceive and understand the location and movement of their body parts without relying on visual or auditory cues.

Question 14

The nurse is caring for a client who suffered a stroke three days ago, and is assessing the client's state of arousal. The nurse knows that the part of the body responsible for a person being alert or aroused is which of the following?
A) Reticular activating system
B) Renin-angiotensin-aldosterone system
C) Cranial nerves
D) Adrenal glands

Accepted Answer

The reticular activating system is responsible for regulating a person's level of arousal and alertness. It is located in the brainstem and receives input from various sensory systems. Injuries or damage to this area can result in changes in consciousness, from lethargy to coma. The renin-angiotensin-aldosterone system regulates blood pressure and fluid balance, the cranial nerves are responsible for various functions such as facial expression and sensation, and the adrenal glands produce hormones such as adrenaline and cortisol. However, none of these are directly responsible for a person's level of arousal or alertness.

Quiz 43: Sensory Functioning

When a new mother asks the nurse whether her newborn infant can see her, the best response by the nurse is to tell the mother that her infant ...

A client with hearing loss gets very frustrated trying to carry on conversations with friends. Which type of stressor is the client experiencing?

Which of the following nonpharmacologic, independent nursing interventions may be used to promote relaxation without also causing sensory overload?

The nurse is caring for client 82 years of age who is struggling to adapt to hearing loss as he ages. The nurse performs which of the following interventions to assist the client in adapting to this sensory deficit? Choose all that apply.

A nurse is caring for a client who is unconscious. Which of the following is a recommended guideline for communication with this client?

A client in the intensive care unit will experience less sensory overload in which of the following situations?

A community health nurse is conducting a seminar on vision self-care. What might be one topic included in the education plan?

A nurse is educating a lawn-care worker on the risk of hearing loss. What might be recommended?

A nurse is caring for a person who is delusional. What is important for the nurse to do while communicating with the client?

A nurse is making a home care visit to a client with a hearing deficit. What can she do to facilitate communication with the client?

During a client assessment, the nurse has the client close his eyes. She then places her finger on his right thigh. She asks the client where he is being touched and he answers "my right thigh." This is an example of which sense?

The nurse is caring for a client who suffered a stroke three days ago, and is assessing the client's state of arousal. The nurse knows that the part of the body responsible for a person being alert or aroused is which of the following?