Exam (elaborations)
Chapter 31 Cognitive and Sensory Alterations
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Chapter 31 Cognitive and Sensory Alterations
[Show more]
Content preview
DAWITChapter 31: Cognitive and Sensory Alterations
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. A nurse is caring for a patient with a stroke that has altered her ability to see. The nurse knows
which area of the brain was likely impacted by the stroke that is responsible for visual
function?
a. Parietal lobes
b. Frontal lobes
c. Occipital lobes
d. Temporal lobes
ANS: C
The occipital lobes process visual information. The frontal lobes of the cerebrum are the areas
of the brain responsible for voluntary motor function, concentration, communication, decision
making, and personality. The parietal lobes are responsible for the sense of touch,
distinguishing the shape and texture of objects. The temporal lobes are concerned with the
senses of hearing and smell.
DIF: Applying OBJ: 31.1 TOP: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: Concepts: Cognition
2. The family of a patient who was in a motor vehicle accident tells the nurse ―I‘m just not the
.‖ TR
person I was before the crashN he nIursG
e reB
co.gC
nizeM
s this is likely because of the injury to
what area of brain?
a. Parietal lobes
U S N T O
b. Frontal lobes
c. Occipital lobes
d. Temporal lobes
ANS: B
The frontal lobes of the cerebrum are the areas of the brain responsible for voluntary motor
function, concentration, communication, decision making, and personality. The parietal lobes
are responsible for the sense of touch, distinguishing the shape and texture of objects. The
temporal lobes are concerned with the senses of hearing and smell. The occipital lobes process
visual information.
DIF: Understanding OBJ: 31.1 TOP: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: Concepts: Cognition
3. The nurse is educating the family of a patient in the intensive care unit about the patient‘s
cognitive status, including the current problem of delirium. Which statement by the family
indicates a need for further education?
a. ―The delirium can be caused by sensory overload.‖
b. ―The delirium is reversible.‖
c. ―The delirium is a mood disorder.‖
d. ―The delirium is a state of confusion.‖
, DAWIT
ANS: C
Delirium is a reversible state of acute confusion. It is characterized by a disturbance in
consciousness or a change in cognition that develops over 1 to 2 days and is caused by a
medical condition. Delirium may occur in intensive care patients as a result of sensory
overload. It is not a mood disorder.
DIF: Evaluating OBJ: 31.2 TOP: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: Concepts: Cognition
4. The nurse is caring for a patient with depression. Which statement by the patient indicates a
need for further education?
a. ―Depression can be caused by chemical changes in the brain.‖
b. ―Depression is always treated with medication.‖
c. ―Depression is a mood disorder.‖
d. ―Depression can have a rapid onset.‖
ANS: B
Depression is usually reversible with treatment either by eliminating the underlying cause,
providing counseling, or prescribing antidepressive agents. Depression is a mood disorder and
is believed to be caused by chemical changes in the brain. Depression usually has a rapid
onset, and the patient‘s mood is constant.
DIF: Evaluating OBJ: 31.2 TOP: Evaluation
MSC: NCLEX Client Needs Category: Psychosocial Integrity NOT: Concepts: Cognition
5. The nurse is caring for a patient who is complaining of tingling in the hands and fingers. The
nurse knows this is a sign of what electrolyte imbalance?
a. Hyponatremia NURSINGTB.COM
b. Hypernatremia
c. Hypocalcemia
d. Hypercalcemia
ANS: C
Tactile disturbances, such as tingling and numbness around the mouth and in the fingers, are
signs of hypocalcemia. Mental changes are associated with both hypercalcemia and
hypocalcemia. Both hypernatremia and hyponatremia have symptoms of central nervous
system disorder.
DIF: Understanding OBJ: 31.3 TOP: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity NOT: Concepts: Cognition
6. The nurse is providing discharge instructions to an older adult who is being discharged with
orthostatic hypotension. Which response by the patient indicates a need for further education?
a. ―I should take my blood pressure once a day at home.‖
b. ―I should get up quickly to avoid my blood pressure dropping.‖
c. ―I should drink plenty of water during the day.‖
d. ―I should get up slowly and carefully.‖
ANS: B
In orthostatic hypotension, dizziness and loss of consciousness may occur if a patient changes
position too quickly. Instead they should change positions slowly. A patient can take their
blood pressure at home to monitor it. Drinking water will keep them hydrated.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller mentor2000. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now