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SENSORY FUNCTION CASE STUDY QUESTIONS AND ANSWERS
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SENSORY FUNCTION CASE STUDY QUESTIONS AND ANSWERS
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SENSORY FUNCTION CASE STUDYQUESTIONS AND ANSWERS 2024 - 2025
During,the,initial,interview,,the,nurse,notes,that,Frank,often,turns,his,head,so,that,he,is,looking,away,fro
m,the,nurse.
Which,action,should,the,nurse,take,first?,,ANS,-,,Ask,the,client,to,explain,the,reason,for,turning,his,head.
First,,determine,why,the,client,is,turning,his,head,,then,complete,any,additional,follow-
up,assessment,and,documentation.
During,the,assessment,of,Frank's,hearing,,the,nurse,performs,a,series,of,tests,,including,Frank's,ability,to,
hear,whispered,and,conversational,tones.
How,will,the,nurse,assess,for,the,presence,of,tinnitus?,,ANS,-
,,Ask,the,client,if,he,ever,hears,ringing,in,his,ears.
Tinnitus,is,the,presence,of,ringing,in,the,ears,,which,is,often,associated,with,hearing,loss.
Frank,seems,nervous,and,asks,for,a,glass,of,water.,After,taking,a,drink,,he,attempts,to,set,the,glass,down
,,but,places,the,glass,on,the,edge,of,the,counter,,causing,it,to,crash,to,the,floor.
To,follow,up,this,situation,,which,assessment,will,provide,the,most,useful,data?,,ANS,-
,,Visual,field,and,depth,perception.
Under-,or,over-
reaching,for,objects,is,an,indication,of,a,visual,deficit.,Assessment,of,visual,field,and,depth,perception,wil
l,provide,the,most,useful,data,related,to,this,situation.
Frank's,visual,acuity,is,measured,using,a,Snellen,chart.,The,reading,obtained,is,20/80,in,the,right,eye,and,
20/200,in,the,left,eye.
, How,should,the,nurse,explain,these,findings,to,Frank?,,ANS,-,,"You,are,very,near-
sighted,,especially,in,your,left,eye."
The,larger,the,denominator,(bottom,number),,the,poorer,the,visual,acuity.,This,is,commonly,referred,to,
as,being,near-
sighted.,Standing,at,20,feet,,the,client,can,read,what,the,person,with,normal,vision,can,read,at,further,di
stances,,such,as,80,feet,(right,eye),or,200,feet,(left,eye).
As,the,interview,continues,,the,nurse,notes,that,Frank,is,very,pleasant,and,nods,his,head,in,agreement,w
ith,all,of,the,nurse's,statements,,but,that,he,often,does,not,respond,to,simple,requests,during,the,assess
ment.
Which,nursing,diagnosis,is,best,supported,by,the,data,available?,,ANS,-
,,Disturbed,sensory,alteration,(auditory).
Clients,with,impaired,hearing,often,smile,and,nod,in,agreement,with,the,person,conversing,even,though,
they,are,unable,to,clearly,hear,the,conversation.,Appearing,to,be,inattentive,,speaking,loudly,,and,difficu
lty,following,directions,are,other,indications,of,a,disturbance,in,auditory,sensory,function.
In,identifying,this,problem,,the,nurse,clustered,the,assessment,data,and,compared,it,with,which,informa
tion?,,ANS,-,,Defining,characteristics,of,the,problem.
The,assessment,data,is,compared,with,the,defining,characteristics,of,the,problem,to,ensure,that,the,corr
ect,problem,is,identified.
The,nurse,plans,interventions,to,promote,communication,with,Frank.
When,speaking,with,Frank,,which,approach,should,be,included?,,ANS,-,,Use,low-
pitched,conversational,tones.
Persons,with,a,hearing,impairment,generally,hear,low-pitched,tones,better,than,high-
pitched,tones.,A,normal,conversational,voice,is,a,lower,pitch,than,shouting.,In,addition,,the,nurse,should,
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