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PNU 120 Taylor PrepU Chapter 44 Sensory Functioning Test With Complete Solution
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PNU 120 Taylor PrepU Chapter 44Sensory Functioning Test With
Complete Solution
The nursing instructor is reviewing proper ear care to promote hearing and
techniques to utilize when providing care to clients with hearing impairments
with a group of nursing students. Which of the following is an appropriate
nursing intervention reviewed by the instructor? ANSWER pantomiming or
acting out ideas to hearing-impaired clients.
A client tells the nurse that she cannot remember her phone number or
address and this concerns her. The nurse understands that inability to
remember is related to which sensory/perception problem? - ANSWER
Impaired memory
When a person chooses, organizes, and interprets sensory stimuli, the
process is called: - ANSWER perception.
A child with special needs has been placed in a classroom with other children
with special needs. The classroom is noisy with a high level of activity, and
the child appears to have difficulty focusing on work. Which should the nurse
recommend to address the needs of this child? - ANSWER Relocate the child
to a quiet, less chaotic environment to decrease sensory overload.
, An elderly client has been hospitalized for 8 days after receiving skin
grafting. The nurse believes the client is experiencing sensory deprivation.
Which intervention will be most effective for this client? RESPONSE Assess
and reorient the client to time, place, and person as necessary.
A neonatal intensive care nurse is providing care to a premature infant. How
will the nurse manage the infant's environment to most appropriately meet
his/her sensory needs? - ANSWER Limit lighting, visual, and vestibular
stimulation.
A client in the hospital has been awakened in the middle of the night by the
loud alarm on his roommate's intravenous pump. The arousal of this client
was due to activity of the: - ANSWER Reticular activating system (RAS).
A nurse is caring for a client who is exhibiting new onset confusion. What
should the nurse do to prevent falls-related injuries? - ANSWER Monitor the
client frequently.
A nurse provides a morning assessment for a client who has been diagnosed
with dementia. The client states that the year is 1949 and believes she is in a
hotel. Which of the following is the best response by the nurse to the client's
orientation? - ANSWER Reorient the client to place and time.
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