NUR109 M7.5: ATI Engage Fundamentals: Sensory Perception
A nurse is assessing a client whose family is concerned that the client has developed dementia. Which of the following findings should the nurse identify as a manifestation of dementia?
The nurse should identify difficulty problem-solving as a manifestation of dementia. Cognitive impairment, including difficulty with problem-solving, is a common symptom of dementia.
A charge nurse is discussing sensory processing disorder (SPD) with a newly licensed nurse. Which of the following statements should the charge nurse make?NUR109 M7.5: ATI Engage
The charge nurse should explain that SPD causes clients to be overly sensitive to stimuli, such as the feel of fabric on their skin. SPD is a condition where individuals have difficulty processing and responding to sensory information from their environment.NUR109 M7.5: ATI Engage
A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse use to enhance communication with the client? (Select all that apply.)
To enhance communication with a client who has hearing loss, the nurse should:
Ensure the client wears their hearing aids.
Face the client when speaking.
Communicate using paper and pen.
Using these strategies can help the client better understand and respond to communication.
A nurse is teaching a group of older adult clients about the sensory system. The nurse should include that the aging process is most likely to cause which of the following changes?
The nurse should inform the clients that the aging process is most likely to cause hearing loss. Presbycusis is a common age-related change in the auditory system.NUR109 M7.5: ATI Engage
A nurse is caring for a client who states, “My doctor said I should have an EMG. What is that?” Which of the following responses should the nurse make?
The nurse should respond, “It is a test that determines if there is nerve damage affecting a muscle.” An electromyogram (EMG) is a diagnostic test that measures the electrical activity of muscles and can identify nerve damage affecting muscle function.
A nurse is reviewing the medical history of a client who has conductive hearing loss. The nurse should identify which of the following factors as a potential cause of conductive hearing loss? (Select all that apply.)
Conductive hearing loss can be caused by several factors, including:
Trauma to the outer ear
Inflammation
Cerumen buildup
Otitis media
These factors can obstruct or impair the transmission of sound through the ear.
A nurse is caring for an older adult client who reports unintended weight loss. The client reports that their food does not taste right. The nurse should inform the client that the ability to taste which of the following can decrease with age? (Select all that apply.)NUR109 M7.5: ATI Engage
The nurse should inform the client that the ability to taste sour, bitter, and salty flavours can decrease with age. These taste changes are common in older adults.
A nurse is preparing a poster presentation about sensory alterations. Which of the following information should the nurse include about sensory deprivation?
The nurse should include the information that risk factors for sensory deprivation include experiencing total vision or hearing loss. Sensory deprivation occurs when an individual is deprived of normal sensory input.
A nurse is caring for a middle adult client who asks about expected age-related changes. Which of the following sensory changes should the nurse include as an age-related change?
The nurse should include presbyopia as an age-related change. Presbyopia is the natural aging process of the eye where the lens loses flexibility, making it difficult to focus on close objects.
A nurse is preparing to administer medications to a client. Which of the following classifications of medications should the nurse identify as being ototoxic? (Select all that apply.)
The nurse should identify the following classifications of medications as ototoxic, which means they can harm the structures of the inner ear and result in hearing loss or balance disturbances:
Loop diuretics
Aminoglycoside antibiotics
A nurse is assessing a client who has delirium. Which of the following manifestations should the nurse expect? (Select all that apply.)
The nurse should expect the following manifestations in a client with delirium:
Difficulty maintaining attention
Agitation
Hallucinations
Rambling speech
Delirium is characterized by a sudden onset of confusion, agitation, and other cognitive disturbances.
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