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Exam (elaborations)

ATI: Sensory Perception Test Complete Questions And Accurate Verified Answers.

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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? - Rapid-onset memory loss - Hyperglycemia - Hypervigilance - Difficulty problem solving - correct answer Difficulty problem solving. Difficulty with problem-solving is an expected manifestation of dementia. Dementia is non-reversible, but the nurse can help the family develop strategies to manage the client's condition. A charge nurse is discussing sensory processing disorder (SPD) with a newly licensed nurse. Which of the following statements should the charge nurse make? - "SPD occurs when a client's brain is unable to process rapidly occurring multiple stimuli." - "SPD causes clients to be overly sensitive to stimuli, such as the feel of fabric on their skin." - "A client is diagnosed with SPD if they experience significant decrease in stimuli." - "A client who has SPD has a deficit in the function of one or more of their five senses." - correct answer "SPD causes clients to be overly sensitive to stimuli, such as the feel of fabric on their skin." SPD is a sensory disorder in which a client experiences a hypersensitive response to normal stimuli, such as the sound of a television, or the feel of fabric on their skin. 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? SATA - Provide the client with large print materials. - Ensure the client wears their hearing aids. - Use a sign language interpreter. - Communicate using paper and pen. - Face the client when speaking. - correct answer - Ensure the client wears their hearing aids. - Use a sign language interpreter. - Communicate using paper and pen. - Face the client when speaking. 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? - Decreased sense of touch - Hearing loss - Impaired ability to smell - Reduced taste - correct answer Hearing loss Hearing and vision are the two most commonly affected senses with aging. A nurse is caring for a client who states, "My doctor said I should have and EMG (electromyograph). What is that?" Which fo the following responses should the nurse make? - "It is a test that determines if there is a loss of the ability to smell." - "It is a test that measures the response of the eardrum to various sounds." - "It is a test that determines if there is nerve damage affecting a muscle." - "It is a test that is performed to diagnose damage to the retina of the eye." - correct answer "It is a test that determines if there is nerve damage affecting a muscle." An EMG, or electromyography, is performed to determine if there is damage to the nerves leading to the muscles. During an EMG, very small needles are inserted into a muscle. The needles are attached by a wire to an EMG machine that records the electrical activity in the muscle. Damage to a nerve will alter this electrical activity. 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? SATA - Trauma to the outer ear - Damage to inner ear structures - Inflammation - Down syndrome - Cerumen buildup - Otitis media - correct answer - Trauma to the outer ear - Inflammation - Cerumen buildup - Otitis media 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 ability to taste which of the following decreases with age? SATA - Sweet - Sour - Spicy - Bitter - Salty - Savory - correct answer - Sour - Bitter - Salty A nurse is preparing a poster presentation about sensory alterations. Which of the following information should the nurse include about sensory deprivation? - Sensory deprivation is commonly experienced by clients who are in the ICU. - Sensory deprivation can cause tactile stimuli to feel painful. - Risk factors for sensory deprivation include experiencing total vision or hearing loss. - Sensory deprivation occurs most often in children who have developmental disorders. - correct answer Risk factors for sensory deprivation include experiencing total vision or hearing loss. A nurse is caring for a middle-adult client who asks about expected age-related changes. Which fo the following sensory changes should the nurse include as age-related change? - Presbyopia - Diplopia - Myopia - Astigmatism - correct answer Presbyopia. Presbyopia is the decrease in the ability to focus clearly on objects that are up close. Presbyopia typically begins during middle adulthood due to a loss of flexibility of the lens of the eye. A nurse is preparing to administer medications to a client. Which of the following classifications of medications should the nurse identify as being ototoxic? SATA - Loop diuretics - Benzodiazepines - NSAIDS - Antihistamines - Aminoglycoside antibiotics - correct answer - Loop diuretics - NSAIDS - Aminoglycoside antibiotics A nurse is assessing a client who has delirium. Which of the following manifestations should the nurse expect? SATA - Difficulty maintaining attention - Aphasia - Agitation - Alertness - Hallucinations - Rambling speech - correct answer - Difficulty maintaining attention - Agitation

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