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Which sense is affected by presbyopia?
Hearing
Sight
Smell
Taste - CORRECT ANSWER-Sight
Sensory changes in the eyes are characterized by the presence
of decreased accommodation to near or far vision, which is
called presbyopia. Sensory changes in the ears include
thickening of the tympanic membrane and sclerosis of the ear.
Sensory changes of smell include a diminished sense of smell.
Sensory changes in taste are often characterized by fewer taste
buds.
Which clinical feature is related to depression in older adults?
Apraxia
,Agitation
Hypervigilance
Impaired orientation - CORRECT ANSWER-Agitation
Psychomotor disorientation, or agitation, is commonly seen in
patients with depression. Apraxia is a clinical feature associated
with dementia but not depression. Patients with delirium have
increased alertness (hypervigilance). However, the alertness in
patients with depression is usually normal. Impaired
orientation is associated with delirium, and patients with
depression may have selective disorientation.
A patient is in labor with her first baby, which is coming 2
weeks early. Her husband is in the military and might not get
back in time, and neither family is able to be with her during
labor. Which support person employed by the birthing area is
the health care provider most likely to call in to be present
during labor?
Nurse
Midwife
Assistant
Lay doula - CORRECT ANSWER-Lay doula
A lay doula is a support person who is present during labor to
assist women who have no other source of support. This woman
has no family available to support her during the laboring
,process and delivery. Although the nurse and a midwife would
be supportive during labor, the scope of practice for nurses and
midwives far exceeds that of a support person present during
labor. An assistant is incorrect.
Which condition does the nurse suspect in an older-adult
patient who has reported daily hearing decline?
Delirium
Dementia
Presbyopia
Presbycusis - CORRECT ANSWER-Prebycusis
Presbycusis refers to the progressive loss of hearing that occurs
with age. Delirium is a cognitive impairment resulting in a
confused state. Dementia is an impairment of intellectual
functioning that interferes with social and occupational
functioning. Presbyopia is a progressive decline of vision.
Which factor would the nurse assess when determining the
knowledge base of a middle-aged adult with chronic illness and
his or her family? Select all that apply. One, some, or all
responses may be correct.
The medical course of the illness
The prognosis for the patient
, Coping mechanisms of the patient and family
The need for community and social services
The family's nutritional needs - CORRECT ANSWER-The medical
course of the illness
The prognosis for the patient
Coping mechanisms of the patient and family
The need for community and social services
When assessing a patient with a chronic illness, the nurse
should determine how much the patient and the family know
about how the illness has progressed and the long-term
prognosis for the patient. This includes understanding the
patient's and family's ability and readiness to accept the illness
and the outlook for the patient. Understanding the coping
mechanisms used by the patient and family helps the nurse to
determine how to teach and counsel them about the treatment
regimen and whether or not community or social services are
needed and will be accepted to help the patient and family.
Which physical change occurs during adolescence?
Elongation of limbs
Slow and consistent growth rate