A nurse in an outpatient clinic is caring for a client. Which of the following findings indicates the client is experiencing a hearing deficit?
Persistent repositioning of objects
No response to tactile stimuli
Decreased attention span
Presence of expressive aphasia
The Correct Answer is C
A. Persistent repositioning of objects: Repositioning objects frequently is more likely to be related to issues like anxiety or cognitive concerns rather than a hearing deficit. It does not typically indicate a hearing issue.
B. No response to tactile stimuli: No response to tactile stimuli suggests a possible sensory deficit related to touch or neurological concerns, but it does not indicate a hearing deficit. Hearing deficits affect auditory perception, not tactile sensations.
C. Decreased attention span: A decreased attention span can be a sign of hearing impairment, as individuals with hearing deficits may have difficulty following conversations or may become distracted due to not fully engaging with their environment.
D. Presence of expressive aphasia: Expressive aphasia is related to difficulty with speech production and language, typically following neurological events like strokes. It is not directly associated with hearing deficits but rather with language processing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A middle adult experiences physical changes: While physical changes are a normal part of aging, they do not necessarily indicate a change in the family system. Stressors affecting the family dynamic are more evident in relational shifts or roles.
B. A young adult develops a close, personal relationship: This is a developmental milestone for a young adult and does not suggest a change in the family system. Relationships are important, but this behavior is not typically a sign of stressors impacting the family structure.
C. A young adult focuses on their career: Career development is a normal developmental task for a young adult and may not indicate a change in the family system. It is a personal growth milestone rather than a response to family stress.
D. A middle adult assumes their parent's responsibilities: This behavior, known as the "sandwich generation" phenomenon, occurs when a middle adult takes on caregiving roles for aging parents while possibly still caring for their own children. This shift in roles is a significant indicator of stressors affecting the family system.
Correct Answer is A
Explanation
A. Patient’s name: The client’s name is the most reliable and direct way to identify a client. It should be verified using two identifiers (e.g., name and date of birth) to ensure the correct client is receiving care.
B. Room number: While room numbers are helpful in identifying a location, they should not be used as the primary method for client identification. Two clients could be in the same room, so room number alone is not sufficient.
C. Telephone number: A client’s telephone number is not an appropriate identifier for performing a focused assessment, as it is not unique to the patient’s identity in a healthcare setting.
D. Diagnosis: The diagnosis is important for the care plan but should not be used to identify the client. Multiple clients may have the same diagnosis, so it cannot serve as a unique identifier.
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