A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?

Self-care deficit.

Risk for falls.

Impaired socialization.

Impaired physical mobility.

Answer and Explanation

The Correct Answer is C

Choice A reason: Self-care deficit addresses physical inability to perform daily tasks, not psychological issues from sensory impairments. Hearing and visual loss primarily impact communication, leading to socialization issues. Assuming self-care deficit misaligns the diagnosis, risking neglect of psychological needs like social isolation, critical for mental health in sensory-impaired patients.

Choice B reason: Risk for falls is a physical safety concern due to sensory impairments but not psychological. Impaired socialization better addresses the psychological impact of communication barriers. Prioritizing falls risks overlooking social isolation, delaying interventions like communication aids, essential for mental well-being in patients with hearing and visual deficits.

Choice C reason: Impaired socialization, a psychological nursing diagnosis, reflects the communication barriers from hearing and visual impairments, leading to social isolation and emotional distress. This diagnosis guides interventions like assistive devices or support groups, critical for mental health, ensuring patients maintain social connections and emotional resilience despite sensory challenges.

Choice D reason: Impaired physical mobility relates to movement limitations, not psychological effects of sensory impairments. Hearing and visual loss primarily cause socialization issues, not mobility deficits. Assuming mobility misdirects care, neglecting psychological needs like social engagement, critical for preventing isolation and supporting mental health in sensory-impaired patients.

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Correct Answer is A

Explanation

Choice A reason: The nurse promotes hope by helping the depressed patient identify activities to look forward to, fostering optimism and purpose. Hope, a spiritual concept, counteracts despair, enhancing mental health per psychological resilience models. This intervention supports emotional recovery, critical for patients with severe depression facing existential challenges.

Choice B reason: Time management is a practical skill, not a spiritual concept, and unrelated to identifying positive activities in depression. The nurse’s focus is hope, not organization. Assuming time management misaligns with the intervention, risking neglect of the patient’s spiritual need for meaning, critical for addressing depressive hopelessness and recovery.

Choice C reason: Reminiscence involves recalling past experiences, not future-oriented activities, as the nurse encourages. Hope targets forward-looking optimism, not reflection. Assuming reminiscence misguides the intervention, potentially missing the patient’s need for hope to combat depression, delaying emotional recovery and engagement in meaningful activities for mental health.

Choice D reason: Faith involves religious or spiritual beliefs, not specifically identifying future activities, as the nurse does to foster hope. While faith may support hope, the intervention targets optimism broadly. Assuming faith risks narrowing the focus, potentially overlooking non-religious patients’ need for hope, critical for depression management and emotional resilience.

A. Most preschoolers sleep soundly all night long. B. Preschoolers may have trouble settling down after a busy day. C. On average, the preschooler needs to sleep 10 hours a night. D. It is important that the 5-year-old get a nap every day.

Correct Answer is B

Explanation

Choice A reason: Stating most preschoolers sleep soundly all night is inaccurate, as many experience disruptions like nightmares or bedtime resistance due to developmental stages. This oversimplification risks misleading parents, potentially causing frustration when addressing common sleep challenges, and may delay establishing effective bedtime routines critical for healthy sleep patterns.

Choice B reason: Preschoolers often struggle to settle down after busy days due to overstimulation or developmental changes affecting self-regulation. This accurate information helps parents anticipate challenges, encouraging consistent bedtime routines to promote restful sleep. Addressing this supports healthy sleep hygiene, critical for cognitive and emotional development in preschool-aged children.

Choice C reason: Preschoolers typically need 10-11 hours of sleep nightly, but stating exactly 10 hours is imprecise and overlooks individual variation. This risks setting rigid expectations, potentially causing parental concern if sleep needs differ. Accurate guidance focuses on flexible ranges and behavioral factors like settling difficulties for optimal sleep.

Choice D reason: Daily naps are not essential for all 5-year-olds, as many transition out of napping by this age, relying on nighttime sleep. Mandating naps risks disrupting nighttime rest or causing unnecessary parental pressure. Flexible guidance on sleep needs better supports preschoolers’ developmental changes and individual sleep patterns.

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A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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