Which assessment finding indicates to the nurse that the patient is experiencing difficulty with proprioception?

The patient must hold on to the railing when ambulating in the hallway.

The patient must add extra seasoning to food in order for it to have any flavor.

The patient suffered a first-degree burn when a heating pad was left on too long.

The patient did not smell smoke even though the smoke detector was alarming.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is correct. The patient must hold on to the railing when ambulating in the hallway indicates that the patient is experiencing difficulty with proprioception. Proprioception is the body's ability to sense its own position, movement, and spatial orientation. It helps the patient maintain balance and coordination. If the patient has impaired proprioception, they may feel unsteady or fall when walking without support.

Choice B reason: This is incorrect. The patient must add extra seasoning to food in order for it to have any flavor does not indicate that the patient is experiencing difficulty with proprioception. This may indicate that the patient has a reduced sense of taste, which can be caused by various factors, such as aging, medication, infection, or smoking. It does not affect the patient's perception of their body or movement.

Choice C reason: This is incorrect. The patient suffered a first-degree burn when a heating pad was left on too long does not indicate that the patient is experiencing difficulty with proprioception. This may indicate that the patient has a reduced sense of pain or temperature, which can be caused by nerve damage, diabetes, or spinal cord injury. It does not affect the patient's perception of their body or movement.

Choice D reason: This is incorrect. The patient did not smell smoke even though the smoke detector was alarming does not indicate that the patient is experiencing difficulty with proprioception. This may indicate that the patient has a reduced sense of smell, which can be caused by nasal congestion, allergy, infection, or head injury. It does not affect the patient's perception of their body or movement.

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Correct Answer is B

Explanation

Choice A reason: This is incorrect. Presbyopia is not a term for age-related hearing loss. Presbyopia is a term for age-related vision loss. Presbyopia is a condition where the lens of the eye becomes less flexible and less able to focus on near objects. It can cause difficulty in reading, writing, or doing other close-up tasks.

Choice B reason: This is correct. Presbycusis is a term for age-related hearing loss. Presbycusis is a condition where the inner ear or the auditory nerve degenerates over time. It can cause difficulty in hearing high-pitched sounds, speech, or background noise. It can also affect the balance and the quality of life.

Choice C reason: This is incorrect. Meniere’s disease is not a term for age-related hearing loss. Meniere’s disease is a term for a disorder of the inner ear that causes episodes of vertigo, hearing loss, tinnitus, and ear fullness. It can affect people of any age, but it is more common in middle-aged adults. It can be triggered by stress, infection, or allergy.

Choice D reason: This is incorrect. Tinnitus is not a term for age-related hearing loss. Tinnitus is a term for a ringing, buzzing, or other sound in the ears or head that is not caused by an external source. It can affect people of any age, but it is more common in older adults. It can be caused by various factors, such as noise exposure, ear infection, medication, or hearing loss.

A. Turn on the television to drown out noise from other patients. B. Institute a unit-wide quiet time at 10:00 p.m. each night. C. Reduce the number of visitors to the patient’s room. D. Provide a dedicated period of rest time each afternoon. E. Coordinate therapies and tests with other departments and providers.

Correct Answer is ["B","C","D","E"]

Explanation

Choice A reason: This is incorrect. Turning on the television to drown out noise from other patients can worsen the sensory overload by adding more auditory stimulation. The patient may prefer a quiet and calm environment.

Choice B reason: This is correct. Instituting a unit-wide quiet time at 10:00 p.m. each night can benefit the patient by reducing the noise level and promoting rest and relaxation. The patient may sleep better and feel less agitated.

Choice C reason: This is correct. Reducing the number of visitors to the patient’s room can benefit the patient by minimizing the social and emotional demands and allowing the patient to have some privacy and personal space. The patient may feel less overwhelmed and more comfortable.

Choice D reason: This is correct. Providing a dedicated period of rest time each afternoon can benefit the patient by giving the patient a break from the sensory input and activities of the day. The patient may use this time to meditate, listen to soothing music, or do other calming activities.

Choice E reason: This is correct. Coordinating therapies and tests with other departments and providers can benefit the patient by avoiding unnecessary duplication or interruption of services and ensuring a smooth and consistent care plan. The patient may feel less stressed and more confident.

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Which assessment finding indicates to the nurse that the patient is experiencing difficulty with proprioception?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which term will the nurse use to document the patient’s age-related hearing loss?

Correct Answer is B

Explanation

The nurse is caring for a patient who becomes agitated when visitors stay for extended periods or the hospital unit becomes noisy. The nurse identifies this as sensory overload. Which interventions will be of benefit to the patient? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

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