An older adult patient residing at an adult assisted living ...

[bobbie]

An older adult patient residing at an adult assisted living facility complains of hearing and visual disturbances. A nurse must be alert to the effects of sensory deprivation that are associated with which of the following?
 
  a. Stable affect
  b. Altered perception
  c. Improved task completion
  d. Decreased need for social interaction

Question 2

A patient states that he or she is experiencing pain in the lower back. What is the best way for the nurse to document this subjective information?
 
  a. Seems back is hurting.
  b. States My lower back hurts.'
  c. Grimaces when moving; I believe patient has lower back pain.
  d. Appears to be uncomfortable with lower back pain.

[Bison]

Answer to Question 1

B
Sensory deprivation sometimes produces cognitive changes such as the inability to solve problems, poor task performance, and disorientation. It also can cause affective changes (e.g., boredom, restlessness, increased anxiety, emotional lability) and/or perceptual changes (e.g., reduced attention span, disorganized visual and motor coordination, confusion of sleeping and waking states). Patients may withdraw from social situations because of their inability to handle stimuli.

Answer to Question 2

B
The only subjective data included in a record are what the patient says. Write subjective information with quotation marks, using the patient's own words. For example, a patient's statement of My lower back hurts is subjective and acceptable documentation. Seems and appears should be avoided. A factual record contains descriptive, objective information about what you see, hear, feel, and smell, not the nurse's opinions.

[bobbie]

TYSM

[cpetit11]

Gracias!