The nurse is concerned that a client is not aware of being in the ...

[jazziefee]

The nurse is concerned that a client is not aware of being in the hospital. For what aspects of the sensory process should the nurse assess the client?
 
  1. Speech
  2. Stimuli
  3. Receptor
  4. Perception
  5. Impulse conduction

Question 2

The nurse is assisting a visually impaired client with ambulation. How should the nurse proceed with this intervention?
 
  1. Walk slightly behind the client.
  2. Walk 1 foot in front of the client.
  3. Walk on the right side of the client.
  4. Walk on the left side of the client.

[lucas dlamini]

Answer to Question 1

Correct Answer: 2, 3, 4, 5

Rationale 1: Speech is not an aspect of the sensory process.

Rationale 2: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these aspects is a stimulus, which is an agent or act that stimulates a nerve receptor.

Rationale 3: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these is a receptor, which is the ability to convert the stimulus to a nerve impulse.

Rationale 4: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these is perception, which is the awareness and interpretation of the stimuli in the brain.

Rationale 5: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these is impulse conduction, which means the impulse travels along the nerve pathways to either the spinal cord or directly to the brain.

Answer to Question 2

Correct Answer: 2
Rationale 1: Walking behind the client would be unsafe.
Rationale 2: The nurse should walk about 1 foot in front of the client, offering the client an arm.
Rationale 3: The side the nurse walks on will depend upon the preference of the client.
Rationale 4: The side the nurse walks on will depend upon the preference of the client.

[jazziefee]

TYSM

[atrochim]

Excellent