Author Question: Persons with normal age-related sensory changes are likely to have the most difficulty ... (Read 74 times)

chandani · **on:** Jul 11, 2018

Persons with normal age-related sensory changes are likely to have the most difficulty distinguishing which of the following?

a. Spoken pairs of phrases like she's praised and fees raised
b. An orange towel hanging on a beige wall
c. Go and to in lowercase letters in fine print
d. Spoken words pairs like cupful and capful

Question 2

During a nursing assessment, an older adult tells the nurse about increasing loss of balance. Further assessment indicates musculoskeletal changes.

Which patient teaching should the nurse implement to address musculoskeletal reasons for the loss of balance? a. Exercise with light weights.
b. Stand on one foot at a time while sup-ported.
c. Train with the use of sit-ups.
d. Work out in a swimming pool.

Missbam101 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A

Feedback
A Correct. A person with presbycusis has trouble hearing the higher frequencies, where most of the differences between consonant sounds occur.
B Incorrect. The contrast between a vivid color such as orange and a pale color such as beige can help an older person distinguish objects.
C Incorrect. The details of the letters may be poorly focused, but their overall shape, relative to the line around them, helps distinguish them.
D Incorrect. Age-related hearing impairments affect the hearing of consonants more than vowels. A person would have more trouble distinguishing cupful and couple.

Answer to Question 2

B
The loss of balance from a musculoskeletal perspective is usually due to a loss of core muscle strength, thus the nurse suggests standing on one foot at a time while holding onto a chair back, if necessary, and working to increase the duration of the exercise. Lifting weights helps increase muscle strength. Sit-ups are contraindicated for older adults because they put tremendous amounts of stress on the lumbar spine. Low-impact aerobic exercise helps improve conditioning and endurance.