This topic contains a solution. Click here to go to the answer

Author Question: A nurse is assessing cognitive functioning of a patient. Which action will the nurse take? a. ... (Read 92 times)

ts19998

  • Hero Member
  • *****
  • Posts: 531
A nurse is assessing cognitive functioning of a patient. Which action will the nurse take?
 
  a. Administer a Mini-Mental State Examination (MMSE).
  b. Ask the patient to state name, location, and what month it is.
  c. Ask the patient's family if the patient is behaving normally.
  d. Administer the hearing handicap inventory for the elderly (HHIE-S).

Question 2

The nurse is creating a plan of care for a patient with glaucoma. Which nursing diagnosis will the nurse include in the care plan to address a safety complication of the sensory deficit?
 
  a. Body image disturbance
  b. Social isolation
  c. Risk for falls
  d. Fear



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

blakcmamba

  • Sr. Member
  • ****
  • Posts: 335
Answer to Question 1

ANS: A
The MMSE is a formal diagnostic tool that is used to assess a patient's level of cognitive functioning. The Mini-Mental State Examination (MMSE) is a tool you can use to measure disorientation, change in problem-solving abilities, and altered conceptualization and abstract thinking. Asking the patient orientation questions evaluates only the patient's orientation to self and surroundings, not abstract reasoning or critical thinking ability. Family members are not the most reliable source of information about the patient, although information received from the family should be considered. The HHIE-S is a 5-minute, 10-item questionnaire that assesses how the individual perceives the social and emotional effects of hearing loss. The higher the HHIE-S score, the greater the handicapping effect of a hearing impairment.

Answer to Question 2

ANS: C
A visual disturbance poses great risk for injury due to falling from impaired depth perception and inability to see obstacles. Body image disturbance, social isolation, and fear are all valid nursing diagnoses that apply to a patient with vision deficit; however, they do not address the greatest risk for injury.




ts19998

  • Member
  • Posts: 531
Reply 2 on: Jul 22, 2018
YES! Correct, THANKS for helping me on my review


triiciiaa

  • Member
  • Posts: 349
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Did you know?

Multiple sclerosis is a condition wherein the body's nervous system is weakened by an autoimmune reaction that attacks the myelin sheaths of neurons.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

For a complete list of videos, visit our video library