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 98 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
Thanks for the timely response, appreciate it


tanna.moeller

  • Member
  • Posts: 328
Reply 3 on: Yesterday
Excellent

 

Did you know?

Vampire bats have a natural anticoagulant in their saliva that permits continuous bleeding after they painlessly open a wound with their incisors. This capillary blood does not cause any significant blood loss to their victims.

Did you know?

Complications of influenza include: bacterial pneumonia, ear and sinus infections, dehydration, and worsening of chronic conditions such as asthma, congestive heart failure, or diabetes.

Did you know?

It is difficult to obtain enough calcium without consuming milk or other dairy foods.

Did you know?

Asthma occurs in one in 11 children and in one in 12 adults. African Americans and Latinos have a higher risk for developing asthma than other groups.

Did you know?

Many of the drugs used by neuroscientists are derived from toxic plants and venomous animals (such as snakes, spiders, snails, and puffer fish).

For a complete list of videos, visit our video library