A client asks the nurse to please close the door when entering or ...

[mspears3]

A client asks the nurse to please close the door when entering or exiting the room because the noise is more than the client is used to since he lives alone. The nurse identifies the reason for this client's response to sensory stimuli as being due to:
 
  1. Lifestyle.
  2. Developmental stage.
  3. Culture.
  4. Illness.

Question 2

The nurse is concerned that a client is experiencing sensory deprivation when what is assessed?
 
  1. Excessive sleeping.
  2. Confusion at night.
  3. Anger over minor issues.
  4. Easily distracted.
  5. Sitting quietly reading a book.

[aruss1303]

Answer to Question 1

Correct Answer: 1
Rationale 1: Lifestyle influences the quality and quantity of stimulation to which an individual is accustomed. A client who lives alone is exposed to fewer, less diverse stimuli.
Rationale 2: There is no information to support that the client's response to sensory stimuli is because of developmental stage.
Rationale 3: There is no information to support that the client's response to sensory stimuli is because of culture.
Rationale 4: There is no information to support that the client's response to sensory stimuli is because of illness.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: A clinical manifestation of sensory deprivation is excessive sleeping.
Rationale 2: A clinical manifestation of sensory deprivation is nocturnal confusion.
Rationale 3: A clinical manifestation of sensory deprivation is annoyance over small matters.
Rationale 4: A clinical manifestation of sensory deprivation is a decreased attention span.
Rationale 5: Sitting quietly reading a book is not a clinical manifestation of sensory deprivation.

[mspears3]

TYSM

[LVPMS]

Gracias!