Author Question: The client has had a cerebral vascular accident (CVA) and now cannot speak. It is unclear from ... (Read 94 times)

P68T · **on:** Jul 23, 2018

The client has had a cerebral vascular accident (CVA) and now cannot speak. It is unclear from assessment if the client understands spoken words. What NANDA nursing diagnosis problem statement would be used for this client?

What will be an ideal response?

Question 2

Which recent change, reported by a client's family, would indicate that the client's hearing ability is decreasing? (Select all that apply.)

1. Inability to follow directions
2. Mood swings
3. Decreased appetite
4. Complaints of dizziness
5. Answering questions incorrectly

234sdffa · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: Disturbed Sensory Perception
Rationale : This nursing diagnosis is used when the client exhibits a diminished, exaggerated, distorted, or impaired response to incoming stimuli.

Answer to Question 2

Correct Answer: 5
Rationale: The client who has difficulty hearing may have an inability to follow directions (because the directions were not heard), mood swings (because of the stress of not hearing well), and complaints of dizziness (associated with inner ear disturbances), or may answer questions incorrectly (because the question was not heard or was misinterpreted). Decrease in appetite is not generally associated with hearing loss.