Chapter 31: Cognitive and Sensory Alterations

Chapter 31: Cognitive and Sensory Alterations

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A nurse is caring for a patient with a stroke that has impacted her ability to see. Which area of the brain was likely impacted by the stroke that is responsible for visual function?

ANS:  C

The occipital lobes process visual information. The frontal lobes of the cerebrum are the areas of the brain responsible for voluntary motor function, concentration, communication, decision making, and personality. The parietal lobes are responsible for the sense of touch, distinguishing the shape and texture of objects. The temporal lobes are concerned with the senses of hearing and smell.

DIF:    Applying        REF:   p. 710            OBJ:   31.1               TOP:   Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity     NOT:  Concepts: Cognition

2. The family of a patient who was in a motor vehicle accident tells you he “just isn’t the same person before the crash.” You know this is likely because of the injury to what area of his brain?

ANS:  B

The frontal lobes of the cerebrum are the areas of the brain responsible for voluntary motor function, concentration, communication, decision making, and personality. The parietal lobes are responsible for the sense of touch, distinguishing the shape and texture of objects. The temporal lobes are concerned with the senses of hearing and smell. The occipital lobes process visual information.

DIF:    Applying        REF:   p. 710            OBJ:   31.1               TOP:   Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity     NOT:  Concepts: Cognition

3. The nurse is educating the family of a patient in the intensive care unit about the patient’s cognitive status, including her current problem of delirium. Which statement by the family indicates a need for further education?

ANS:  C

Delirium is a reversible state of acute confusion. It is characterized by a disturbance in consciousness or a change in cognition that develops over 1 to 2 days and is caused by a medical condition. Delirium may occur in intensive care patients as a result of sensory overload. It is not a mood disorder.

DIF:    Applying        REF:   p. 713            OBJ:   31.2               TOP:   Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity     NOT:  Concepts: Cognition

4. The nurse is caring for a patient with depression. Which statement by the patient indicates a need for further education?

ANS:  B

Depression is usually reversible with treatment either by eliminating the underlying cause, providing counseling, or prescribing antidepressive agents. Depression is a mood disorder and is believed to be caused by chemical changes in the brain. Depression usually has a rapid onset, and the patient’s mood is constant.

DIF:    Applying        REF:   p. 713            OBJ:   31.2               TOP:   Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity     NOT:  Concepts: Cognition