Chapter 10: Cognition and Perception

Basic Geriatric Nursing 5th Edition by Gloria Hoffman Wold

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Chapter 10: Cognition and Perception

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. What does perception refer to in the environment?
a. Intellect
b. Memory
c. Judgment
d. Interpretation

 

 

ANS:  D

Perception refers mainly to the ability to interpret situations in the environment.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 180             OBJ:   1

TOP:   Perception vs. Cognition                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. What observation would cause the nurse to suspect cataracts in the older adult?
a. Holds the newspaper a good distance away while attempting to read small print
b. Seeks an area in a room that is free from glare in order to read the newspaper
c. Holds a hand over one eye while attempting to read small print
d. Uses only peripheral vision while attempting to read a newspaper

 

 

ANS:  B

Cataracts blur the vision and increase the sensitivity to glare.

 

DIF:    Cognitive Level: Analysis                REF:   p. 181             OBJ:   3

TOP:   Cataracts        KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. How should the nurse approach a patient who has profound hearing loss?
a. Knock on the door before entering.
b. Touch the patient on the hand to gain attention.
c. Give the patient a list of interventions that the nurse plans to perform.
d. Speak in a higher tone of voice.

 

 

ANS:  B

Touching on the hand to gain attention before giving care is thoughtful. Giving a lengthy list is not necessary. Knocking on the door may be futile, and speaking in higher tones is not helpful because the hearing-impaired lose the ability to hear high tones first.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 183             OBJ:   7

TOP:   Hearing Impairment                        KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. When attempting to communicate with a patient who is hearing-impaired, what should the nurse consider?
a. Keep the message simple.
b. Provide lengthy explanations and information.
c. Assume understanding if the patient does not ask for clarification.
d. Use many hand gestures.

 

 

ANS:  A

Keeping the message simple will assist the hard of hearing to understand. Long explanations and the use of many hand gestures may be confusing. It is the responsibility of the nurse to check to confirm understanding.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 183             OBJ:   7

TOP:   Communication with the Hearing-Impaired

KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

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