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. The nurse clarifies that perception differs from cognition in that perception refers mainly to:
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: Comprehension       REF:    180      OBJ:    1

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

MSC:   NCLEX: Psychosocial Integrity: Psychosocial Adaptation

 

  1. The nurse suspects the presence of cataracts in the older adult when the patient:
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:    181      OBJ:    2

TOP:    Cataracts         KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. The nurse approaching a patient who has profound hearing loss should:
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:    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, the nurse should remember to:
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:    183      OBJ:    7

TOP:    Communication with the Hearing-Impaired

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Physiological Adaptation

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