Chapter 58: Assessment and Management of Patients With Eye and Vision Disorders

Chapter 58: Assessment and Management of Patients With Eye and Vision Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

1. The registered nurse is taking shift report and finds that one of her assigned patients is blind. The nurse recalls that the best way to approach a patient who is blind is to what?
2. A) Approach the guide dog before introducing yourself to the patient.
3. B) Introduce yourself in a firm, loud voice at the doorway of the room.
4. C) Touch the patient’s arm and then introduce yourself.
5. D) State your name and role after entering the patient’s room.

Ans:  D

Chapter:  58

Client Needs:  D-1

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Caring

Objective:  7

Page and Header:  1766, Low Vision and Blindness

Feedback:  There are several guidelines to consider when interacting with a person who is blind or has low vision. Identify yourself my stating your name and role, before touching or making physical contact with the patient. When talking to the person, speak directly at him or her using a normal tone of voice. There is no need to raise your voice unless the person asks you to do so. Do not approach or distract the guide dog unless the owner has given permission or instructed you to do so.

2. The nurse has taken shift report on her patients and has been told that one patient has an ocular condition that has affected the rods in his eyes. Considering this information, what will the nurse do while caring for the patient?
3. A) Provide adequate lighting in the patient’s room to assist the patient in achieving his best vision.
4. B) Provide a dimly lit room to assist the patient in achieving his best vision.
5. C) Carefully point out color differences for the patient.
6. D) Carefully point out fine details for the patient.

Ans:  A

Chapter:  58

Client Needs:  D-4

Cognitive Level:  Comprehension

Difficulty:  Moderate

Integrated Process:  Caring

Objective:  1

Page and Header:  1759, Assessment of the Eye

Feedback:  The nurse should provide adequate lighting in the patient’s room, as the rods are mainly responsible for night vision or vision in low light. If the patient’s rods are impaired, the patient will have difficulty seeing in dim light. The cones in the eyes provide best vision for bright light, color vision, and fine detail.

3. A patient has come to the office for her first eye examination. The patient is diagnosed as having a visual acuity of 20/40. The patient asks the nurse what these numbers mean. What is a correct response by the nurse?
4. A) “A person whose vision is 20/40 can see an object from 40 feet away that a person with 20/20 vision can see from 20 feet away.”
5. B) “A person whose vision is 20/40 can see an object from 20 feet away that a person with 20/20 vision can see from 40 feet away.”
6. C) “A person whose vision is 20/40 can see an object from 40 inches away that a person with 20/20 vision can see from 20 inches away.”
7. D) “A person whose vision is 20/40 can see an object from 20 inches away that a person with 20/20 vision can see from 40 inches away.”

Ans:  B

Chapter:  58

Client Needs:  B

Cognitive Level:  Comprehension

Difficulty:  Moderate

Integrated Process:  Nursing Process

Objective:  2

Page and Header:  1760, Assessment

Feedback:  The Snellen chart is a tool used to measure visual acuity. It is composed of a series of progressively smaller rows of letters and is used to test distance vision. The fraction 20/20 is considered the standard of normal vision. Most people can see the letters on the line designated as 20/20 from a distance of 20 feet. A person whose vision is 20/40 can see an object from 20 feet away that a person with 20/20 vision can see from 40 feet away. This makes options A, C, and D incorrect.

4. You are preparing to discharge a patient home. During your discharge teaching you realize that the patient is not able to read the medication bottles and has not been taking her medications at home. How would you intervene appropriately in this situation?
5. A) By asking the social worker to investigate nursing home placement
6. B) By asking the social worker to investigate community support agencies
7. C) By informing that patient that surgery will correct the vision problem
8. D) By informing the patient that she will need to go to a rehabilitation facility for vision training

Ans:  B

Chapter:  58

Client Needs:  B

Cognitive Level:  Application

Difficulty:  Moderate

Integrated Process:  Teaching/Learning

Objective:  6

Page and Header:  1765, Low Vision and Blindness

Feedback:  Managing low vision involves magnification and image enhancement through the use of low-vision aids and strategies and referrals to social services and community agencies serving those with visual impairment. Community agencies, such as the Lighthouse National Center for Vision and Aging, offer services to low-vision patients that include training in independent living skills and a variety of assistive devices for vision enhancement, orientation, and mobility, preventing patients from needing to enter a nursing facility. A rehabilitation facility is generally not needed by the patients to learn to use the assistive devices or gain a greater degree of independence. Surgery is also generally not a necessary component to independent living for this group of patients.

5. The nurse is performing patient teaching with a patient newly diagnosed with glaucoma. The nurse teaches the patient that this disease has a familial tendency. How often would the nurse tell the patient that family members should undergo examination for the detection of glaucoma?
6. A) At least monthly
7. B) At least once every 2 years
8. C) At least once every 5 years
9. D) At least once every 10 years

Ans:  B

Chapter:  58

Client Needs:  B

Cognitive Level:  Comprehension

Difficulty:  Moderate

Integrated Process:  Teaching/Learning

Objective:  3

Page and Header:  1772, Glaucoma

Feedback:  Glaucoma has a family tendency and family members should be encouraged to undergo examinations at least once every 2 years to detect glaucoma early. Testing on a monthly basis is not necessary and excessive. This makes options A, C, and D incorrect