The client states that she has no hearing problems but has some difficulty understanding certain words. What quick screening test could the nurse perform to determine whether the client should be evaluated for a hearing loss?
A. Hold a watch 12 inches from the client's ear and ask whether she can hear the ticking.
B. Place a vibrating tuning fork on the top of the client's head and ask in which ear the sound is heard the loudest.
C. Ask the client to repeat a short sentence that the nurse has spoken in a normal tone with back turned toward the client.
D. Ask the client to repeat the following sentence after the nurse has spoken in a normal tone: "Check and see if Fred or Charles is on third base."
D
The ability to hear high-frequency soft discriminating consonants is lost first, especially such sounds as "s," "sh," "f," "th," and "ch."
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What is one of the steps in the COACHING acronym?
A) Assist B) Help C) Caution D) Instill
The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of the following would be the most therapeutic strategy to use for this interaction?
a. sit calmly in a chair next to the person and ask questions in a non-threatening manner b. ask loud, direct questions c. have the person write down the information on the chart d. ask the family member instead of the person
A client tells the nurse that he realizes he needs to eat better and take better care of his health since he is not getting any younger. The nurse realizes this client is describing which type of change?
a. Covert b. Overt c. Developmental d. Reactive
Clinical manifestations of failure to thrive caused by behavioral problems resulting in inadequate intake of calories include:
a. Avoidance of eye contact. b. An associated malabsorption defect. c. Weight that falls below the 15th percentile. d. Normal achievement of developmental landmarks.