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Chapter 10 questions
Health Assessment (NURS 216)
Arizona College of Nursing
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Health assessmentPreview text
- Routine health assessment is dependent on a person’s ability to hear the health interview questions. During the first encounter the nurse should note whether ____________________ is intact while asking questions.
- Conversational hearing
- Conductive hearing
- Sensorineural hearing
- The cranial nerve
ANS: 1 Page: 177
Feedback
This is correct. During the first encounter, the nurse notes whether the patient has hearing through conversational hearing. Conversational hearing is the ability to participate in a conversation without difficulty and comprehending and answering the question without asking for questions to be repeated.
This is incorrect. Conductive hearing is considered middle ear hearing loss and is when sound is not conducted through the outer ear canal to the eardrum. This is assessed by the Rinne test.
This is incorrect. Sensorineural hearing loss occurs when there is damage to the inner ear or to the nerve pathways from the inner ear to the brain. This is assessed by the Weber test.
This is incorrect. It is a vague answer. Specifically, cranial nerve VIII brings sound and information to the brain.
The nurse asks the patient if he or she has been exposed to loud noises. Why is this question important?
Hearing loss may be inherited or could be caused by ototoxic drugs.
Hearing loss can have an economic impact on everyday health.
Prolonged exposure to loud noise may cause wear and tear on the hairs or nerves.
Prolonged exposure to loud noise can cause tinnitus.
ANS: 3 Page: 179
Feedback
This is incorrect. This answer does not integrate with the question asking about exposure to loud noises.
This is incorrect. This question is not referring to economic impact on everyday
health.
This is correct. Prolonged exposure to loud noise may cause wear and tear on the hairs and nerve cells in the cochlea that send sound signals to the brain. When these hairs or nerve cells are damaged or missing, electrical signals are not transmitted as efficiently and hearing loss occurs.
This is incorrect. Tinnitus is not known to be caused by prolonged exposure to loud noise. It could be a symptom of an inner ear disorder.
On assessment of a 56-year-old man, the nurse discovers he is complaining of “ringing in the ears.” The nurse recalls that the medical term for this is:
Presbycusis.
Vertigo.
Tinnitus.
Tophi.
ANS: 3 Page: 180
Feedback
This is incorrect. Presbycusis is a natural process of hearing loss related to sensorineural hearing loss from death of cochlear hair cells.
This is incorrect. Vertigo is a feeling of lightheadedness, which may lead to feeling faint.
This is correct. Tinnitus is the perception of sound when no actual external noise is present. It is commonly referred to as “ringing in the ears” and can manifest many different perceptions of sound.
This is incorrect. Tophi are hard, whitish, or cream-colored nontender deposits of uric acid crystals indicative of gout.
The nurse has finished her focused health history and is preparing to do an assessment of the ears. Which position should the patient be placed in?
Supine
Prone
Semi-Fowlers
Chapter 10 questions
Course: Health Assessment (NURS 216)
University: Arizona College of Nursing
