Mrs Jones Flashcards
You are the district nurse visiting Mrs Jones, a 72 year old female who has macular degeneration. You have noticed over the past 2 months that she does not appear as well-groomed and that her house is not as clean as it used to be. She states she is “lonely and doesn’t like to go out to bowls & bridge anymore, my hearing and sight are getting worse, I can’t real small print anymore or hear other ladies talk very well”
- when preforming a comprehensive assessment, which part of the body would you assess for information about the miter function of cranial nerve VII?
Head and face
You are preparing to assess Mrs Jones distance visual acuity. Given that she wears reading glasses, which of the following would be most appropriate?
Ask Mrs Jones to remove her glasses before testing
During Mrs Jones ocular exam you shine a light into one eye and the pupil of the other eye constricts, what do you interpret this as?
Consensual response
Which of the following questions will help you evaluate Mrs Jones for a hearing impairment?
- “do you have a problem hearing over the telephone?”
- “do people complain that you turn the TV volume up too high?”
- “Do you misunderstand what others are saying and respond inappropriately?”
- “Do many people you talk to seek to mumble (or not speak clearly)?”
All of the above
If Mrs Jones has difficulty hearing high-pitched sounds, which of the following would you document this finding as?
Presbycusis
Mrs Jones has asked you to present an educational class to her garden club about vision and eye health. As part of the presents you explain how visual perception occurs. Which of the following would you include in the explanation?
Involves light rays striking the retina
Mrs Jones asks you why cerumen is important because it “just clogs up the ear anyway.” What response would be most appropriate?
It helps create the smoothness of the external auditory canal
