Difficulty: Medium
Average Score: 67%
Simulated
A nurse caring for a client who had a right-sided stroke and is exhibiting homonymous hemianopsia when eating. Which of the following actions should the nurse take?
Correct answer
C
Rationale
Correct Answer: C. Remind the client to look for food on the left side of the tray.
Rationale: Due to homonymous hemianopsia (loss of half of the visual field), the client may have difficulty seeing items on the right side. By reminding the client to focus on the left side, the nurse helps compensate for the visual deficit, improving the client's ability to locate and eat food.
Summary of Incorrect Choices:
A. Providing a nonskid mat does not address the visual deficit and plate movement is not the primary issue.
B. Encouraging wide grip utensils does not address the client's visual impairment and may not improve the ability to locate food.
D. Encouraging the client to use his right hand does not address the visual deficit and may not improve the client's ability to see food on the left side.
E, F, G: No additional choices provided.
Rationale: Due to homonymous hemianopsia (loss of half of the visual field), the client may have difficulty seeing items on the right side. By reminding the client to focus on the left side, the nurse helps compensate for the visual deficit, improving the client's ability to locate and eat food.
Summary of Incorrect Choices:
A. Providing a nonskid mat does not address the visual deficit and plate movement is not the primary issue.
B. Encouraging wide grip utensils does not address the client's visual impairment and may not improve the ability to locate food.
D. Encouraging the client to use his right hand does not address the visual deficit and may not improve the client's ability to see food on the left side.
E, F, G: No additional choices provided.