The nurse is identifying outcome criteria for a client with a nursing

The nurse is identifying outcome criteria for a client with a nursing diagnosis of Disturbed Sensory Perception, Auditory. What would indicate that interventions to address this diagnosis have been successful?

1. Client places hearing aid on beside table when not in use.
2. Client does not respond appropriately to questions.
3. Client demonstrates use and care of hearing aid.
4. Client demonstrates difficulty with problem solving.

ANSWER

Correct Answer: 3
Rationale 1: The client’s placing the hearing aid on a bedside table when not in use would indicate that interventions were not successful.
Rationale 2: The client’s responding inappropriately to questions would indicate that interventions were not successful.
Rationale 3: Outcome criteria that indicate interventions to address Disturbed Sensory Perception, Auditory have been successful would include the client’s demonstrating use and care of the hearing aid.
Rationale 4: The client’s demonstrating difficulty with problem solving is an indication of sensory overload.