Question

A client is diagnosed with a right-sided stroke. The client is now experiencing hemianopsia. How might the nurse help the client manage her potential sensory and perceptional difficulties?

a) Keep the lighting in the client's room low.
b) Place the client's clock on the affected side.
c) Approach the client on the side where vision is impaired.
d) Place the client's extremities where she can see them.

Answer 1

To assist a client with hemianopsia after a stroke, positioning the clock on the affected side encourages the use of remaining vision and promotes adaptation to the visual deficit.

Step-by-step explanation:

To help a client with hemianopsia manage sensory and perceptional difficulties after a right-sided stroke, the most appropriate intervention would be b) Place the client's clock on the affected side. This strategy encourages the client to use the vision that remains by turning toward the affected side, thus fostering adaptation to the visual field deficit. The other options, such as keeping the lighting low or approaching the client from the affected side, are not appropriate and may contribute to further disorientation or neglect of the affected side.

Additionally, placing the client's extremities where she can see them supports sensory integration and awareness of all body parts, contributing positively to the rehabilitation process.