NURS 3000 Final Burt Exam Questions And Answers
Nursing Interventions for various sensory impairments - ANWER increase
stimuli/meaning, explain care; decrease stimuli, visit more, orient; place tv, radio,
calender or clock in room; familiar objects, touch, elevate HOB, open door, assist OOB,
amb.
Normal Sensory Process components - ANWER reception (nerve cell stim), perception
(person becomes aware of stimuli), reaction (action taken)
visceral sensory - ANWER stimuli that makes you aware of an organ, such as a full
stomach
kinesthetic sensory- ANSWER awareness of position and mvmt of body parts
vibratory sensory - ANSWER awareness of vibrations, using tuning fork
stereognosis sensory - ANSWER ability to perceive and understand object using touch
How to assess and accurately document LOC & Orientation - ANSWER alert and
oriented x3. name DOB location time
Pts at risk for myriad sensory disturbances - ANSWER injury; impaired home
maintenance; risk for impaired skin integrity; impaired verbal communication; social
isolation
Sensory Deprivation (definitions; s/s; causes) - ANSWER -decrease or absence of
meaningful stimuli
-excessive yawning, somnolence, increased amount of sleeping, decreased attention
span, impaired memory, disorientation, nocturnal confusion, delusions, crying, apathy,
, depression
-restrictive environment, decreased input from impaired senses, meaningless stimuli
sensory overload def/s+s/causes - ANSWER - person unable to process/manage the amt
or intensity of sensory stimuli
- fatigue, irritability, anxiety, disorientation, muscle tension
- too much stimuli, meaningless stimuli, repetitious/unchanging stimuli
ns interventions for sensory deprivation - ANSWER increase stimuli/meanings; explain
care; visit more; place TV, radio, clock or calender in room; familiar objects; touch
more; elevate HOB
ns interventions for sensory overload - ANSWER decrease stimuli, interruptions;
organize care efficiently; close door, turn off tv; decrease odors, noise levels; restrict
visitors/calls; provide comfort
Problem statements r/t Disruptions in meeting Sensory Needs - ANSWER acute
confusion. chronic confusion, impaired memory
How to support pts experiencing sexuality concerns following MI & related to other
illness/health condition - ANSWER risk for anxiety after heart surgery regarding
changes in cardiac function; advise when to resume activity and positions that will be
helpful
sex role - ANSWER the overt behaviors, attitudes, and characteristics a culture defines
as masculine or feminine, also what is seen as "gender appropriate
gender identity - ANSWER inner self image. develops over time.
sexual orientation - ANSWER a preference for sexual partners of whatever gender
gender dysphoria - ANSWER the condition of feeling one's emotional and psychological
identity as male or female to be opposite to one's biological sex.
Nursing Interventions for various sensory impairments - ANWER increase
stimuli/meaning, explain care; decrease stimuli, visit more, orient; place tv, radio,
calender or clock in room; familiar objects, touch, elevate HOB, open door, assist OOB,
amb.
Normal Sensory Process components - ANWER reception (nerve cell stim), perception
(person becomes aware of stimuli), reaction (action taken)
visceral sensory - ANWER stimuli that makes you aware of an organ, such as a full
stomach
kinesthetic sensory- ANSWER awareness of position and mvmt of body parts
vibratory sensory - ANSWER awareness of vibrations, using tuning fork
stereognosis sensory - ANSWER ability to perceive and understand object using touch
How to assess and accurately document LOC & Orientation - ANSWER alert and
oriented x3. name DOB location time
Pts at risk for myriad sensory disturbances - ANSWER injury; impaired home
maintenance; risk for impaired skin integrity; impaired verbal communication; social
isolation
Sensory Deprivation (definitions; s/s; causes) - ANSWER -decrease or absence of
meaningful stimuli
-excessive yawning, somnolence, increased amount of sleeping, decreased attention
span, impaired memory, disorientation, nocturnal confusion, delusions, crying, apathy,
, depression
-restrictive environment, decreased input from impaired senses, meaningless stimuli
sensory overload def/s+s/causes - ANSWER - person unable to process/manage the amt
or intensity of sensory stimuli
- fatigue, irritability, anxiety, disorientation, muscle tension
- too much stimuli, meaningless stimuli, repetitious/unchanging stimuli
ns interventions for sensory deprivation - ANSWER increase stimuli/meanings; explain
care; visit more; place TV, radio, clock or calender in room; familiar objects; touch
more; elevate HOB
ns interventions for sensory overload - ANSWER decrease stimuli, interruptions;
organize care efficiently; close door, turn off tv; decrease odors, noise levels; restrict
visitors/calls; provide comfort
Problem statements r/t Disruptions in meeting Sensory Needs - ANSWER acute
confusion. chronic confusion, impaired memory
How to support pts experiencing sexuality concerns following MI & related to other
illness/health condition - ANSWER risk for anxiety after heart surgery regarding
changes in cardiac function; advise when to resume activity and positions that will be
helpful
sex role - ANSWER the overt behaviors, attitudes, and characteristics a culture defines
as masculine or feminine, also what is seen as "gender appropriate
gender identity - ANSWER inner self image. develops over time.
sexual orientation - ANSWER a preference for sexual partners of whatever gender
gender dysphoria - ANSWER the condition of feeling one's emotional and psychological
identity as male or female to be opposite to one's biological sex.
