With All Correct Answers 2025 Latest
Update!!
Nursing Interventions for Various Sensory Impairments CORRECT ANSWERS Increase
or Decrease Stimuli
-Explaining Care
-Visit More Often
-Orient
-Place TV, Radio, Calendar, Clock in Room
-Touch
-Elevate HOB
-Open/Close Door
-Turn Off TV
-Assist Out Of Bed, Ambulate
Normal Sensory Process Components CORRECT ANSWERS 1.) Reception (Nerve
Cell Stimulation)
2.) Perception (Person is Aware of Stimuli)
3.) Reaction (Action)
Vibratory Sensations CORRECT ANSWERS Awareness of Vibrations, Use Tuning
Fork, Place on Bony Prominences, Joints
Kinesthetic Sensations CORRECT ANSWERS Aware of Position & Movement of Body
Parts
Stereognosis Test CORRECT ANSWERS Can a patient identify an object through
touch?
-Patient makes a fist around object & tries to identify it with their eyes closed.
Visceral Sensations CORRECT ANSWERS A stimulus that makes you aware of an
organ.
-Ex: feeling full after eating.
How to Assess and Document LOC & Orientation? CORRECT ANSWERS "alert &
oriented x 3"
-Oriented to Person, Place, Thing
What patients are at risk for sensory disturbances? CORRECT ANSWERS -Risk for
Injury
-Impaired Home Maintenance
, -Risk for Impaired Skin Integrity
-Impaired Verbal Communication
-Social Isolation
What is sensory deprivation? CORRECT ANSWERS A decrease or lack of meaningful
stimuli.
What are signs & symptoms of sensory deprivation? CORRECT ANSWERS -Excessive
yawning
-Drowsiness
-Increased Amounts of Sleeping
-Impaired Memory
-Decrease of Attn Span
-Nocturnal Confusion
-Apathy
-Depression
-Crying
-Delusions
-Disoriented
What are causes of sensory deprivation? CORRECT ANSWERS -Restricting
Environment
-Decreased Input for Senses
-Meaningless Stimuli
What is sensory overload? CORRECT ANSWERS When a person is unable to process
or manage the amount or intensity of sensory stimuli.
What are signs & symptoms of sensory overload? CORRECT ANSWERS -Fatigue
-Irritability
-Disorientation
-Muscle Tension
What are causes of sensory overload? CORRECT ANSWERS -Too Much Stimuli
-Meaningless Stimuli
Repetitious/Unchanging Stimuli
Nursing Interventions for Patients with Sensory OVERLOAD: CORRECT ANSWERS -
Decrease Stimuli
-Limit Interruptions
-Organize Care
-Close Door
-Turn Off TV
-Decrease Odor, Trash
-Restrict Visitors, Calls
-Provide Comfort