NURS 3000 FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS
1. Signs of visual im- Poor coordination, falls, squinting, repositions objects
pairment
2. Signs of Blank looks, speaking loudly, decreased attention span, inappropriately
auditory
smiling and nodding, ringing in ears
impairment
-Excessive seasoning, changes in appetite, complaints of food tasting
3. Signs of
ditterent / bad
gusta- tory /
-Increased body odor, failure to react to strong odors, increased sensitivity
olfactory
to odors
deficits
No response when touched, increased or decreased reaction to pain,
4. Signs of
clumsiness, numbness
tactile
-Positioning: poor balance, shuffling, decreased response to brace
deficits
self when falling, deliberate movements
-Loud noises
5. What might -Excessive / reduced stimuli
cause -Damage to sensorineural pathways / nerve damage
disrup- tions -Genetic disorders (autism, OCD)
in the
normal
sensory sensory pathway to detect vibrations by touch
process?
6. Vibratory Awareness of body position and movements
sensa- tion
7. Kinesthetic
sen- sation
8. Stereognosis Awareness of object's shape, size, texture from touch
9. Visceral sensa- tion
, NURS 3000 FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS
Awareness of internal organs and sensation
10. - Alert: readily responds to all stimuli appropriately
-Drowsy: lethargic, groggy, responses slow or delayed; arousable
, NURS 3000 FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS
How to assess -Stupor: arouses with greater stimulation, shaking, reactions
and document decreased and inappropriate
LOC / -Semi coma: minimally aroused by painful stimuli
orientation -Coma: no consistent response to any stimuli; reflexes depressed or absent;
pupils may not respond
-Immobilized
11. Clients at
-Isolated
high risk for
-Elderly
various
-Confused
sensory
distur- -Terminally ill
bances -Sensory deficit
-Acutely ill; ICU/CCU
-In intense pain
-Those in unfamiliar environment
-Many visitors
-Decreased rest/sleep
-Caused by restricting environment, decreased input from impaired
senses, meaningless stimuli
12. Sensory -Boredom, restlessness, decreased attention span, emotional liability,
depriva- tion disorga- nized thought, anxiety, hallucinations, increased sleep, irritability
13. Sensory overload - Caused by too much stimuli, stimuli without meaning, repetitious /
unchanging
-Anxiety, fear, irritability, anger outbursts, restlessness, decreased sleep /
change in sleep patterns, crying, covering eyes / ears
14. Nursing interven- - Increase stimuli and meaning
tions for -Visit more and orient frequently
sensory -Explain all care
deprivation -Place TV, radio, clock, calendar in room
-Display pictures, cards, familiar objects
1. Signs of visual im- Poor coordination, falls, squinting, repositions objects
pairment
2. Signs of Blank looks, speaking loudly, decreased attention span, inappropriately
auditory
smiling and nodding, ringing in ears
impairment
-Excessive seasoning, changes in appetite, complaints of food tasting
3. Signs of
ditterent / bad
gusta- tory /
-Increased body odor, failure to react to strong odors, increased sensitivity
olfactory
to odors
deficits
No response when touched, increased or decreased reaction to pain,
4. Signs of
clumsiness, numbness
tactile
-Positioning: poor balance, shuffling, decreased response to brace
deficits
self when falling, deliberate movements
-Loud noises
5. What might -Excessive / reduced stimuli
cause -Damage to sensorineural pathways / nerve damage
disrup- tions -Genetic disorders (autism, OCD)
in the
normal
sensory sensory pathway to detect vibrations by touch
process?
6. Vibratory Awareness of body position and movements
sensa- tion
7. Kinesthetic
sen- sation
8. Stereognosis Awareness of object's shape, size, texture from touch
9. Visceral sensa- tion
, NURS 3000 FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS
Awareness of internal organs and sensation
10. - Alert: readily responds to all stimuli appropriately
-Drowsy: lethargic, groggy, responses slow or delayed; arousable
, NURS 3000 FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS
How to assess -Stupor: arouses with greater stimulation, shaking, reactions
and document decreased and inappropriate
LOC / -Semi coma: minimally aroused by painful stimuli
orientation -Coma: no consistent response to any stimuli; reflexes depressed or absent;
pupils may not respond
-Immobilized
11. Clients at
-Isolated
high risk for
-Elderly
various
-Confused
sensory
distur- -Terminally ill
bances -Sensory deficit
-Acutely ill; ICU/CCU
-In intense pain
-Those in unfamiliar environment
-Many visitors
-Decreased rest/sleep
-Caused by restricting environment, decreased input from impaired
senses, meaningless stimuli
12. Sensory -Boredom, restlessness, decreased attention span, emotional liability,
depriva- tion disorga- nized thought, anxiety, hallucinations, increased sleep, irritability
13. Sensory overload - Caused by too much stimuli, stimuli without meaning, repetitious /
unchanging
-Anxiety, fear, irritability, anger outbursts, restlessness, decreased sleep /
change in sleep patterns, crying, covering eyes / ears
14. Nursing interven- - Increase stimuli and meaning
tions for -Visit more and orient frequently
sensory -Explain all care
deprivation -Place TV, radio, clock, calendar in room
-Display pictures, cards, familiar objects
