NURS 624 Fundamentals: Midterm
(6) Senses - correct answer - Visual
- Auditory
- Olfactory
- Gustatory
- Tactile
- Motion/Kinesthetic + Position
Stereognosis (def.) - correct answer Sense that allows one to recognize size, shape, texture of
object
(3) Normal sensations - correct answer - Reception: stimulation of receptor (touch, light, sound)
- Perception: integration and interpretation of stimuli
- Reaction: only most important stimuli elicit reaction
Sensory deficit (def.) - correct answer Deficit in normal function of sensory reception and
perception
Sensory deprivation (def.) - correct answer Inadequate quality or quantity of stimulation
Sensory overload (def.) - correct answer Reception of multiple sensory stimuli
(6) Main factors affecting sensory function - correct answer - Age
- Amount of stimuli
- Environmental factors
- Meaningful stimuli
- Social interaction
- Cultural factors
Sensory Nursing Assessment - correct answer - Sensory alteration hx
- Physical assessment
- Health promotion habits
,- Communication methods
- Use of assistive devices
- Persons at risk
- Mental status
- Ability to perform self-care
- Environmental hazards
- Social support
- Other factors affecting perception
(3) Types of aphasia - correct answer - Expressive: motor
- Receptive: sensory
- Global
Sensory Nursing Dx - correct answer - Risk-prone health behavior
- Impaired verbal communication
- Risk for injury
- Impaired physical mobility
- Bathing self-care deficit
- Situational low self-esteem
- Risk for falls
- Social isolation
Sensory Health Promotion - correct answer - Screening
- Preventative measures
- Use of assistive devices
- Promoting meaningful stimuli
- Establish safe environment
- Communication
, Implementation: Sensory Acute Care - correct answer - Orientation to environment
- Communication
- Controlling sensory stimuli
- Safety measures
Implementation: Restorative & Continuing Care - correct answer - Maintain healthy lifestyle
- Understand sensory loss
- Socialization
- Promote self-care
Nature of pain - correct answer - Involves physical, emotional, cognitive
- Subjective and individualized
- Reduces quality of life
- Not measurable objectively
- May lead to serious physical, psychological, social, financial consequences
Physiology of pain - correct answer - Pain impulses ascend spinal cord toward brain stem and
thalamus = stimulation of ANS = fight or flight
- Continuous, severe, deep pain of visceral organs = stimulation of PNS
Acute pain behavioral responses - correct answer - Clenching teeth
- Facial grimacing
- Holding/guarding painful area
- Bent posture
Chronic pain behavioral responses - correct answer Along with acute pain responses, pt's daily
activities usually affected
(5) Types of pain - correct answer - Acute/transient
- Chronic/persistent
- Chronic episode
- Cancer
- Idiopathic
(6) Senses - correct answer - Visual
- Auditory
- Olfactory
- Gustatory
- Tactile
- Motion/Kinesthetic + Position
Stereognosis (def.) - correct answer Sense that allows one to recognize size, shape, texture of
object
(3) Normal sensations - correct answer - Reception: stimulation of receptor (touch, light, sound)
- Perception: integration and interpretation of stimuli
- Reaction: only most important stimuli elicit reaction
Sensory deficit (def.) - correct answer Deficit in normal function of sensory reception and
perception
Sensory deprivation (def.) - correct answer Inadequate quality or quantity of stimulation
Sensory overload (def.) - correct answer Reception of multiple sensory stimuli
(6) Main factors affecting sensory function - correct answer - Age
- Amount of stimuli
- Environmental factors
- Meaningful stimuli
- Social interaction
- Cultural factors
Sensory Nursing Assessment - correct answer - Sensory alteration hx
- Physical assessment
- Health promotion habits
,- Communication methods
- Use of assistive devices
- Persons at risk
- Mental status
- Ability to perform self-care
- Environmental hazards
- Social support
- Other factors affecting perception
(3) Types of aphasia - correct answer - Expressive: motor
- Receptive: sensory
- Global
Sensory Nursing Dx - correct answer - Risk-prone health behavior
- Impaired verbal communication
- Risk for injury
- Impaired physical mobility
- Bathing self-care deficit
- Situational low self-esteem
- Risk for falls
- Social isolation
Sensory Health Promotion - correct answer - Screening
- Preventative measures
- Use of assistive devices
- Promoting meaningful stimuli
- Establish safe environment
- Communication
, Implementation: Sensory Acute Care - correct answer - Orientation to environment
- Communication
- Controlling sensory stimuli
- Safety measures
Implementation: Restorative & Continuing Care - correct answer - Maintain healthy lifestyle
- Understand sensory loss
- Socialization
- Promote self-care
Nature of pain - correct answer - Involves physical, emotional, cognitive
- Subjective and individualized
- Reduces quality of life
- Not measurable objectively
- May lead to serious physical, psychological, social, financial consequences
Physiology of pain - correct answer - Pain impulses ascend spinal cord toward brain stem and
thalamus = stimulation of ANS = fight or flight
- Continuous, severe, deep pain of visceral organs = stimulation of PNS
Acute pain behavioral responses - correct answer - Clenching teeth
- Facial grimacing
- Holding/guarding painful area
- Bent posture
Chronic pain behavioral responses - correct answer Along with acute pain responses, pt's daily
activities usually affected
(5) Types of pain - correct answer - Acute/transient
- Chronic/persistent
- Chronic episode
- Cancer
- Idiopathic
