Chapter 38 Sensory

Question 1

What can any alteration in sensation affect?

Answer 1

The ability to function within the environment

Question 2

Awareness of position and movement of body parts

Answer 2

Kinesthetic

Question 3

Ability to perceive and understand an object through touch. By size shape

Answer 3

Stereognosis

Question 4

Used to describe an estate where a person is in optimal arousal

Answer 4

Sensoristasis

Question 5

Ability to perceive internal and external stimuli, and to respond appropriately through thought and action.

Answer 5

Awareness

Question 6

Characteristics of Normal Sensory reception/perception

Answer 6

Vision, hearing, taste, smell, and tactile

Question 7

Factors affecting sensory function

Answer 7

Development, culture, stress, medications, illness, lifestyle, and personality

Question 8

Loss in normal function of sensory reception and or perception.

Answer 8

Sensory Deficits

Question 9

Generally thought of as a decrease in or lack of meaningful stimuli

Answer 9

Sensory Deprivation

Question 10

Generally occurs when a person is unable to process or manage the amount or intensity of sensory stimuli. Invokes a stress response

Answer 10

Sensory Overload

Question 11

Sensory overload risk factor

Answer 11

Room close to the nurses station, ICU, bright lights, use of ventilator, use of oxygen, use of IVs, other equipment, frequent treatments

Question 12

Risk factors for sensory deprivation

Answer 12

Private room, eyes bandaged, bed rest, sensory aid not available( hearing aid, glasses), isolation precautions, and few visitors

Question 13

Common behaviors that suggest alterations

Answer 13

Change is LOC- withdrawn to irritable, fluctuating alertness and confusion.
Tremors, weakness, decreased response to stimuli, unequal pupils, emotionally labile

Question 14

What is the purpose of sensation?

Answer 14

To allow the body to respond to changing situations and maintain homeostasis

Question 15

Vision diseases affecting older adults

Answer 15

Age-related macular degeneration (ARMD), Cataract, Glaucoma, Diabetic Retinopathy.

Question 16

Taste and Smell Interventions

Answer 16

Oral hygiene, seasonings/texture of foods, liquids between bites, appearance and dates of foods, provide aromas, unpleasant odors, Smoke and carbon monoxide, Visually check gas stove.

Question 17

Touch Interventions

Answer 17

Provide touch therapy, turn and reposition client, avoid excessive stimuli for hyper esthetic client, reduce temperature of water heater, clearly mark faucets as hot and cold.

Question 18

Full Consciousness

Answer 18

A and O X 3 (time, place, person) understands verbal and written word

Question 19

Disoriented

Answer 19

Is not A and O x 3

Question 20

Reduced awareness, easily bewildered; poor memory, misinterprets stimuli; impaired judgment

Answer 20

Confused

Question 21

Extreme drowsiness but will respond to stimuli

Answer 21

Somnolent

Question 22

Can be aroused by extreme or repeated stimuli

Answer 22

Semi-Comatose

Question 23

Will not respond to verbal stimuli, and often no response to touch (tactile) stimuli

Answer 23

Coma

Question 24

**Acute Confusion

Answer 24

Delirium

Question 25

**Chronic Confusion

Answer 25

Dementia