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Fundamentals of Nursing Final Exam: Chapter 45

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This flashcard set reviews core concepts of sensory alterations, including the types (deficit, deprivation, overload, poverty), their causes and effects, disturbances from deprivation, age-related sensory changes, and factors influencing sensory stimulation. It’s ideal for nursing or health science students studying sensory function in patient care.

what are the four factors that contribute to sensory alteration?
a. deficits
b. deprivation
c. overload
d. poverty
e. development
f. process

a-d

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Key Terms

Term
Definition

what are the four factors that contribute to sensory alteration?
a. deficits
b. deprivation
c. overload
d. poverty
e. development
f. process

a-d

this kind of sensory alteration includes environment w/decreased stimuli, impaired ability to receive environmental stimuli (hearing, vision), and inability to process environmental stimuli.
a. deficit
b. deprivation
c. overload
d. poverty

b

what are the three disturbances that result from sensory deprivation?

perceptual (results from inaccurate perceptions of light, sound, etc.), cognitive (attention span and concentration decreased), and emotional

a pt is experiencing too much sensory stimuli, feels out of control, and exhibits manifestations observed in sensory deprivation. the nurse plans on reducing these stressful stimuli. what is the pt undergoing?
a. sensory overload
b. sensory output
c. sensory deficit

a

a 78 yo woman has impaired sight, hearing, altered taste, tactile perception, and impaired kinesthetic sense (awareness of position and movement of body parts). she has which kind of sensory alteration?

deficit

technology has created this kind of sensory alteration

poverty

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TermDefinition

what are the four factors that contribute to sensory alteration?
a. deficits
b. deprivation
c. overload
d. poverty
e. development
f. process

a-d

this kind of sensory alteration includes environment w/decreased stimuli, impaired ability to receive environmental stimuli (hearing, vision), and inability to process environmental stimuli.
a. deficit
b. deprivation
c. overload
d. poverty

b

what are the three disturbances that result from sensory deprivation?

perceptual (results from inaccurate perceptions of light, sound, etc.), cognitive (attention span and concentration decreased), and emotional

a pt is experiencing too much sensory stimuli, feels out of control, and exhibits manifestations observed in sensory deprivation. the nurse plans on reducing these stressful stimuli. what is the pt undergoing?
a. sensory overload
b. sensory output
c. sensory deficit

a

a 78 yo woman has impaired sight, hearing, altered taste, tactile perception, and impaired kinesthetic sense (awareness of position and movement of body parts). she has which kind of sensory alteration?

deficit

technology has created this kind of sensory alteration

poverty

what are the 5 factors that affect sensory stimulation?

culture | developmental considerations | meds | personality and lifestyle | stress and illness

sensory changes in the older adult affect (1) , (2) , (3) and , and (4) __

vision; hearing; smell; taste; alteration in peripheral sensation

presbyopia, cataracts, macular degeneration, and glaucoma are all changes in __ for the older adult

vision

hearing loss, tinnitus, and meniere’s disease are changes in __ for the older adult

hearing

name the 7 conscious states: __ (hint: cddlmns)

confusion | delirium | dementia | locked-in syndrome | minimally conscious state | normal consciousness | somnolence

match the conscious states with their appropriate definition:
a. confusion
b. delirium
c. dementia
d. locked-in syndrome
e. minimally conscious state
f. normal consciousness
g. somnolence
1. disorientation, restlessness, confusion, hallucinations, agitation, alternating with other conscious states
2. difficulties with spatial orientation, memory, language; changes in personality
3. reduced awareness, easily distracted, easily startled by sensory stimuli, alternates between drowsiness and excitability; resembles minor form of delirium state
4. aware of self and external environment, well oriented, responsive
5. Extreme drowsiness, but will respond normally to stimuli
6. part consciousness; sleep–wake cycles present; some motor function, including automatic movements; inconsistently follows commands
7. full consciousness; sleep–wake cycles present; quadriplegic, auditory and visual function preserved; emotion preserved

a. 3
b. 1
c. 2
d. 7
e. 6
f. 4
g. 5

how can we prevent sensory alteration? (hint: bceeopu)

be aware of need for sensory aids & prostheses | control pt discomfort | encourage physical activity & exercise | enlist aid of family members to participate in/encourage activities | offer care providing rest & comfort | provide stimulation for as many senses as possible | use social activities to stimulate senses & mind

true or false. teach pt self-care behaviors to maintain vision & prevent blindness

true

you should __ your presence in the pt’s room (if they are visually impaired)

acknowledge

visually impaired pts: speak in a __ tone of voice

NORMAL

visually impaired pts: __ the reasoning for touching pt

explain

visually impaired pts: keep __ w/in reach

call light

visually impaired pts: the pt to in the environment as well as arrangement and

orient; sounds; room; furnishings

visually impaired pts: assist with ambulation by walking __ of the pt

slightly ahead

visually impaired pts: stay in pt’s __

field of vision

visually impaired pts: indicate conversation has ended when __

leaving the room

hearing-impaired pts: orient them to your __ before speaking

prescence

hearing-impaired pts: decrease __ before speaking

background noises

hearing-impaired pts: check the pt's __ aids


hearing

hearing-impaired pts: position yourself so __ is on your face

light

hearing-impaired pts: talk __ to the pt and face them

directly

hearing-impaired pts: write any __ you cannot convey

ideas

confused pt: use frequent to to communicate

face;face

confused pts: speak , simply, and to pt

calmly; directly

confused pts: orient & reorient them to and to , , and

environment; time; place; person

confused pts: use , , and to help orient the pt

clocks; calendar; newspapers; tv

confused pts: offer __ explanation for care

simple

confused pts: use objects from or

home; past

confused pts: focus on client's __

strengths

name the 4 unconscious states (hint: acsv)

asleep | coma | stupor | vegetative state

__ : can be aroused by normal stimuli (light, touch, sound, etc.)

asleep

__ (asleep/stupor/coma) CANNOT BE AROUSED & DOES NOT respond to stimuli

coma

__ (asleep/stupor/coma/veggie state) CAN BE AROUSED by extreme and/or repeated stimuli

stupor

__ (asleep/stupor/coma/veggie state) CANNOT BE AROUSED. sleep–wake cycles, postures or withdraws to noxious stimuli, occasional non-purposeful movement, random smiling or grimacing

veggie state

the highest score on the glasgow coma scale is __

15

a score of <8 indicated __ on the glasgow coma scale

comatose client

a score of 3 on the glasgow coma scale indicates __

totally unresponsive