Card Set Information

2011-04-01 00:06:40

Show Answers:

  1. Stimulation of receptor such as light, touch, sound is:

    1. Reception
    2. Perception
    3. Reaction
  2. Integration and interpretation of stimuli is called?

    1. Reception
    2. Perception
    3. Reaction
  3. Reduced sensory input either from the internal or external environment - Can be the result of illness, trauma or isolation, is called?
    Sleep deprivation
  4. Excessive and sustained multisensory stimulation is called?
  5. Changes common after the age 60 include increased difficulty with balnace, spatial orientation and coordination are called?
    proprioceptive changes
  6. Some factors effecting sensory function include?
    • Proproceptive changes
    • Presbyopia (can't see near - eyes)
    • Presbycusis (progressive hearing disorder)
    • Balance - dizziness and disequilibrium
    • Taste - xerostomia (decrease salivary production)
    • Neurological (peripheral neuropathy)
    • Amount of stimuli (excessive stimuli
  7. Someone who sepcializes in hearing loss is called a?
  8. How do you assess for sensory disorders?
    • What is your age?
    • What is the environment you live/work?
    • Check mental status/cranial nerves?
    • Can you perform self-care (feed yourself, dress/toilet, etc.)?
    • Do you have help at home?
    • Do you have any vision/hearing/crainial losses?
    • How do you communicate?
    • Do you have any assistive devices (can, denture, glasses, hearing aids)?
  9. How can you help prevent sensory deprivation on a client who is on isolation and has limited ambulation capability?
    • Assist client to chair in the room
    • Bring flowers into the room
    • Open the curtains
    • Sit down, take time, listen to clietn
  10. How can you help educate an older adult, with diminished vision loss, ambulate around their home safely?
    The use of bright, constrasting colors on appliances, corners, stairways can help a client with diminished vision to distinguish normal visual cues
  11. When working with a client who has hearing loss it is important to do what?
    Speak slowly while facing the client, but speak in normal volume. Speaking too loudly creates higher tones and lower tones are generally heard more easily.
  12. Individuals with diminished tactile sensation should dress which side first? The affected-side or the non-affected side first?
    Dress their affected side first, then the unaffected side
  13. What is a way to prevent sensory overload in a client admitted to your unit floor?
    The nurse should make constant reorientation and control of excessive stimuli as part of client care; books, tv, and magnifiying glasses may be sensory overload, lights on all day may be sensory overload, consistent walking in/out of room may be sensory overload. Reorienting them to time, place, room environment will help ground client and remove sensory overload to their room
  14. What is aphasia?
    A client who is unable to produce (speak) or understand language
  15. What is expressive aphasia?
    A motor type of aphasia, the inability to name common objects or to express simple ideas in words or writing
  16. A client understands a questions but is unable to express an this?
    1. expressive aphasia
    2. receptive aphasia
  17. What is receptive aphasia?
    The inability to understand written or spoken language
  18. What is gloabl aphasia?
    The inability to understaqnd language or communicate orally
  19. How do you communicate with a client who has aphasia?
    • Listen and wait for the client to comm.
    • Do not shout or speak too quickly
    • use simple, short questions
    • Facial gestures are important
    • Speak of familar things, avoid big words
    • Give the client TIME
    • Avoid patronizing or treating like a child
  20. How to do you communicate with a client who has an artifical airway?
    • pictures/objects/word cards
    • pad of paper and pencil
    • do not shout or speak loudly
    • give client time
    • give artifical voice box
  21. How do you communicate with a client who has hearing impairment?
    • get client's attention
    • face the client talk slowly
    • do not shout
    • avoid eating
    • avoid talking too quickly
    • do not restrict their hands with IV's if they sign
  22. How would sensory plan of care change for patients with diabetic retinopathy, stroke, peripheral neuopathy or different disease processes?
    • Health promotion...
    • Screening would be important if they have these diseases - stay on top of their health
    • Preventive saftey - saftey equip
    • Assisitve devices if needed
    • Establish safe environments
    • Have client oriented to their environment - avoid changing things up
    • Controlling sensory stimuli - so overload does not occur
    • Maintain an overall healthy lifestyle