Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

(Barry) #1
DEVELOPING YOUR KNOWLEDGE BASE
FILL-IN-THE-BLANKS
1.Sensory reception
2.Kinesthesia
3.Stereognosis
4.Impaired memory
5.Sensory deficit
MATCHING EXERCISES
1.h 2.d 3.a 4.c 5.b
6.f 7.e 8.a 9.c 10.d
11.b 12.c 13.d 14.b 15.a
SHORT ANSWER


  1. a.A stimulus, an agent, act, or other influence capa-
    ble of initiating a response by the nervous system
    b.A receptor or sense organ must receive the stim-
    ulus and convert it into a nerve impulse.
    c. The nerve impulse must be conducted along a
    nervous pathway from the receptor or sense
    organ to the brain.
    d.A particular area in the brain must receive and
    translate the impulse into a sensation.
    2.Sample answers:
    a.Environment: A patient with AIDS in isolation
    is at high risk for sensory deprivation.
    b.Impaired ability to receive environmental stim-
    uli: A patient who is visually impaired is at high
    risk for sensory deprivation.
    c. Inability to process environmental stimuli: A
    patient who is confused cannot process
    environmental stimuli.

  2. a.Perceptual responses: Inaccurate perception of
    sights, sounds, tastes, smells, and body
    position; poor coordination and equilibrium;
    mild to gross distortions in perception, ranging
    from daydreams to hallucinations
    b.Cognitive responses: Inability to control the
    direction of thought content; decreased attention
    span and ability to concentrate; difficulty with
    memory, problem solving, and task performance
    c. Emotional responses: Inappropriate emotional
    responses: apathy, anxiety, fear, anger, belliger-
    ence, panic, depression; rapid mood changes
    4.Sample answers:
    a.A patient is disoriented by the strange sights,
    odors, and sounds in a CCU.
    b.A burn victim is in constant pain and cannot
    concentrate on his environment.
    c. A confused patient panics at the sight of
    doctors and nurses probing his body.
    5.Cultural care deprivation is a lack of culturally
    assistive, supportive, or facilitative acts (e.g., touch-
    ing is viewed as a natural and welcome custom in
    certain cultures, while in other cultures it is taboo).
    6.Sample answers:
    a.Infant: Soothing sounds, rocking, holding and
    changing position, changing patterns of light
    and shade, developing appropriate play


b.Adult: Use of music, poetry, drama to alleviate
boredom
c. Elderly: Use of art classes or organizing a book
club in a nursing home
7.Sample answers:
a.Patient will report feeling safe and in control of
his/her environment.
b.Patient will verbalize acceptance of the sensory
deficit.
8.Sample answer:
This patient is suffering from sensory deprivation.
Measures should be taken to stimulate as many
senses as possible. The curtains could be opened to
allow light into the room; soft music could be
played to stimulate auditory functioning; flavorful
meals could be prepared to stimulate taste; flowers,
cards, and pictures could be displayed to stimulate
visual functioning.


  1. a.Avoid damage from UV rays.
    b.Use caution with aerosol sprays.
    c. Have regular eye examinations and tests for
    glaucoma.
    d.Know the danger signals that indicate serious
    eye problems.
    10.Sample answers:
    a.Visual: Read different types of books to the
    child; limit television watching; plan various
    outings.
    b.Auditory: Teach the child songs; play records;
    join a storytelling group.
    c. Olfactory: Have child identify different odors;
    prepare enticing meals and savor the aromas.
    d.Gustatory: Encourage the child to experiment
    with different foods with varying colors, tastes,
    shapes, and textures; introduce finger foods
    into diet.
    e.Tactile: Use games and sports to increase body
    contact with child; demonstrate affection by
    hugging, holding child in lap, and so on.
    11.Sample answers:
    a.Developmental considerations: The adult may
    experience the need to compensate for the loss
    of one type of stimulation by increasing other
    sources of sensory stimuli.
    b.Culture and lifestyle: An individual’s culture
    may dictate how much sensory stimulation is
    considered normal.
    c. Personality: Different personality types demand
    different levels of stimulation.
    d.Stress: Increased sensory stimulation may be
    sought during periods of high stress.
    e.Illness and medication: Illness can affect the
    reception of sensory stimuli; medications that
    alert or depress the central nervous system may
    interfere with the perception of sensory stimuli.
    12.Sample answers:
    a.Stimulation: Assess for recent changes in
    sensory stimulation if the type of stimulation
    present is developmentally appropriate.


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ANSWER KEY 417


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