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26 Cards in this Set
- Front
- Back
- 3rd side (hint)
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what is reception?
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the process of receiving data about the internal or external environment
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what are our 5 senses?
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vision (sight), auditory (hearing), olfactory (smell), gustatory (taste), and tactile (touch)
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remember that song head, shoulders, knees, and toes?
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what is orientation?
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kinesthetic and visceral senses
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what is perception?
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the conscious process of selecting, organizing, and interpreting data from the senses into meaningful information
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4 parts of perception?
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stimulus, receptor, nerve impulse, translation of impulse into sensation
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recticular activating system?
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a system that sends out messages from brain
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states of arousal?
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normal consciousness, delirium, dementia, confusion, somnolence, minimally conscious, locked in syndrome, stupor, coma, vegetative state
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some examples of disorders of the mind
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what is adaptation?
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constant stimuli that eventually go unnoticed because of repeated stimulus
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city traffic noises or obnoxious smells
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sensory deprivation?
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decreased sensory input where the RAS is no longer able to project a normal level of activation & client may hallucinate to maintain arousal
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risk factors of sensory deprivation
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environments with decreased or monotonous stimuli
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ex: nursing home, getting confined to small area, bedrest
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perceptual disturbances of sensory deprivation?
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inaccurate perception of sight, sounds, tastes, smells, coordination, and equilibrium
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5 senses are disturbed
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mild to gross distortions of sensory deprivation
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daydream to hallucination
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mind going crazy
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cognitive response of sensory deprivation
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ability to control direction of thought, attention span and concentration decrease, may have memory, problem solving, and task performing problems
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emotional response of sensory deprivation
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apathy, anxiety, fear, anger, belligerent, panic, depressed, rapid mood change
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bipolar
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what is sensory overload?
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so much stimuli experience that person is unable to respond meaningfully or ignore it, person feels out of control
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what is sensory deficit?
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impaired or absent of functioning in one or more senses
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factors affecting stimulation?
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development consideration, culture, personality, lifestyle, stress, illness, medication
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nursing process?
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assess, diagnosis, plan, implement, evaluate
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how should you assess with senses?
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structure the history using the components of the sensory experience
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what is the sensory experience?
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stimulation, reception, transmission, perception, reaction
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how do we identify at risk patients?
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age, disease, medication, their environment and lifestyle
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getting old
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what can we teach clients with altered perception and families?
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maintenance of safe environment, encourage independence, increasing self care abilities, restorative focus when possible
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is acute confusion ever normal?
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no
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what is on the confusion assessment method instrument?
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acute onset, inattention, disorganized thinking, altered level of consciousness, disorientation, memory impairment, perceptual disturbances, psychomotor agitation, psychomotor retardation, altered sleep wake cycle
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what is on the mini mental state examination?
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temporal orientation, spatial orientation, registration, attention and calculation, remote memory, naming 2 objects, repeat, stage command, write complete sentence, read and obey, copy a diagram
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what does a full nursing diagnosis statement have?
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problem, etiology, and symptoms
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