Senses (Quiz 2) Flashcards
Which sense provides information regarding taste?
Gustatory
Factors Affecting Senses
- Developmental
- Culture
- Personality
- Lifestyle
- Stress
- Medications
As we age, our vision acuity ________.
Decreases
As we age, our sensitivity to glare _________.
Increases
As we age, our visual accomodation, depth and color _________.
Decrease.
As we age, our hearing ability _______ .
Decreases
First taste senses to go?
Sweet and Salty
As we age, our sense of taste _________ .
Decreases
As we age, our sense of touch __________ .
Decreases
2 steps of sensory nursing assessment?
1) Health History
2) Physical Exam
Eyes…
Inspect structures
Asses vision
Assess pupillary response
Ears…
Inspect
Palpate
Assess hearing
Nose…
Inspect/patency nares
Palpate sinuses
Mouth…
Inspect lips, tongue, gums, uvula, tonsils, teeth.
Touch…
light
palpation,
numbness, tingling
The unconscious perception of movement and spatial orientation arising from stimuli within the body itself.
proprioception
he mental perception of depth or three-dimensionality by the senses, usually in reference to the ability to perceive the form of solid objects by touch.
Stereognosis
6 P’s of Neurovascular Assessment
Pain Pallor Peripheral Pulse Paresthesia Paralysis Pressure
fully awake; oriented to person/place/time; responds to all stimuli including verbal commands
Awake and Alert
Appears drowsy or asleep most of the time but makes spontaneous movements; can be aroused by gentle shaking and stating patients name.
Lethargic
unconscious most of the time; has no spontaneous movement; must be shaken or shouted at to arouse; can make verbal responses, but are less likely to be appropriate; responds to painful stimuli with purposeful movements
Stuporous
Cannot be aroused, even with use of painful stimuli; may have some reflex activity (ex: gag); if no reflexes present is in a deep _______.
Comatose
The summation of scores for eye, verbal, and motor responses. The minimum score is a 3 which indicates deep coma or a brain-dead state. The maximum is 15 which indicates a fully awake patient
Glasgow Coma Scale
a clinical grading scale designed for use by medical professionals in the assessment of patients with impaired level of consciousness.
FOUR Coma Scale
Snellen tool is used for…
vision
Otoscope is used for…
hearing
