/.Sensory alterations - Answer-Caused by dysfunction in a sensory nerve (12 cranial
nerves)
-sensory deficits, sensory deprivation, sensory overload
-can be caused by: age, medications, injuries, neurocognitive disorders, or disease
/.Sensory deficit - Answer-impaired or absent functioning of one or more senses
-can occur due to injury, illness, or aging
(Not able to receive certain stimuli that allows them to process sounds below a certain
level, leading to a searing deficit)
/.Sensory deprivation - Answer-When there is a reduction in or absence of stimuli to one
or more of the 5 senses
(Blindness, causes absence of visual sensory stimuli)
/.Sensory overload - Answer-Receiving stimuli at a rate and intensity beyond the brains
ability to process it in a meaningful way
-can cause anxiety, restlessness, and confusion
-room lights, noises, frequent nurses visits
/.Sensory processing disorder (SPD) - Answer-Client appropriately detects stimuli but
brain has difficulty interpreting and responding appropriately to it
-clients are over sensitive to normal stimuli, like the noise of a driving car, or light touch
of a shirt against the skin
-this common stimuli can be physically painful, or overwhelming
-usually discovered in childhood, can affect adults
-more often in clients with developmental disorders like autism, ADHD, OCD
/.Cranial Nerve 1: Olfactory - Answer-smell
, Test: identify smell like coffee or peppermint, test each nostril separately
/.Cranial Nerve II: Optic - Answer-sensory, vision
Test: snellen chart or have client read printed material
/.Cranial Nerve III: Oculomotor - Answer-motor, eye movement
Test: check extraocular movements by assessing the 6 directions of gaze, check pupils
reaction to light and accommodation
/.Cranial nerve IV: Trochlear - Answer-motor, eye movement
Test: assess the 6 directions of gaze
/.Cranial Nerve V: Trigeminal - Answer-Sensory to face, motor to muscles of jaw
Test: assess corneal reflex, palpate masseter muscles at the temple while client
clenches jaw
Check sensation by lightly touching over the face w a cotton ball
/.Cranial Nerve VI: Abducens - Answer-motor, eye movement
Test: assess 6 directions of gaze
/.Cranial Nerve VII: Facial - Answer-Sensory to tongue for taste, motor to face for
expressions
Test: monitor for symmetry of the face when client smiles and raises eyebrows,
perception of sweet and salty tastes on front of tongue
/.Cranial Nerve VIII: vestibulocochlear (auditory) - Answer-Sensory to ear for hearing
and balance
Test: whisper words, observer balance as they walk
/.Cranial Nerve IX: glossopharyngeal - Answer-Sensory tongue for taste, motor to throat
Test: perception of sweet and sour tastes on back on tongue, tongue blade to check
gag reflex, ability to swallow
/.Cranial Nerve X: Vagus - Answer-Sensory to pharynx
Motor to vocal cords
Parasympathetic innervation to heart lungs and abdominal organs