VNSG 1126 FINAL EXAM WITH
COMPLETE SOLUTIONS 100%
GUARANTEED PASS
FACTORS THAT CONTRIBUTE TO SENSORY OVERLOAD - Answer- - increased
quantity or quality of internal stimuli such as pain, dyspnea, anxiety
- increase quantity or quality of external stimuli such as noisy health care settings,
contact with strangers
- inability to disregard stimuli selectively
CLINICAL MANIFESTATIONS OF SENSORY OVERLOAD - Answer- - complaints of
fatigue + sleeplessness
- periodic or general disorientation
- reduced problem solving ability + task performance
- increased muscle tension
- scattered attention + racing thoughts
PT AT RISK FOR SENSORY OVERLOAD - Answer- - have pain or discomfort
- are acutely ill + are admitted to acute care facility
- are being closely monitored in an icu + have intrusive tubes (IV's, catheters, etc)
- have decreased cognitive ability
HOW IS TOUCH ASSESSED - Answer- - light touch
-sharp + dull sensation
- 2 point discrimination
- hot + cold sensation
- vibration sense
- positon sense
HOW IS VISION ASSESSED - Answer- - snellen chart or other reading material
HOW IS HEARING ASSESSED - Answer- - perform whisper test
- weber + rinne tuning fork
- history could impact + give reason why hearing is being lost
, REHABILITATION - Answer- - dynamic health - oriented process that helps people with
acute or chronic disorders or people with physical, mental, or emotional disabilities to
achieve the GREATEST possible level of physical, mental, spiritual, social and
economic functioning
- can be slow process
- patient must be committed in order for it to work
PRIMARY PREVENTION - Answer- health promotion + illness prevention
SECONDARY PREVENTION - Answer- diagnosis + treatment
TERTIARY PREVENTION - Answer- rehabilitation, health restoration, + palliative care
GOALS OF REHAB - Answer- - restore patients ability to function independently or at
pre-illness/injury level as fast as possible
- if not possible get to max independence
DISABILITY - Answer- - restriction in performance or function in daily activities
- difficulty performing ADL's
EMOTIONAL REACTIONS TO DISABILITY - Answer- - shock
- anxiety: panic like state as the event is processed
- denial: defense mechanism to warn off anxiety
- depression: realization of permanance or magnitude
- anger + hostility: self-directed, externalized
- adjustment: self acceptance, reintegrates into community
MEMBERS OF INTERDISCIPLINARY TEAM: PATIENT - Answer- - participates in goal
setting
- learning to function using remaining abilities
- adjusting to living with disabilities
MEMBERS OF INTERDISCIPLINARY TEAM: FAMILY - Answer- - entire unit needs to
adapt to new disability
- source for support
- participate in problem solving
- learning to provide necessary ongoing care
MEMBERS OF INTERDISCIPLINARY TEAM: NURSE - Answer- - comprehensive
assessment
- establish short, medium + long term goals
- develop collaborative plan to achieve goals
- evaluation to assess progression towards goal
- plan of care
- nurse-patient relationship
- family relationship
COMPLETE SOLUTIONS 100%
GUARANTEED PASS
FACTORS THAT CONTRIBUTE TO SENSORY OVERLOAD - Answer- - increased
quantity or quality of internal stimuli such as pain, dyspnea, anxiety
- increase quantity or quality of external stimuli such as noisy health care settings,
contact with strangers
- inability to disregard stimuli selectively
CLINICAL MANIFESTATIONS OF SENSORY OVERLOAD - Answer- - complaints of
fatigue + sleeplessness
- periodic or general disorientation
- reduced problem solving ability + task performance
- increased muscle tension
- scattered attention + racing thoughts
PT AT RISK FOR SENSORY OVERLOAD - Answer- - have pain or discomfort
- are acutely ill + are admitted to acute care facility
- are being closely monitored in an icu + have intrusive tubes (IV's, catheters, etc)
- have decreased cognitive ability
HOW IS TOUCH ASSESSED - Answer- - light touch
-sharp + dull sensation
- 2 point discrimination
- hot + cold sensation
- vibration sense
- positon sense
HOW IS VISION ASSESSED - Answer- - snellen chart or other reading material
HOW IS HEARING ASSESSED - Answer- - perform whisper test
- weber + rinne tuning fork
- history could impact + give reason why hearing is being lost
, REHABILITATION - Answer- - dynamic health - oriented process that helps people with
acute or chronic disorders or people with physical, mental, or emotional disabilities to
achieve the GREATEST possible level of physical, mental, spiritual, social and
economic functioning
- can be slow process
- patient must be committed in order for it to work
PRIMARY PREVENTION - Answer- health promotion + illness prevention
SECONDARY PREVENTION - Answer- diagnosis + treatment
TERTIARY PREVENTION - Answer- rehabilitation, health restoration, + palliative care
GOALS OF REHAB - Answer- - restore patients ability to function independently or at
pre-illness/injury level as fast as possible
- if not possible get to max independence
DISABILITY - Answer- - restriction in performance or function in daily activities
- difficulty performing ADL's
EMOTIONAL REACTIONS TO DISABILITY - Answer- - shock
- anxiety: panic like state as the event is processed
- denial: defense mechanism to warn off anxiety
- depression: realization of permanance or magnitude
- anger + hostility: self-directed, externalized
- adjustment: self acceptance, reintegrates into community
MEMBERS OF INTERDISCIPLINARY TEAM: PATIENT - Answer- - participates in goal
setting
- learning to function using remaining abilities
- adjusting to living with disabilities
MEMBERS OF INTERDISCIPLINARY TEAM: FAMILY - Answer- - entire unit needs to
adapt to new disability
- source for support
- participate in problem solving
- learning to provide necessary ongoing care
MEMBERS OF INTERDISCIPLINARY TEAM: NURSE - Answer- - comprehensive
assessment
- establish short, medium + long term goals
- develop collaborative plan to achieve goals
- evaluation to assess progression towards goal
- plan of care
- nurse-patient relationship
- family relationship
