The nurse is concerned that a client is not aware of being in the hospital. For what aspects of the sensory process should the nurse assess the client?

1. Speech
2. Stimuli
3. Receptor
4. Perception
5. Impulse conduction


Correct Answer: 2, 3, 4, 5

Rationale 1: Speech is not an aspect of the sensory process.

Rationale 2: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these aspects is a stimulus, which is an agent or act that stimulates a nerve receptor.

Rationale 3: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these is a receptor, which is the ability to convert the stimulus to a nerve impulse.

Rationale 4: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these is perception, which is the awareness and interpretation of the stimuli in the brain.

Rationale 5: For an individual to be aware of the surroundings, four aspects of the sensory process must be present. One of these is impulse conduction, which means the impulse travels along the nerve pathways to either the spinal cord or directly to the brain.

Nursing

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