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Unit XIII Neurosensory

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Question
Answer
Reception   Process of receiving stimuli or data  
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Kinesthetic   Awareness of the position and movement of body parts.  
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Stereognosis   Ability to perceive and understand an object through touch.  
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Sensory Perception   Conscious organization and translation of the data or stimuli into meaningful information.  
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Sensory Reception   Process of receiving stimuli or data.  
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Visceral sensory   Refers to any large organ within the body (eg. a full stomach)  
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Four aspects needed to be aware of the surroundings   Stimulus, Receptor, Impulse conduction, Perception  
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Stimulus   Agent or act that stimulates a nerve receptor  
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Receptor   Nerve cell converts the stimulus into nerve impulse. (Most are specific to only on type of stimulus)  
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Impulse conduction   Impulse travels along nerve pathways either to spinal cord or directly to the brain.  
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Perception   Awareness and interpretation of stimuli, takes place in the brain.  
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What does RAS stand for?   Reticular activating system  
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Where and what is the RAS?   Located in the brainstem and is thought to mediate the arousal mechanism. (alertness or sleepiness)  
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Awareness   The ability to perceive internal and external stimuli, and to respond appropriately through thought and action.  
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Full consciousness   Alert; oriented X 3; understands verbal written words  
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Disoriented   Not oriented to time, place, or person  
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Confused   Reduced awareness, easily bewildered; impaired judgement; poor memory, misinterprets stimuli  
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Somnolent   Extreme drowsiness but will respond to stimuli  
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Semicomatose   Can be aroused by extreme or repeated stimuli  
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Coma   Will not respond to verbal stimuli  
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Sensory deprivation   Decrease in or lack of meaningful stimuli. (Balance in RAS is disturbed and is unable to maintain normal stimuli)  
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Sensory overload   Occurs when a person in unable to process or manage the amount or intensity of sensory stimuli.  
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Normal awareness   Able to handle multiple stimuli at once  
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Delirium   Acute confusion. Abrupt onset and can be treated to reverse confusion.  
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Dementia   Chronic confusion. Has symptoms that are gradual and irreversible.  
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Orientation X 4 (what are the 4?)   Time, place, person, and situation  
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Scale to measure LOC (Level of Consciousness)   Glaslow Coma Scale  
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Cranial Nerve I   Olfactory: Sense of smell  
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Cranial Nerve II   Optic: Vision / visual fields  
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Cranial Nerve III   Ocular Motor: Responsible for 4 of the 6 eye movements, eye lids, pupil reaction and accommodation  
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Cranial Nerve IV   Trochlear: Outward and downward eye movements  
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Cranial Nerve V   Trigemenal: Facial sensation, jaw movement, corneal reflex  
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Cranial Nerve VI   Abducens: Responsible for lateral eye movement  
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Cranial Nerve VII   Facial: Facial symmetry, raise eyebrows, close eyes tight, smile, puff cheeks, taste and the ability to identify sweet, salty, sour, and bitter.  
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Cranial Nerve VIII   Auditory: Hearing and balance  
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Cranial Nerve IX   Glossopharangeal: tongue movement, taste posterior to tongue.  
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Cranial Nerve X   Vagus: Sensation of larynx and pharynx, swallowing, vocal cord movement  
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Cranial Nerve XI   Spinal Accessory: Shrugging shoulders, turning head  
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Cranial Nerve XII   Hypoglossal: Protrusion of the tongue, movement of tongue side to side while protruded.  
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Aphasia   Any defects in loss of the power to express oneself by speech, writing, or signs, or to comprehend spoken or written language due to disease or injury of the cerebral cortex.  
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Two types of aphasia   Sensory/receptive aphasia and motor/expressive aphasia  
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Sensory/Receptive aphasia   Loss of the ability to comprehend written or spoken words. Auditory or visual.  
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Motor/Expressive aphasia   Loss of the power to express oneself by writing, making signs, or speaking. Can understand words, but cannot combine speech sounds into words.  
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Cranial nerves that are tested together   III & IV & VI and IX & X  
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