ASSESSING NEUROLOGIC SYSTEM

Question 1

what are the functions of the nervous system

Answer 1

1. receiving sensory input
2. integrating information
3. controlling muscles and glands
4. maintaning homeostasis
5. establishing and maintaning mental activity

Question 2

it is made up of the brain and spinal cord ; body’s control center

Answer 2

central nervous system

Question 3

made up of all the nerves that carry messages to and from the central nervous system ; similar to telephone

Answer 3

peripheral nervous system

Question 4

relay information between skin, skeletal muscles, and CNS ; consciously control this pathway

Answer 4

somatic nervous system

Question 5

relay information from CNS to organs ; not consciously control

Answer 5

autonomic nervous sytem

Question 6

controls in times of stress such as flight or fight

Answer 6

sympathetic nervous system

Question 7

controls body in times of rest

Answer 7

parasympathetic nervous system

Question 8

if client is not alert to person, place, day, or time, maybe your client has a problem with the level of __

Answer 8

consciousness

Question 9

if the client does not respond after shaking, apply a __ stimulus

Answer 9

painful

Question 10

client with lesion of corticospinal tract, draws hands towards the __

Answer 10

chest

Question 11

client having lesion of the diencephalon, midbrain, or pons, the client __ the arms and legs and __ the neck

Answer 11

extends ; arches

Question 12

if client has slump posture he or she may have

Answer 12

depression or brain disease

Question 13

desire body movements may be noted in __

Answer 13

schizophrenia

Question 14

clients elevating their shoulders towards their ear and hold the entire body stiffly indicate that they are __ or __

Answer 14

tense or anxious

Question 15

__ clients are often fidgety and restless

Answer 15

anxious

Question 16

prolonged euphoric laughing is a typical manifestation of __

Answer 16

mania

Question 17

meticulous grooming and finicky may be seen in _

Answer 17

obsessive compulsive behavior

Question 18

poor hygiene and inappropriate dress may be seen with __

Answer 18

organis brain syndrome

Question 19

bizarre dress and exaggerated makeup or cosmetics may be seen in __ or __

Answer 19

schizophrenia or manic disorders

Question 20

extreme unilateral neglect may result from a lesion due to a __

Answer 20

cerebral vascular accident

Question 21

unshaven, unkept apperance with a foul body odor may reflect __

Answer 21

depression, drug abuse, or low socioeconomic level

Question 22

reduced eye contact is seen in __ or __

Answer 22

depression or apathy

Question 23

extreme facial expression of hapinnes, anger, or fright may be seen in __ clients

Answer 23

anxious

Question 24

slow repetitive speech is characteristic of __ or __

Answer 24

depression or pakinsons disease

Question 25

loud rapid speech may occur in manic phases of _

Answer 25

bipolar disorder

Question 26

disorganized speech or nonstop speech may indicate __

Answer 26

mental illness or neurological disorder

Question 27

expression of elation and grandiosity, high energy level, and engagement in high risk but pleasurable activities is seen in __ phases

Answer 27

manic

Question 28

eccentric moods nor appropriate to the situation are seen in

Answer 28

schizophrenia

Question 29

confabulation is seen in __ syndrome

Answer 29

korsakoff

Question 30

clients who have depression early in life have a two-fold increased risk for

Answer 30

dementia

Question 31

for assessment of cranial nerves, have client sit in a comfortable position at __ level

Answer 31

eye

Question 32

cranial nerve I

Answer 32

olfactory nerve

Question 33

cranial nerve II

Answer 33

optic nerve (vision)

Question 34

results in blurred optic disc margins and dilated pulsating veins

Answer 34

papilledema (swelling of the optic nerve)

Question 35

cranial nerve III

Answer 35

oculomotor nerve

Question 36

is seen with weak eye muscles such as in myasthenia gravis

Answer 36

ptosis (drooping of eyelids)

Question 37

cranial nerve IV

Answer 37

trochlear nerve

Question 38

it is a rhythmic oscillation of the eyes

Answer 38

nystagmus

Question 39

paralysis of the oculomotor, trochlear, or abducens nerves

Answer 39

paralytic strabismus

Question 40

cranial nerve VI

Answer 40

abducens

Question 41

oculomotor nerve paralysis

Answer 41

dilated pupil (6-7mm)

Question 42

constricted fixed pupils,

Answer 42

narcotics abuse or damage to the pons

Question 43

unilaterally dilated pupil unresponsive to light or accommodation

Answer 43

damage to cranial nerve III

Question 44

unilateral muscle weakness may indicate a lesion of cranial nerve

Answer 44

5 / trigeminal

Question 45

these pupiles are seen in cns syphilis, meningitis, brain tumor, alcoholism

Answer 45

argyll robertson pupils

Question 46

cranial nerve V

Answer 46

trigeminall

Question 47

asymmetric strength in moving the jaw may be seen with lesion or injury of the __ cranial nerve

Answer 47

5th

Question 48

sharp and dull sensation

Answer 48

cranial nerve 5

Question 49

cranial nerve VII

Answer 49

facial nerve

Question 50

inability to close eyes, wrinkle forehead, or raise is seen with what disease

Answer 50

bell's palsy

Question 51

cranial nerve VIII

Answer 51

vestibulocochlear / acoustic

Question 52

to assess the cochlear, these tests are performed

Answer 52

weber and rinne test s

Question 53

air conduction is twice as long as bone conduction

Answer 53

rinne test

Question 54

craniel nerve IX

Answer 54

glossopharyngeal nerve

Question 55

cranial nerve X

Answer 55

vagus nerve

Question 56

cranial nerve XI

Answer 56

spinal accessory

Question 57

cranial nerve XII

Answer 57

hypoglossal nerve

Question 58

strength and mobility of the tongue

Answer 58

cranial nerve XII

Question 59

may be seen in diseases of the lower motor neurons or muscle disorders

Answer 59

muscle atrophy

Question 60

Loss of motor function, pain and temperature is seen in

Answer 60

anterior cord syndrome

Question 61

Loss of proprioception seen in

Answer 61

posterior cord syndrome

Question 62

A loss of strength, proprioception, pain and temperature is seen in

Answer 62

Brown-Séquard syndrome