ASSESSING NEUROLOGIC SYSTEM Flashcards
what are the functions of the nervous system
- receiving sensory input
- integrating information
- controlling muscles and glands
- maintaning homeostasis
- establishing and maintaning mental activity
it is made up of the brain and spinal cord ; body’s control center
central nervous system
made up of all the nerves that carry messages to and from the central nervous system ; similar to telephone
peripheral nervous system
relay information between skin, skeletal muscles, and CNS ; consciously control this pathway
somatic nervous system
relay information from CNS to organs ; not consciously control
autonomic nervous sytem
controls in times of stress such as flight or fight
sympathetic nervous system
controls body in times of rest
parasympathetic nervous system
if client is not alert to person, place, day, or time, maybe your client has a problem with the level of __
consciousness
if the client does not respond after shaking, apply a __ stimulus
painful
client with lesion of corticospinal tract, draws hands towards the __
chest
client having lesion of the diencephalon, midbrain, or pons, the client __ the arms and legs and __ the neck
extends ; arches
if client has slump posture he or she may have
depression or brain disease
desire body movements may be noted in __
schizophrenia
clients elevating their shoulders towards their ear and hold the entire body stiffly indicate that they are __ or __
tense or anxious
__ clients are often fidgety and restless
anxious
prolonged euphoric laughing is a typical manifestation of __
mania
meticulous grooming and finicky may be seen in _
obsessive compulsive behavior
poor hygiene and inappropriate dress may be seen with __
organis brain syndrome
bizarre dress and exaggerated makeup or cosmetics may be seen in __ or __
schizophrenia or manic disorders
extreme unilateral neglect may result from a lesion due to a __
cerebral vascular accident
unshaven, unkept apperance with a foul body odor may reflect __
depression, drug abuse, or low socioeconomic level
reduced eye contact is seen in __ or __
depression or apathy
extreme facial expression of hapinnes, anger, or fright may be seen in __ clients
anxious
slow repetitive speech is characteristic of __ or __
depression or pakinsons disease
loud rapid speech may occur in manic phases of _
bipolar disorder
disorganized speech or nonstop speech may indicate __
mental illness or neurological disorder
expression of elation and grandiosity, high energy level, and engagement in high risk but pleasurable activities is seen in __ phases
manic
eccentric moods nor appropriate to the situation are seen in
schizophrenia
confabulation is seen in __ syndrome
korsakoff
clients who have depression early in life have a two-fold increased risk for
dementia
for assessment of cranial nerves, have client sit in a comfortable position at __ level
eye
cranial nerve I
olfactory nerve
cranial nerve II
optic nerve (vision)
results in blurred optic disc margins and dilated pulsating veins
papilledema (swelling of the optic nerve)
cranial nerve III
oculomotor nerve
is seen with weak eye muscles such as in myasthenia gravis
ptosis (drooping of eyelids)
cranial nerve IV
trochlear nerve
it is a rhythmic oscillation of the eyes
nystagmus
paralysis of the oculomotor, trochlear, or abducens nerves
paralytic strabismus
cranial nerve VI
abducens
oculomotor nerve paralysis
dilated pupil (6-7mm)
constricted fixed pupils,
narcotics abuse or damage to the pons
unilaterally dilated pupil unresponsive to light or accommodation
damage to cranial nerve III
unilateral muscle weakness may indicate a lesion of cranial nerve
5 / trigeminal
these pupiles are seen in cns syphilis, meningitis, brain tumor, alcoholism
argyll robertson pupils
cranial nerve V
trigeminall
asymmetric strength in moving the jaw may be seen with lesion or injury of the __ cranial nerve
5th
sharp and dull sensation
cranial nerve 5
cranial nerve VII
facial nerve
inability to close eyes, wrinkle forehead, or raise is seen with what disease
bell’s palsy
cranial nerve VIII
vestibulocochlear / acoustic
to assess the cochlear, these tests are performed
weber and rinne test s
air conduction is twice as long as bone conduction
rinne test
craniel nerve IX
glossopharyngeal nerve
cranial nerve X
vagus nerve
cranial nerve XI
spinal accessory
cranial nerve XII
hypoglossal nerve
strength and mobility of the tongue
cranial nerve XII
may be seen in diseases of the lower motor neurons or muscle disorders
muscle atrophy
Loss of motor function, pain and temperature is seen in
anterior cord syndrome
Loss of proprioception seen in
posterior cord syndrome
A loss of strength, proprioception, pain and temperature is seen in
Brown-Séquard syndrome
