Chapters 4-6

Question 0

What psychosocial aspects are there for treating patients with a neurological condition?

Answer 0

Pt’s adaptation to disability
Pt’s stages of adjustment to disease or disability
Effects of impairments, functional limitations, and disability
Effects of limitations on participation
Pt’s reintegration into environment, family, work and life

Question 1

What types of settings are patients with neurological conditions in?

Answer 1

Acute care, SNF, rehab hospitals, outpatient centers and home care

Question 2

Define impairments, functional limitations and disability

Answer 2

Impairments- problems at the tissue and organ level
Functional limitations- result of impairments that negatively effect a person’s quality of life (ADLs)
Disability- functional limitations on a societal level

Question 3

What are the stages of death?

Answer 3

Denial
Anger
Bargaining
Depression
Acceptance

Question 4

Cranial nerve assessments are recommended for what type of patients?

Answer 4

Patients with lesions on the brain, brain stem and cervical spine

Question 5

What are the 3 groups of tonal abnormalities?

Answer 5

Spasticity
Rigidity
Flaccidity

Question 6

What vital signs should be assessed during a neurological assessment?

Answer 6

Heart rate, respiration and blood pressure

Question 7

What is the x3 of A & O X3?

Answer 7

Person, place and time

Question 8

What is homonymous hemianopsia?

Answer 8

Blindness of the nasal half of the visual field of one eye and the temporal half of the visual field of the other eye

Question 9

Superficial sensations…

Answer 9

Pain, temperature, light touch and pressure

Question 10

Deep pressure sensations…

Answer 10

Kinesthesia, proprioception and vibration

Question 11

Combined sensations…

Answer 11

Tactile localization, two-point discrimination, barognosis, stereognosis, graphesthesia and recognition of texture.

Question 12

Kinesthesia

Answer 12

Tests to sense pt’s arm moving up and down

Question 13

Proprioception

Answer 13

Examines pt’s sense of joint position at rest and joint movement

Question 14

Stereognosis

Answer 14

Pt’s ability to identify familiar objects by touch

Question 15

Graphesthesia

Answer 15

Pt can identify letters and numbers written on their skin

Question 16

Barognosis

Answer 16

Pt can identify different gradations of weight in objects of similar shape and size

Question 17

Two point discrimination

Answer 17

Identifies two points applied to pt’s skin simultaneously

Question 18

Motor control vs motor learning

Answer 18

Motor control - ability of CNS to direct the neuromotor system in purposeful movement and postural adjustment
Motor learning - skilled movement based on previous experience

Question 19

CVA…

Answer 19

Cerebral vascular accident, stroke

Question 20

Causes of stroke…

Answer 20

Cerebral embolism - blockage by a foreign object or embolism
Cerebral hemorrhage - artery ruptures
Cerebral thrombosis - most common, blood clot or plaque buildup blocks artery

Question 21

TIA…

Answer 21

Transient ischemic attack, mini stroke

Question 22

Most common types of pneumonia…

Answer 22

Aspiration - liquids

Bacterial - bacteria infection

Question 23

Isometric vs isotonic vs isokinetic exercises

Answer 23

Isometric - tension without joint movement or change in muscle length
Isotonic - tension due to concentric and eccentric contractions
Isokinetic - predetermined velocity of muscle shortening and lengthening

Question 24

Two phases of gait…

Answer 24

Stance and swing phase