Consciousness

Question 1

Continuum of Consciousness

Answer 1

Conscious (Alert)
Confused
Lethargic
Obtunded
Stuporous
Comatose

Question 2

Arousal

Answer 2

eye opening

Question 3

Awareness

Answer 3

the pt is aware of self and environment. The pt has the ability to focus and interact.

Question 4

Fully Conscious

Answer 4

awake, alert & oriented x 4

Question 5

Confused

Answer 5

disoriented to time, place, person, or situation. Short attention span; poor memory; easily bewildered

Question 6

Lethargic

Answer 6

oriented with slow, sluggish speech and mental processes; responds appropriately to questions

Question 7

Obtunded

Answer 7

arouses to stimulation; responds with 1-2 words; follows 1 step commands with stimulation

Question 8

Stuporous

Answer 8

lies quietly w/ minimal movement; responds only to vigorous and repeated stimulation; opens eyes and responds to pain appropriately; makes incomprehensible sounds

Question 9

Comatose

Answer 9

sleep-like state w/ eyes closed; does not respond appropriately to bodily or environmental stimuli; no verbal sounds

Question 10

Altered Levels of Consciousness

Answer 10

*Continuum of Consciousness —RAS
*Persistent Vegetative State
*Locked In Syndrome
*Brain Death

Question 11

Etiologies of ALOC

Answer 11

structural and metabolic

Question 12

Evaluation Scales for LOC

Answer 12

Glasgow Coma Scale
Mini-Mental State Examination
Rancho Los Amigos Scale

Question 13

Glasgow Coma Scale

Question 14

Mini-Mental State Examination

Question 15

Pharmacologic Interventions for ALOC

Question 16

Medical Interventions for ALOC

Question 17

Nursing Interventions for a Pt w/ ALOC

Answer 17

-maintain a patent airway
-maximize ventilation
-minimize confusion
-prevent injury
-promote adequate nutrition
-monitor elimination patterns
-patient/family teaching