Exam 3 - terms and ranchos levels

Question 1

Consciousness

Answer 1

expression and awareness of an aroused mind with limitless shades of intensity and content

Question 2

alert (wakefulness)

Answer 2

patient responds immediately, fully, and appropriately to visual, auditory and tactile stim.

Question 3

lethargy

Answer 3

-state of drowsiness, inaction and indifference, responses to stim may be delayed or incomplete and increased stim may be required to evoke a response.

Question 4

Clouding of consciousness

Answer 4

state of consciousness that is characterized by quiet behavior confusion, poor attention and delayed responses

Question 5

obtundation

Answer 5

state of even duller indifference that maintains wakefulness, but little more

Question 6

stupor

Answer 6

state from which the subject can only be aroused by vigorous and continuous external stim

Question 7

coma

Answer 7

-state of unarousable, unresponsiveness in which the eyes remain continuously closed and there is no understandable response to the environment or intrinsic stim

Question 8

minimally conscious state

Answer 8

condition of severely altered consciousness in which minimal but definite behavioral evidence of self or environmental awareness is demonstrated

Question 9

vegetative state

Answer 9

-no signs of conscious behavior, and show spontaneous eye opening with evidence of sleep wake cycles. Demonstrates no purposeful or voluntary behavioral responses to visual, auditory, or tactical or noxious stim. No evidence of language comprehension or expression. intermittent wakefulness. bowel and bladder incontinence, variable preservation of CN and spinal reflexes.

Question 10

Ranchos: Level 1

Answer 10

No response: - deep sleep, completely unresponsive

Question 11

Ranchos: Level 2

Answer 11

Generalized response: inconsistently and non purposefully reacting to stim in a nonspecific manner

Question 12

Ranchos: Level 3

Answer 12

Localized response: react specifically but inconsistently to stim. Responses are directly related to the type of stim presented.

-may follow simple commands in an inconsistent, played manner (ie. closing eyes, squeeze hands)

Question 13

Ranchos: Level 4

Answer 13

confused-agitated: heightened state of activity with severely decreased ability to process info.

Question 14

Ranchos: Level 5

Answer 14

confused-inappropriate: appears alert and is able to respond to simple commands failure consistently

Question 15

Ranchos: Level 6

Answer 15

confused-appropriate: shows goal directed behavior, but is dependent on external input for direction. Response to discomfort is appropriate and is able to tolerate unpleasant stimulation

Question 16

Ranchos: Level 7

Answer 16

automatic-appropriate: appears appropriate and oriented within hospital and home settings. goes through daily routine automatically but robot-like, with min to absent confusion and has shallow recall for what he has been doing

Question 17

Ranchos: Level 8

Answer 17

purposeful-appropriate: alert and oriented. able to recall and integrate past and recent events and is aware of and responsive to his culture.