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NSG 2317 > Lecture 2 > Flashcards

Lecture 2 Flashcards

1
Q

what 3 things does te glasgow coma scale record

A

eye opening response
motor response
verbal response

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2
Q

what is the test used to screen for delirium

A

CAM

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3
Q

what are the 3 parts of memory

A

immediate
recent
remote

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4
Q

someone not fully alert and drifting off to sleep when not stimulated - will be aroused (but looking drowsy) when called by name

A

Lethargic

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5
Q

what is gnosia

A

recognition of objects and their functions

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6
Q

what is the highest score you can get on the glasgow coma scale

A

15

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7
Q

what is the difference between narrative and focused charting

A

narrative - charting by inclusion
focused - charting by exception

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8
Q

what are the 3 steps of the mini-cog test

A

three-word registration
clock drawing
three word recall

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9
Q

what is orientation

A

being away of who you are, where you are and when it is

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10
Q

Differences in dementia/delirium prognosis

A

dementia: irreversible
delirium: reversible

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11
Q

what 4 things are you assessing with a mental status examination

A

appearance
behaviour
cognition
thinking

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12
Q

What is the CAM

A

confusion assessment method

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13
Q

what is the MMSE

A

mini-mental state examination

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14
Q

Stupor

A

spontaneously unconcious and will only respond to vigorous shake and pain - still withdraws from pain

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15
Q

the diagnosis of delirium by CAM requires what

A

Either acute onset/fluctuating course or inattention
And either disorganized thinking, altered LOC

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16
Q

Differences in dementia/delirium onset

A

dementia: gradual
delirium: abrupt

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17
Q

what is the mini-cog test used for

A

to detect cognitive impairment quickly

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18
Q

what is the highest score you can get on the MOCA

A

30

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19
Q

what four areas is the general survey composed of

A

physical appearance
mobility
body structure
behaviour

20
Q

what is tripod sitting

A

leaning forward, hands on knees bracing themselves

21
Q

what things are you looking at for behaviours

A

dress
hygiene
facial expression
mood

22
Q

spontaneously unconcious and will only respond to vigorous shake and pain - still withdraws from pain

A

Stupor

23
Q

what is remote memory

A

being able to remember verifiable past events

24
Q

Differences in dementia/delirium attention

A

dementia: normal
Delirium: impaired

25
Q

what is the highest score you can get on the MMSE

A

30

26
Q

Obtunded

A

Transitional state between lethargy and stupor
sleeps most of the time and difficult to arouse

27
Q

Coma

A

completely unconscious and wont respond to anything

28
Q

recognition of objects and their functions

A

gnosia

29
Q

what is the lowest score you can get on the glasgow coma scale

A

3

30
Q

name some things youd be looking at with body structure

A

stature
symmetry
posture
nutrition

31
Q

Differences in dementia/delirium course

A

dementia: progressive
Delirium: fluctuating

32
Q

what is recent memory

A

being able to recall when they ame in

33
Q

what 3 things should we screen for in a risk assessment

A

suicidal thoughts
homocidal ideation
elopment risk

34
Q

what are the 5 Rs

A

Right information
patient
person
place
time

35
Q

when is delirium course worse

A

in the pM

36
Q

acute confusional state

A

clouding of consciousness, impaired memory

37
Q

what is the CAM used for

A

to tell if someone is facing delirium

38
Q

Transitional state between lethargy and stupor

A

Obtunded

39
Q

What is the MOCA

A

montreal cognitive assessment

40
Q

what is immediate memory

A

recalling what someone just said

41
Q

what does the MMSE ask

A

questions about your orientation, remembering words, copying pictures etc

42
Q

name some things youd be looking at with physical appearance

A

LOC
age - if you look the age you are
Sex - delayed or early puberty
Skin colour
Facial expression

43
Q

Lethargic

A

someone not fully alert and drifting off to sleep when not stimulated - will be aroused (but looking drowsy) when called by name

44
Q

what things are you looking at in regards to mobility

A

gait
ROM

45
Q

what is the difference between the MMSE and MoCA

A

moca is newer, little bit more in depth than MMSE

NSG 2317 (8 decks)

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