mental function

Question 1

confused/appropriated. inconsistent orientation to time and place, consistently follows simple directions

Answer 1

level VI

Question 2

localized response. blinks to strong light, turns toward/away from sound, responds to physical discomfort, inconsistent response to commands

Answer 2

level III

Question 3

purposeful/appropriate

Answer 3

level VIII

Question 4

no response to pain, touch, sound or sight

Answer 4

level I

Question 5

confused/non-agitated. gross attention to environment, highly distractible, inappropriate verbalization

Answer 5

level V

Question 6

automatic/appropriated. skills noticeably deteriorated

Answer 6

level VII

Question 7

confused/agitated. alert, performs motor activities but behavior is non-purposeful, extremely short attention span

Answer 7

level IV

Question 8

generalized reflex response to pain

Answer 8

level II

Question 9

method of evaluating a patients level of consciousness for adults with severe to moderate brain injury in acute stage

Answer 9

Glasgow Coma Scale

Question 10

glasgow coma scale scoring

Answer 10

total score 3-15
eye opening: 1-4
verbal response: 1-5
motor response: 1-6

Question 11

glasgow coma scale levels

Answer 11

mild: 13-15
moderate: 9-12
severe: 3-8

Question 12

eye opening scaling

Answer 12

1 = none
2 = to pressure
3 = to sound
4 = spontaneous

Question 13

motor response scaling

Answer 13

1 = none
2 = extension
3 = abnormal flexion
4 = normal flexion
5 = localizing
6 = obey commands

Question 14

verbal response scaling

Answer 14

1 = none
2 = sounds
3 = words
4 = confused
5 = oriented

Question 15

agitated behavior scale

Answer 15

< 21 WNL
22-28 mild
29-35 moderate
>35 severe

Question 16

mental status exam

Answer 16

max score of 30
score of 23 or less = dementia, delirium, schiz
21-26 mild
10-20 moderate
<10 severe

Question 17

montreal cognitive assessment

Answer 17

max score of 30
score <26 at risk for dementia

Question 18

frontal lobe

Answer 18

impaired ability to initiate, plan, and organize activity
executive functions
appropriateness of behavior/responses

Question 19

left hemisphere

Answer 19

difficulty communicating
difficulty understanding words with emotion
but understands nonverbal emotion

Question 20

right hemispherer

Answer 20

impulsive
motor perseveration
poor motor planning
deficient problem-solving
difficulty understanding emotional tone
impaired integration of muti-sensory info

Question 21

executive function

Answer 21

setting goals
assessing self- behavior, interaction
planning and directing activity
initiating or inhibiting behavior appropriately
monitoring current activity

Question 22

metacognitive functions

Answer 22

awareness
evaluation
prediction
anticipation
self control