Neuro Check - Unit 2

Question 1

Mental Status - refers to…

Answer 1

a person’s emotional & cognitive functioning and is inferred through assessment of individual’s behavior.

Question 2

Mental Status Assessment - What are the 4 Letters?

Answer 2

ABCT - Appearance, Behavior, Cognition, Thought Process (Logical?)

Question 3

Appearance - what does it include?

Answer 3

Posture, Body Movements, Dress, Grooming & Hygiene

Question 4

Behavior - what does it include?

Answer 4

Level of consciousness, facial expression, speech (quality, pace, articulation, word choice, etc., Mood & Affect (Sad? Happy)

Question 5

Dysphasia - def

Answer 5

difficulty talking.

Question 6

Expressive Dysphasia - def

Answer 6

know what you want to say, but can’t (could be because of Broca’s area damage!)

Question 7

Aphasia - def

Answer 7

can’t talk.

Question 8

Dysarthria - def

Answer 8

problem articulating sounds.

Question 9

Cognitive Functions - what do these include (5)

Answer 9

Orientation, attention span, recent memory, remote memory, judgment.

Question 10

Recent Memory - how long?

Answer 10

Less than a week.

Question 11

Remote Memory - how long?

Answer 11

Longer than a week.

Question 12

Thought Processes & Perceptions - what do these include?

Answer 12

Thought processes, thought content, perceptions, screen for suicidal thoughts (get them help!)

Question 13

Consciousness - def

Answer 13

Being aware of one’s own existence, feelings & thoughts as well as environment.

Question 14

Level of Consciousness - LOC - consciousness? (Question about it?)

Answer 14

Do they know about where they are? Etc?

Question 15

Lethargy - def

Answer 15

tired.

Question 16

Drowsy - def

Answer 16

easily aroused from sleep.

Question 17

Stupor - def

Answer 17

aroused only w/painful stimuli - sternal rub, etc.

Question 18

Comatose - cannot be aroused w/painful stimuli but might have reflexes. T/F?

Answer 18

True!

Question 19

Orientation - def

Answer 19

awareness of the objective world in relation to the self - in relationship to person, place, time.

Question 20

Extremity Response - Resistance - a 0-5 scale. What is it?

Answer 20

0 - No muscular movement.
1 - Muscle tensing only.
2 - Moves but cannot lift.
3 - Lifts against gravity but not against resistance.
4 - Weak against resistance, good to full ROM.
5 - Normal strength, Full ROM

Question 21

Glascow Coma Scale - What is it? Give scale.

Answer 21

Eye Opening - (4-Spontaneous, 3 - Only to voice, 2 - Only to pain, 1 - None)
Verbal Response - (5 - Normal Conversation, 4 - Disoriented Conversation, 3 - Words, but not coherent, 2 - No worlds, only sounds. 1 - None.)
Motor Response - (6 - Normal, Localizes to pain, Withdraws to pain, 3 - Decorticate Posture, 2 - Decerebrate, 1- None.

Question 22

Glascow Coma Scale - 
<8 - \_\_\_\_.
9-12 - \_\_\_\_
13-15 - \_\_\_\_\_
Normal - \_\_\_\_
3-8 - \_\_\_\_.
3-4 - 95% incidence of \_\_\_\_, \_\_\_ \_\_\_..

Answer 22

Glascow Coma Scale - 
<8 - Severe Head Injury.
9-12 - Moderate Head Injury
13-15 - Minor Head Injury
Normal - 15
3-8 - Comatose.
3-4 - 95% incidence of death/vegetative state.

Question 23

Decorticate - def

Answer 23

Arms into the core. Bent at elbow.

Question 24

Decerebrate - def

Answer 24

Brainstem damage - clinching - stroke - arms bent out.