Nursing 2000: Exam 2 Flashcards
Responsible for a person’s mental status
Cerebrum
Perception and Behavior
Cerebral Cortex
Frontal Lobe is Responsible for…
- Short term memory
- Expression of Emotion
- Decision making and problem solving
Regions of the Brain
- Parietal Lobe
- Temporal Lobe
- Limbic System
- Reticular Activating System (RAS)
Lobe responsible for sensory data
Parietal Lobe
Lobe responsible for sounds and Long term memory
Temporal Lobe
Responsible for survival behaviors and emotions
Limbic System
Responsible for awareness and arousal
Reticular Activating System (RAS)
What do we want to know about the present illness with Neuro?
- Change of behavior
- Anxiety
- Depression
What do we want to know about a patient’s past medical history with Neuro?
- Neurological Disorders
- Psychiatric Disorders
- Medication Use
- Can score up to a 31
- A score of 21 or less warrants further evaluation
Mini-Mental Exam
What do we want to know about family history with Neuro?
- Psychiatric Disorders and mental illness
- Alzheimer’s Disease
- Learning Disorders
- Intellectual Disability
Used to measure a person’s level of consciousness or alertness
Glascow Coma Scale
Components of a Mental Exam
- Level of consciousness
- Behavior and Appearance
- Language
- memory
- Knowledge
- Abstract thinking
- Association
- Judgement
Level of Consciousness: Alert and Oriented
- Person
- Place
- Time
- Situation
Behavior and Appearance
- Mood
- Hygiene
- Body Language
Affects person’s ability to understand and express language
Aphasia
2 types of language
Sensory (receptive) and Motor (Expressive)
2 types of Memory
Recent and Remote Memory
Components of Recent Memory
- Short term
- Name unrelated objective
- Recall 3 words or series of numbers
Components of Remote Memory
- Long term
- Recall mother’s maiden
- An event in history
- Birthday
Components of Delirium
- Acute
- Sudden short development
- Medical condition link
- Impairs consciousness
- Potentially reversible
- Perform GCS
Components of Dementia
- Chronic
- Insidious Progressive
- Structural brain disease
- Impairs judgement, memory and thought patterns
More components of Memory
- Knowledge
- Abstract
- Association
- Judgement
Components of Sensory Function
- Pain
- Temperature
- Position
- Vibration
- Touch
Testing of Cerebellar Function
- Coordination
- Balance
- Stereognosis
- Graphesthesia
- Proprioception
What test do you use for balance?
Rhomberg Test
Grading for Deep Tendon Reflexes
0-4
What is a grade of zero for Deep Tendon Reflexes?
No response
What is a grade of one for Deep Tendon Reflexes?
Sluggish
What is a grade of two for Deep Tendon Reflexes?
Active and Normal
What is a grade of three for Deep Tendon Reflexes?
More brisk and hyperactive
What is a grade of four for Deep Tendon Reflex?
Brisk and clonus
What are the sensory cranial nerves?
- Olfactory
- Optic
- Auditory
What is the Motor cranial nerves?
- Oculomotor
- Trochlear
- Abducens
- Spinal Accessory
- Hypoglossal
What are the Sensory and Motor cranial nerves?
- Trigeminal
- Facial
- Glossopharyngeal
- Vagus
Olfactory Nerve
Sense of smell
Oculomotor Nerve
Extraocular movements
Optic Nerve
Visual acuity
Trochlear Nerve
Downward and inward eye movement
Trigeminal Nerve
Sensory nerve to skin of face or motor nerve to muscle of the jaw
Abducens Nerve
Lateral movement of eyeballs
Facial Nerve
Facial expression and taste
Auditory Nerve
Hearing
Glossopharyngeal Nerve
Taste and ability to swallow
Vagus Nerve
Sensation of Pharynx and movement of vocal cords
The Vagus nerve is parasympathetic innervation to what?
Glands of mucous membranes of the Pharynx, larynx, organs in neck, heart and lungs, and the abdomen
Spinal Accessory Nerve
Movement of the head and shoulders
Hypoglossal Verve
Position of the tongue
Roman Numeral for the Olfactory Nerve
I
Roman Numeral for the Optic Nerve
II
Roman Numeral for the Oculomotor Nerve
III
Roman Numeral for the Trochlear Nerve
IV
Roman Numeral for the Trigeminal Nerve
V
Roman Numeral for the Abducens Nerve
VI
Roman Numeral for the Facial Nerve
VII
Roman Numeral for the Auditory Nerve
VIII
Roman Numeral for the Glossopharyngeal Nerve
IX
Roman Numeral for the Vagus Nerve
X
Roman Numeral for the Spinal Accessory Nerve
XI
Roman Numeral for the Hypoglossal Nerve
XII
Collin Sign
Umbilical Hemorrhage
Grey-Turner Sign
Retroperitoneal Hemorrhage
