Patient Impressions

Question 1

Alert

Answer 1

Awake, attentive to normal levels of stimulation. Interactions are normal and appropriated.

Question 2

Lethargic

Answer 2

Patient is drowsy and may fall asleep without stimulation. Easily diverted. Difficulty focusing or maintaining attention to question or activity.

Question 3

Obtunded

Answer 3

Difficult arousing from a somnolent state and is frequently confused when awake. Repeated stimulation is required to maintain consciousness. Interactions with a healthcare provider are largely unproductive (need to yell or shake to wake up)

Question 4

Stupor

Answer 4

AKA semicoma. Responds only to strong, generally noxious stimuli and returns to unconscious state when stimulation stops. Even when aroused, unable to interact with healthcare providers. (need to knuckle rub on chest or finger flick)

Question 5

Coma

Answer 5

(deep coma) unable to arouse by any type of stimulation. May or may not see reflex motor responses.

Question 6

Hyperalert

Answer 6

Sympathetic NS in overdrive “fight or flight”. TBI patients or patients on narcotics.

Question 7

A&O x4

Answer 7

person, place, time, event

Question 8

What is delirium?

Answer 8

An acute confusional state, impairments in immediate and short memory along with confusion, agitation disorientation, illusions or hallucinations.
Often associated with medications, anesthesia, or acute illness.

Question 9

People with dementia have issues with

Answer 9

short term memory

Question 10

What are the sections of the montreal cognitive assessment (MoCA)?

Answer 10

1.visuospatial/ executive
2. naming
3. memory
4. attention
5. language
6. Abstraction
7. delayed recall
8. Orientation

Question 11

The ______ can be better adjusted to account for education levels. How many points are added?

Answer 11

MoCA
2 points should be added to the total MoCA score for those with 4-9 years of education.
1 point should be added to the total MoCA score for those with 10-12 years of education

Question 12

On the MoCA, the score range for mild cognitive impairment (MCI) is ________. For Alzheimer’s dementia the score range is __________.

Answer 12

19-25.2
11.4-21

Question 13

What is considered a normal score on MoCA?

Answer 13

26-30

Question 14

What score is indicative of cognitive dysfunction on the MoCA?

Answer 14

Less than 26

Question 15

what are the sections of the mini mental status exam (MMSE)?

Answer 15

1.orientation
2. registration
3.attention and calculation
4. recall
5. language

Question 16

What is considered a normal score on the MMSE?

Answer 16

24-30

Question 17

what is an abnormal score on the MMSE?

Answer 17

Less than 24

Question 18

What score is indicative of a reduced risk of dementia on the MMSE?

Answer 18

25-30

Question 19

What score is indicative of a increased risk of dementia on the MMSE?

Answer 19

Less than 21

Question 20

On the MMSE, there is no cognitive impairment if the score is

Answer 20

24-30

Question 21

On the MMSE, there is mild cognitive impairment if the score is

Answer 21

18-23

Question 22

On the MMSE, there is severe cognitive impairment if the score is

Answer 22

0-17