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NUR 420 > Test 3 > Flashcards

Test 3 Flashcards

1
Q

CSF circulates in the:

A

subarachnoid space

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2
Q

concerned with life support & basic functions (movement)

A

brainstem

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3
Q

concerned w/ coordination of movement & works w/ brainstem to focus on functionality of muscles

A

cerebellum

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4
Q

most advanced section of the brain in evolution

A

forebrain

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5
Q

relay station

A

thalamus

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6
Q

controls the ANS & cognition

A

hypothalamus

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7
Q

regulates emotion

A

epithalamus

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8
Q

controls intelligence, creativity & memory

A

cerebrum

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9
Q

processes & communicates all information coming from the PNS, also translates the impulse into understandable feelings & thoughts

A

cerebral cortex

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10
Q

processes voluntary muscle movements & higher functioning actions (thought & speech). Helps control mood, planning for future, setting goals, & making judgments

A

frontal lobe

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11
Q

processes spatial awareness & receives information about temperature, taste, touch & movements; also processes reading and arithmetic

A

parietal lobe

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12
Q

processes hearing, memory & language functions

A

temporal lobe

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13
Q

assists in processing visual information

A

occipital lobe

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14
Q

located in the frontal lobe, controls voluntary movement

A

motor cortex

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15
Q

responsible for the formation of words or speech

A

Broca’s area

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16
Q

Allows processing of words into coherent thought & understanding of written/spoken words

A

wernicke’s area

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17
Q

maintains equilibrium, controls voluntary movement, predicts distance, gauges speed, keeps from overshooting

A

cerebellum

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18
Q

crossing of the ____ ____ explains how damage to the right motor cortex affects movement on the left side of the body

A

corticospinal tract

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19
Q

the right side of the cerebellum controls the __ side of the body

A

right

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20
Q

portion of the brain that controls respiratory rate and pattern

A

pons

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21
Q

four cranial nerves that originate from the pons:

A

trigeminal, abducens, facial & vestibulocochlear

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22
Q

cardiac slowing center

A

medulla

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23
Q

exists because the endothelial cells of cerebral capillaries are joined tightly together

A

blood brain barrier

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24
Q

substances that can pass through the BBB include:

A

oxygen, CO2, EtOH, glucose, anesthetics, H20

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25
Q

31 pairs of spinal nerves include:

A 
8 cervical
12 thoracic
5 lumbar
5 sacral
1 coccygeal
26
Q

carries impulses from PNS to spinal cord

A

afferent (posterior branch)

27
Q

carries impulses from brain to muscles of the body

A

efferent (anterior branch)

28
Q

represents sensory input from spinal nerves to specific areas of skin

A

dermatomes

29
Q

describes the positioning of something

A

proprioception

30
Q

a closed circuit of spinal and peripheral nerves that requier no control by the brain

A

reflexes

31
Q

Patient may be somewhat confused though fully oriented when awake

A

awake & alert

32
Q

drowsy but follows simple commands when stimulated

A

lethargic

33
Q

arousable with stimulation; responds verbally with a word or 2; follows simple commands; otherwise drowsy

A

obtunded

34
Q

very hard to arouse; inconsistently may follow simple commands or speak simple words or short phrases; limited spontaneous movement

A

stuporous

35
Q

movements are purposeful when stimulated; does not follow commands or speak coherently

A

semicomatose

36
Q

may respond with reflexive posturing when stimulated or may have no response to any stimulus

A

comatose

37
Q

to assess motor response, painful stimuli may be applied for _____ before the patient is considered to not having a motor response

A

15-30 seconds

38
Q

cardinal sign of dysfunction in many neurological disorders is:

A

muscle weakness

39
Q

posturing where one or both arms are in full flexion on the chest, legs may be stiffly extended

A

decorticate posturing

40
Q

posturing where one or both arms stiffly extend, possible extension of the legs

A

decerebrate

41
Q

worst of the posturing is:

A

decerebrate

42
Q

unilateral paralysis

A

hemiparesis

43
Q

unilateral symptoms of paralysis from a contralateral brain lesion

A

hemiplegia

44
Q

bilateral paralysis from the waist down

A

paraplegia

45
Q

paralysis resulting from a spinal cord lesion or from peripheral nerve dysfunction

A

paraplegia

46
Q

associated with cervical spinal lesions, brainstem dysfunction, or large bilateral lesions in the cerebrum

A

quadriplegia

47
Q

determined with the finger to nose test, if patient overshoots is said to demonstrate ___

A

dysmetria

48
Q

reflex assessment score that indicates evidence of disease, electrolyte imbalance, or both. Associated with clonic contractions

A

4+

49
Q

reflex assessment score of a brisk response, possibly indicating disease

A

3+

50
Q

The 3 cardinal findings of braindeath

A

coma
Absence of brainstem reflex
Apnea

51
Q

priority care for a patient having a migraine is:

A

pain management

52
Q

adenosine’s action:

A

dilates blood vesels and promotes inflammation

53
Q

severe migraines are treated with: ___ which work by:

A

triptans; activating serotonin receptors

54
Q

triptans should be taken:

A

as soon as migraine symptoms develop

55
Q

patients taking triptans should be taught to: (4)

A

1- report angina
2- use contraception
3- expect side effects (flushing, tingling, hot sensation)
4- don’t take with SSRI antidepressants or st. john’s wort

56
Q

beta blockers are used for migraines to:

A

decrease excitability of neurons

57
Q

brief, intense, unilateral pains (30-120 mins) occur in the fall/spring without warning

A

cluster headaches

58
Q

the most common chronic short-duration headaches:

A

cluster headaches

59
Q

related to vasoreactivity & neurogenic inflammation; may be related to overactive-enlarged hypothalamus

A

cluster headaches

60
Q

described as excruciating, boring, drilling, non-throbbing & around the eye, unilateral, oculotemporal/oculofrontal

A

cluster headaches

61
Q

remission for cluster headaches is around:

A

9 months

62
Q

patient often paces, walks, sits & rocks

A

cluster headaches

NUR 420 (1 decks)

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