Week 3 Flashcards

1
Q

Indirect Data

A

gathering data through the way a patient responds during the interview

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2
Q

when would you conduct a full mental health examination?

A

if family members express concern about the patients behaviour, if there is a brain injury or aphasia, or if symptoms of a mental illness are observed

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3
Q

Factors that may affect mental health findings

A

pre-exisiting illnesses or medications. These factors are included in the health history

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4
Q

what are the 4 main components of the mental status exam

A

Appearance, Behaviour, cognitive functions and thought processes (A, B, C, T

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5
Q

MOCA

A

a simplified scored assessment of cognitive functions (not mood or thought processes)

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6
Q

The MOCA is used to detect?

A

dementia and delirium and to differentiate organic brain disorders from psychiatric illnesses

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7
Q

Aging and its effects on the mental status exam?

A

slower response time may affect learning. Age-related physical changes may also have an affect on the mental status exam (hearing or vision loss)

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8
Q

before assessing an older adults mental status?

A

check sensory status and correct deficits if possible

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9
Q

set test

A

assess the mental status by asking the patient to name ten items in 4 categories

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10
Q

Pain is a?

A

highly complex and subjective experience

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11
Q

phases of nociceptive pain?

A

transduction, transmission, perception and modulation

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12
Q

nociceptive pain is?

A

predictable and time limited

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13
Q

neuropathic pain implies?

A

an abnormal processing of the pain message due to an injury of nerve fibers and is sustained on a neurochemical level

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14
Q

Referred pain

A

originates in one area but is felt in another. Both areas are inervated by the same spinal nerve so it is difficult for the brain to differentiate the point of origin

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15
Q

acute pain

A

short and self limiting. follows a predictable tract and ends after the injury heals

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16
Q

Persistant/ chronic pain

A

Continues for 6 months or longer. results from abnormal processing of pain fibers that do not stop when injury heals.

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17
Q

Pain and infants

A

Infants have the same capacity for pain as adults do but are at high risk for undertreatment since they are nonverbal

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18
Q

Pain and older adults

A

although pain is common in older adults, it is not a normal part of aging

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19
Q

pain and genetics

A

genetic differences in men and women may account for differences in pain perception

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20
Q

Cross-cultural Pain

A

ask each patient how they typically behave when in pain

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21
Q

subjective report

A

the most reliable indicator of pain

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22
Q

canthus

A

inner corner of the eye where the lids meet

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23
Q

caruncle

A

small fleshy mass containing sebaceous glands located at inner canthus

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24
Q

conjunctiva

A

thin, transparent mucous membrane covering the exposed part of the eye

25
Q

lacrimal apparatus

A

provides continuous irrigation

26
Q

the muscles that direct eye movement are innervated by

A

cranial nerves 3, 4 and 6

27
Q

outer layer of the eye

A

sclera, cornea, iris and pupil

28
Q

middle layer of the eye

A

choroid, ciliary body

29
Q

choroid

A

has dark pigmentation to prevent light from reflecting internally and is highly vascular to deliver blood to the retina

30
Q

ciliary body

A

controls the thickness of the lens

31
Q

iris

A

contracts and dilates the pupil to control how much light is let in to the retina

32
Q

retina

A

the visual receptive layer of the eye. Light waves are changed into nerve impulses here

33
Q

pupillary light reflex

A

the normal constriction of the pupils when bright light shines on the retina

34
Q

fixation

A

a reflex direction of the eye toward and object attracting that persons attention

35
Q

accomodation

A

the adjustment of the eye for near vision accomplished by ciliary muscle movement

36
Q

presbyopia

A

occurs with aging. lens loses elasticity and decreases its ability to change shape to accommodate for near vision

37
Q

retinal detachment

A

emergency situation where the retina becomes detached from the layer of vessels that provide it with oxygen and nutrients

38
Q

Increased intraocular pressure, gradual loss of peripheral vision and leading cause of irreversible blindness

A

Glaucoma

39
Q

Lens opacity, common in elderly population, results from clumping to proteins in lens.

A

cataracts

40
Q

breakdown of cells in the macula of the retina, loss of central vision, most common cause of blindness

A

macular degeneration

41
Q

microvascular change that is the leading cause of visual impairment in people less than 65

A

diabetic retinopathy

42
Q

snellen eye chart tests?

A

central visual accuity

43
Q

confrontation test assesses?

A

visual fields

44
Q

corneal light reflex assesses?

A

extraocular muscle movements

45
Q

conductive hearing loss

A

involves a mechanical dysfunction of the external or middle ear

46
Q

sensorineural hearing loss

A

indicates a pathological condition of cranial nerve 8

47
Q

presbycusis

A

age related gradual deterioration of cranial nerve 8 resulting in sensorineural hearing loss

48
Q

romberg test evaluates

A

standing balance. Ask the person to stand with their eyes closed

49
Q

otitis media

A

middle ear infection resulting from obstruction of the eustachian tube or passage of secretions into the middle ear

50
Q

adult ear exam

A

pull pinna up and back

51
Q

infant and child under 3 ear exam

A

pull pinna straight down

52
Q

exostosis

A

formation of a new bone in the ear

53
Q

polyp

A

arises in the canal from granulomatous or mucosal tissue. Red and bleeds easily, foul discharge, indicates chronic ear disease

54
Q

tympanic membrane in older adults

A

appears, whiter duller and more opaque

55
Q

which paranasal sinuses are available for examination

A

the frontal and maxillary sinuses

56
Q

1 + tonsils

A

visible

57
Q

2 + tonsils

A

halfway between tonsillar pilars and uvula

58
Q

3 + tonsils

A

touching uvula

59
Q

4 + tonsils

A

touching each other