NMNC 1235 - Exam 1 UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Assessment Terminology - CORRECT ANSWER ● Ataxia: inability to coordinate
muscle movement
● Cephalalgia: headache (pain located in the head)
● Diplopia: double vision
● Hemiplegia: paralysis on one side of the body
● Nystagmus: an involuntary movement of the eyeball in a horizontal, vertical, rotary, or
mixed direction - can be congenital of acquired.
Basic learning principles - CORRECT ANSWER Motivation to learn - #1 before
anything else!
- influenced by belief in the need to know something
Ability to learn
- influenced by physical & cognitive abilities, developmental level, physical wellness,
intellectual thought processes, environment, stage of development, learning disabilities,
literacy/health literacy
Readiness to learn
- based on patient's willingness to engage - influenced by level of health, grief, etc - think
"appropriately timed teaching"
- Attentional set: being in a mental state to be able to focus on and comprehend learning - pay
attention/concentrate (meds, anxiety, grief, px, stress, fear, hunger, age/developmental stage,
lack of resources, etc. can interfere)
Learning environment
- comfortable, free of distractions, privacy, well lit, quiet - allows for focus
, Cognition Assessment - CORRECT ANSWER Glasgow Coma Scale: (GCS)
Used to assess LOC for pt w/ acute brain injury
E: Eye opening (4)
V: Verbal response (5)
M: Motor Response (6)
15 point scale - The higher the score, the better they are
Abnormal flexion: deCORticate (arms are like "c", curled in towards the core) - problems
with C spine or cerebral hemisphere
Abnormal extension: dEcErEbratE (arms are like "e" - problems with midbrain or brainstem
Cognitive function assessment:
Assess articulation, voice quality, conversation
Abnormal findings: errors in word choice, slurred speech, irregular speech, monotone/weak
Considerations: language barriers, meds, hearing loss, education level, infection/physical
health
* Change in LOC is FIRST sign of impaired cerebral function
Mental status assessment:
Intellectual, emotional, psychological, and personality fxn
Orientation to time, place, person, attention span, memory
Assess orientation:
- Time (will loose this first)
- Place
- Person (will loose this last)
Assess memory:
- Immediate (will loose this first)
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Assessment Terminology - CORRECT ANSWER ● Ataxia: inability to coordinate
muscle movement
● Cephalalgia: headache (pain located in the head)
● Diplopia: double vision
● Hemiplegia: paralysis on one side of the body
● Nystagmus: an involuntary movement of the eyeball in a horizontal, vertical, rotary, or
mixed direction - can be congenital of acquired.
Basic learning principles - CORRECT ANSWER Motivation to learn - #1 before
anything else!
- influenced by belief in the need to know something
Ability to learn
- influenced by physical & cognitive abilities, developmental level, physical wellness,
intellectual thought processes, environment, stage of development, learning disabilities,
literacy/health literacy
Readiness to learn
- based on patient's willingness to engage - influenced by level of health, grief, etc - think
"appropriately timed teaching"
- Attentional set: being in a mental state to be able to focus on and comprehend learning - pay
attention/concentrate (meds, anxiety, grief, px, stress, fear, hunger, age/developmental stage,
lack of resources, etc. can interfere)
Learning environment
- comfortable, free of distractions, privacy, well lit, quiet - allows for focus
, Cognition Assessment - CORRECT ANSWER Glasgow Coma Scale: (GCS)
Used to assess LOC for pt w/ acute brain injury
E: Eye opening (4)
V: Verbal response (5)
M: Motor Response (6)
15 point scale - The higher the score, the better they are
Abnormal flexion: deCORticate (arms are like "c", curled in towards the core) - problems
with C spine or cerebral hemisphere
Abnormal extension: dEcErEbratE (arms are like "e" - problems with midbrain or brainstem
Cognitive function assessment:
Assess articulation, voice quality, conversation
Abnormal findings: errors in word choice, slurred speech, irregular speech, monotone/weak
Considerations: language barriers, meds, hearing loss, education level, infection/physical
health
* Change in LOC is FIRST sign of impaired cerebral function
Mental status assessment:
Intellectual, emotional, psychological, and personality fxn
Orientation to time, place, person, attention span, memory
Assess orientation:
- Time (will loose this first)
- Place
- Person (will loose this last)
Assess memory:
- Immediate (will loose this first)
