NSG 3160 EXAM 3 WITH VERIFIED
AND CORRECT ANSWERS GRADED
A+ NEW 2026
normal posture and position - answer-posture is erect, position is relaxed
abnormal findings for posture and position - answer-sitting on edge of chair or curled in
bed, tense muscles, frowning, darting, watchful eyes, pacing.
occurs with anxiety or hyperthyroidism
dragging feet or slow walking or slumped in chair: occurs with depression and some
organic brain diseases
normal body movements - answer-voluntary, deliberate, coordinated, smooth and even
abnormal findings of body movements - answer-restless, fidgety movement or
hyperkinetic appearance occurs with anxiety. apathy and psychomotor slowing occurs
depression and dementia
abnormal posturing and bizarre gestures occur with schizophrenia
facial grimaces with pain. tics with neurological disorders (Tourettes, tardive dyskinesia,
abnormalities in muscle movement)
normal dress - answer-normal dress is appropriate for setting, season, age, gender,
cultured social group. worn appropriately and fits
,abnormal clothing - answer-abnormal clothing can occur with organic brain syndrome.
eccentric dress combination and bizarre makeup occur with manic syndrome or
schizophrenia
abnormal grooming and hygiene - answer-a disheveled appearance in a previously well-
groomed person is significant. unilateral neglect (inattention to one side of body) occurs
in stroke
inappropriate dress or lack of concern with appearance occur with depression and
severe Alzheimer disease. meticulously groomed and dressed appearance and
fastidious manner may occur with OCD
abnormal pupils - answer-dilated or constricted pupils may be sign of recent drug use.
recent anisocoria (unequal pupil size) can be result of a brain tumor
abnormal behavior: level of consciousness - answer-Loses track of conversation, falls
asleep.
Lethargic (drowsy), obtunded (confused)
abnormal facial expression - answer-Flat, mask-like depressed, angry, sad, anxious.
*anxiety is common in ill people, some people smile when anxious
flat, mask like expression occurs in Parkinsonism and depression
abnormal findings for speech - answer-dysphonia is abnormal volume, pitch.
monopolizes interview or is silent, secretive, or uncommunicative
slow, monotonous speech with Parkinsonism or depression. rapid-fire, pressured and
loud talking occurs with manic syndrome
,dysarthria is distorted speech. misuses words, omits letters, syllables, words.
transposes words, occurs with aphasia. circumlocution or repetitious abnormal
patterns; neologism, echolalia
unduly long word-finding or failure in search of words (aphasia)
mood and affect - answer-ask directly, how do you feel today? how do you usually feel?
orientation - answer-assess time, place, person
time: do you know what time of day it is? time of season? week date year
place: where they live, present location, type of building, name of city and state
person: own name, age, who examiner is
orientation usually lost in this order: first to time, then to place, rarely to person
disorientation can occur with delirium and dementia
attention span abnormalities - answer-often impaired in people who are anxious,
fatigued or drug intoxicated
digression from initial thought. irrelevant replies to questions. easily distracted.
stimulus bound (anything new draws attention quickly), confusion, negativism
recent memory - answer-ask questions you can corroborate. screens for occasional
person who makes up answers to fill in gaps
, recent memory deficit occurs with delirium, dementia, amnestic syndrome, Korsakoff
syndrome in chronic alcoholism
remote memory - answer-Ask verifiable past events like birthday, wedding day, etc
remote memory lost when cortical storage for that memory is damaged (Alzheimers,
dementia, or disease that damages cerebral cortex)
new learning - the four unrelated words test - answer-- Highly sensitive and valid
memory test.
- Requires more effort than recall of personal or historic events, and avoids danger of
unverifiable recall.
I am going to say 4 words. I want you to remember them. in a few minutes I will ask you
to recall them. pick 4 words with semantic and phonetic diversity
ask for recall at 5, 10, and 30 mins.
people with Alzheimers or dementia score a 0 or 1 word recall. impaired new learning
also occurs with anxiety and depression
word comprehension - answer-point to articles in the room or articles from pockets and
ask person to name them
abnormal: aphasia is loss of ability to speak or write coherently or to understand
speech or writing
AND CORRECT ANSWERS GRADED
A+ NEW 2026
normal posture and position - answer-posture is erect, position is relaxed
abnormal findings for posture and position - answer-sitting on edge of chair or curled in
bed, tense muscles, frowning, darting, watchful eyes, pacing.
occurs with anxiety or hyperthyroidism
dragging feet or slow walking or slumped in chair: occurs with depression and some
organic brain diseases
normal body movements - answer-voluntary, deliberate, coordinated, smooth and even
abnormal findings of body movements - answer-restless, fidgety movement or
hyperkinetic appearance occurs with anxiety. apathy and psychomotor slowing occurs
depression and dementia
abnormal posturing and bizarre gestures occur with schizophrenia
facial grimaces with pain. tics with neurological disorders (Tourettes, tardive dyskinesia,
abnormalities in muscle movement)
normal dress - answer-normal dress is appropriate for setting, season, age, gender,
cultured social group. worn appropriately and fits
,abnormal clothing - answer-abnormal clothing can occur with organic brain syndrome.
eccentric dress combination and bizarre makeup occur with manic syndrome or
schizophrenia
abnormal grooming and hygiene - answer-a disheveled appearance in a previously well-
groomed person is significant. unilateral neglect (inattention to one side of body) occurs
in stroke
inappropriate dress or lack of concern with appearance occur with depression and
severe Alzheimer disease. meticulously groomed and dressed appearance and
fastidious manner may occur with OCD
abnormal pupils - answer-dilated or constricted pupils may be sign of recent drug use.
recent anisocoria (unequal pupil size) can be result of a brain tumor
abnormal behavior: level of consciousness - answer-Loses track of conversation, falls
asleep.
Lethargic (drowsy), obtunded (confused)
abnormal facial expression - answer-Flat, mask-like depressed, angry, sad, anxious.
*anxiety is common in ill people, some people smile when anxious
flat, mask like expression occurs in Parkinsonism and depression
abnormal findings for speech - answer-dysphonia is abnormal volume, pitch.
monopolizes interview or is silent, secretive, or uncommunicative
slow, monotonous speech with Parkinsonism or depression. rapid-fire, pressured and
loud talking occurs with manic syndrome
,dysarthria is distorted speech. misuses words, omits letters, syllables, words.
transposes words, occurs with aphasia. circumlocution or repetitious abnormal
patterns; neologism, echolalia
unduly long word-finding or failure in search of words (aphasia)
mood and affect - answer-ask directly, how do you feel today? how do you usually feel?
orientation - answer-assess time, place, person
time: do you know what time of day it is? time of season? week date year
place: where they live, present location, type of building, name of city and state
person: own name, age, who examiner is
orientation usually lost in this order: first to time, then to place, rarely to person
disorientation can occur with delirium and dementia
attention span abnormalities - answer-often impaired in people who are anxious,
fatigued or drug intoxicated
digression from initial thought. irrelevant replies to questions. easily distracted.
stimulus bound (anything new draws attention quickly), confusion, negativism
recent memory - answer-ask questions you can corroborate. screens for occasional
person who makes up answers to fill in gaps
, recent memory deficit occurs with delirium, dementia, amnestic syndrome, Korsakoff
syndrome in chronic alcoholism
remote memory - answer-Ask verifiable past events like birthday, wedding day, etc
remote memory lost when cortical storage for that memory is damaged (Alzheimers,
dementia, or disease that damages cerebral cortex)
new learning - the four unrelated words test - answer-- Highly sensitive and valid
memory test.
- Requires more effort than recall of personal or historic events, and avoids danger of
unverifiable recall.
I am going to say 4 words. I want you to remember them. in a few minutes I will ask you
to recall them. pick 4 words with semantic and phonetic diversity
ask for recall at 5, 10, and 30 mins.
people with Alzheimers or dementia score a 0 or 1 word recall. impaired new learning
also occurs with anxiety and depression
word comprehension - answer-point to articles in the room or articles from pockets and
ask person to name them
abnormal: aphasia is loss of ability to speak or write coherently or to understand
speech or writing
