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Nur 265 Exam 4 – Questions With Appropriate
Solutions
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Practice questions for this set
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-balance loss
-eyesight changes
-face drooping
-arm weakness
-speech difficulty
-time to call 911
Choose an answer
What are you looking at to consider
1 Spotting a stroke (BE FAST) 2
someone's mental status?
3 KATZ ADLS 4 Full mental status exam—is it needed?
Don't know?
Terms in this set (138)
,What are you looking at to consider Consciousness
someone's mental status? Language
Mood & Affect
Orientation
Attention
Memory
Abstract Reasoning
Thought process
Thought content
Perceptions
Infants and children -More neurons at birth than adult brain
-Brain at birth 1/3 size adult brain, in 90 days doubles
in volume
-Myelination takes a couple years
>A million new neural connections made
-each year from birth to three years
-Brain insults-potentially serious dysfunction in
mental status
Adolescents •Amygdala- emotional brain, what a lot of
adolescents use which is why it is hard for some
older adults to Understand their thought process
•Frontal cortex
Older adults •No decrease in knowledge or loss of vocabulary
•Response time is slower
•Processing and reaction time longer
•Recent (requires more processing) vs. remote
memory (stays intact longer)
•Sensory changes
•Physical decline may affect mental status
, Full mental status exam—is it needed? •Full exam systematic check of emotional and
cognitive function
•Rarely needed
•Can assess during health history interview
•Keep in mind: Appearance, Behavior, Cognition &
Thought processes/perceptions
-poor hygiene can indicate: depression, Alzheimers,
homelessness
-does facial expression change?
illusion some stimulus but you are misperceiving it
Ex: bump in bed blankets and they beleive its bugs
hallucinations false sensory experiences (EX: seeing feeling or
hearing some stimuli that does not exist)
Consciousness: LOC (levels of Alert
conciousness)
Lethargic (Somnolent)- they are sleepy/drowsy
Obtunded
Stupor (Semi-coma)- respond to stimuli like pain
(reflexes)
Coma
Mini Cog Three Item Recall
"Listen carefully. I am going to say three words..."
Clock-Drawing