NURS 550 Final 2022/2023 with complete solutions

Attention definitions: Alert, lethargic, obtunded, Stuporous, coma Alert - pt is awake and aware Lethargic - you have to speak to pt in a loud and forceful manner to get a response Obtunded - you must shake pt to get a response Stuporous - arousable except by painful stimuli (sternal rub) Coma - pt is completely unarousabe Memory Short term memory - covers events or memories that occurred minutes to days before Long term memory - covers event or memories that occurred months to years before Orientation Aware of person, place, and time Perceptions Awareness of the objects in the environment to the five senses and their interrelationships Thought processes The logic, coherence, and relevance of the patient's thoughts and goals; how ppl think Insight Awareness that thought, symptoms, or behaviors are normal or abnormal; e.g. distinguishing that a daydream or hallucination is not real Judgment process of comparing and evaluating different possible courses of action Affect The observable mood of a person expressed through facial expression, body movements, and voice Mood The sustained emotion of the patient (euthymic, dysthymic, manic) Language The complex symbolic system for expressing written and verbal thoughts, emotion, attention, and memory Higher cognitive functions level of intelligence assessed by vocabulary, knowledge base, calculations, and abstract thinking Speech and Language: Quantity, Rate, Loud, Articulation of words Quantity: is patient talkative or silent Rate: is the speech fast or slow Loud: Is speech loud or soft Articulation of words: does the patient speak clearly and distinctly 00:00 01:28