Maryville Nursing 660 Exam
1/Questions and Answers/ A+
Graded
sequencing - -putting events in proper sequence to help the patient slow
down the events and process them
-theming - -theme identification helps the patient to identify patterns of
behavior
-recognizing - -helps the patient to know that his feelings are
understood and accepted and encouraged him to continue to express
them
-validating - -the recognition and acceptance of another persons
thoughts, feelings, sensations, and behaviors as understandable
-Mental Status Exam (MSE) - -the psychological equivalent of a physical
exam that describes the mental state and behaviors of the person being
seen. includes both objective observations of the clinician and
subjective descriptions given by the patient
-why do MSE - -provides information for diagnosis and assessment of
disorder and response to treatment, provides a snapshot at a point in
time, if another provider sees your patient it allows them to determine if
the patients status has changed without previously seeing the patient
-components of MSE are? - -appearance, behavior, speech, mood,
affect, thought process, thought content, cognition, insight/judgement
-what are the 3 parameters of orientation - -person, place, time
-how do you test short term memory - -ask the patient to recall 3
objects after about 2-5 minutes
-how do you test long term memory - -ask the patient a question about
the past such as what color suit did you wear to your wedding, or what
was the make of your first car
-Math - -any simple mathematical test, often use serial 7s, start at 100
and subtract 7, then 7 from 93 etc
-word finding - -ask patient to name as many items in a catagory, such
as fruits or animals,in a minute
-attention/concentration - -ask the patient to spell a 5 letter word
forward and backward, world is often used
, -naming objects - -present an object, such as pen or watch and ask
patient to name it
-following commands - -start with a 1 step command (touch your nose
with your right hand then test a 3 step command "take a piece of
paperin your right hand, fold it in half, put it on the floor
-testing judgement - -ask about a hypotheticl situation such as what
would you do if you fond a stamped letter
-erikson stages - -infant-18 months- trust vs mistrust-related form of
psychopathology psychosis, addictions, depressin
18 months to 3 years-autonomy vs shame and doubt-paranoia,
obcessions, compulsions, impulsivity
3-5 years-initiative vs guilt-conversion disorder, phobia, psychosomatic
disorder, inhibition
5-13 years-industry vs inferiority-creative inhibition, inertia
13-21 years-identity vs role confusion-delinquint behaviorgender related
identity disorder, borderline psychotic behaviors
21-39 years-intimacy vs isolation-schizoid personality, distantiation
40-65 years-generativity vs stagnation-midlife crisis, premature
invalidism
65 and older-ego integrity vs dispair-extreme alienation, dispair
-four lobes of the cerebral cortex - -frontal, parietal, occipital, temporal
-frontal lobe - -located at the front of the brain, associated with
reasoning, motor skills, higher level cognition, and expressive language-
recieves information from various lobes of the brain and utilizes this
information to carry out body movements
-parietal lobe - -middle section of the brain, associated with processing
tactile sensory information such as pressure, touch and pain, the
somatosensory cortex is located in this lobe and is essential to the
processing of the bodys senses
-temporal lobe - -located in the bottom section of the brain, location of
primary auditory cortex which is important for interpreting sounds and
the language we hear
-hippocampus - -located in the temporal lobe, heavily associated with
formation of memories, damage to the temporal lobe causes problems
with memory, speech perception and language skills responsible for
processing of long term memory and emotional responses
-occipital lobe - -located in the back portion of the brain and is
associated with interpreting visual stimuli and information, the primary
visual cortex which recieves and interprets information from the retinas
of the eyes is located in the occipital lobe
1/Questions and Answers/ A+
Graded
sequencing - -putting events in proper sequence to help the patient slow
down the events and process them
-theming - -theme identification helps the patient to identify patterns of
behavior
-recognizing - -helps the patient to know that his feelings are
understood and accepted and encouraged him to continue to express
them
-validating - -the recognition and acceptance of another persons
thoughts, feelings, sensations, and behaviors as understandable
-Mental Status Exam (MSE) - -the psychological equivalent of a physical
exam that describes the mental state and behaviors of the person being
seen. includes both objective observations of the clinician and
subjective descriptions given by the patient
-why do MSE - -provides information for diagnosis and assessment of
disorder and response to treatment, provides a snapshot at a point in
time, if another provider sees your patient it allows them to determine if
the patients status has changed without previously seeing the patient
-components of MSE are? - -appearance, behavior, speech, mood,
affect, thought process, thought content, cognition, insight/judgement
-what are the 3 parameters of orientation - -person, place, time
-how do you test short term memory - -ask the patient to recall 3
objects after about 2-5 minutes
-how do you test long term memory - -ask the patient a question about
the past such as what color suit did you wear to your wedding, or what
was the make of your first car
-Math - -any simple mathematical test, often use serial 7s, start at 100
and subtract 7, then 7 from 93 etc
-word finding - -ask patient to name as many items in a catagory, such
as fruits or animals,in a minute
-attention/concentration - -ask the patient to spell a 5 letter word
forward and backward, world is often used
, -naming objects - -present an object, such as pen or watch and ask
patient to name it
-following commands - -start with a 1 step command (touch your nose
with your right hand then test a 3 step command "take a piece of
paperin your right hand, fold it in half, put it on the floor
-testing judgement - -ask about a hypotheticl situation such as what
would you do if you fond a stamped letter
-erikson stages - -infant-18 months- trust vs mistrust-related form of
psychopathology psychosis, addictions, depressin
18 months to 3 years-autonomy vs shame and doubt-paranoia,
obcessions, compulsions, impulsivity
3-5 years-initiative vs guilt-conversion disorder, phobia, psychosomatic
disorder, inhibition
5-13 years-industry vs inferiority-creative inhibition, inertia
13-21 years-identity vs role confusion-delinquint behaviorgender related
identity disorder, borderline psychotic behaviors
21-39 years-intimacy vs isolation-schizoid personality, distantiation
40-65 years-generativity vs stagnation-midlife crisis, premature
invalidism
65 and older-ego integrity vs dispair-extreme alienation, dispair
-four lobes of the cerebral cortex - -frontal, parietal, occipital, temporal
-frontal lobe - -located at the front of the brain, associated with
reasoning, motor skills, higher level cognition, and expressive language-
recieves information from various lobes of the brain and utilizes this
information to carry out body movements
-parietal lobe - -middle section of the brain, associated with processing
tactile sensory information such as pressure, touch and pain, the
somatosensory cortex is located in this lobe and is essential to the
processing of the bodys senses
-temporal lobe - -located in the bottom section of the brain, location of
primary auditory cortex which is important for interpreting sounds and
the language we hear
-hippocampus - -located in the temporal lobe, heavily associated with
formation of memories, damage to the temporal lobe causes problems
with memory, speech perception and language skills responsible for
processing of long term memory and emotional responses
-occipital lobe - -located in the back portion of the brain and is
associated with interpreting visual stimuli and information, the primary
visual cortex which recieves and interprets information from the retinas
of the eyes is located in the occipital lobe
