NR 304 Quiz 2 concept Notes
Where can you see guttering in the hand? - answer- between the metacarpals
What occurs to the hand as a result of the aging process? - Answer- a decrease in
muscle bulk can be noted
What occurs to grip strength as a result of the aging process? - answer- Remains
relatively intact
What does the dorsal hand look like as a result of the aging process? - answer- often
looks wasted
What Senile tremors occur as a result of the aging process?? - answerBenign tremors
What type of head nodding occurs in benign tremors as a result of the aging process? -
answer"Yes" and "No" directional shaking of head
What benign tremors occur as a result of the aging process? - answer- Intention tremors
- head nodding
- tongue protrusion
What is Dyskinesias? - answer- Repetitive stereotyped movement in the jaw, lips
- tongue senile tremors accompanying movements
- No associated rigidity present
What occurs to our Gait as a result of the aging process? - answer- Becomes slower
- More deliberate than younger individuals
- May deviate from midline path
At what age is at risk of developing a loss of sensation? - answer- > 65 years of age
What are some loss of sensations that becomes apparent as a result of the aging
process? - answer- Ankle Malleolus (vibration)
- Ankle jerk
- Tactile sensation
- Light Touch simulation
- Plantar reflex
What is a movement that becomes more difficult due to the aging process? - answer-
rapid alternating movement
(pronating / supinating hands on the thigh)
, What does the Romberg test entail? - answer- asking person to stand up w/ feet
together and arms at side
- Once stable, ask to close the eyes and to hold the position
What is a normal response to the Romberg test? - answer- maintain posture / balance
even w/ the visual orientation blocked
- slight swaying may occur
What is the order of a Neurological assessment? - answer- Mental status
- Cranial nerves
- Motor system
- Sensory assessment
-Reflex assessment
What does the tandem walking assessment entail? - answer- Having client walk in
straight line (Heel to Toe walking)
What does the the sensory assessment entail? - answer- Asking client to ID various
sensory stimuli to test intactness of various aspects of the sensory system
What does the sensory assessment test? - answer- peripheral nerve fibers
- sensory tracts
- higher cortical discrimination
How does one ensure the validity of a sensory system test? - answer- Ensures person
is Alert
- Ensures person is Cooperative
- Ensures person is Comfortable
- Ensures person is Has adequate attention space
What can be the result of an client who isn't alert, cooperative, comfortable and attentive
during a sensory assessment test? - answer- Results may be mislead
- Results may be invalid
What are some things to remember regarding the sensory system assessment? -
answer- Assessment may be fatiguing
- May need to repeat portions of the exam
- May need to break exam into parts when client is tired
What are some indications that a complete sensory system assessment is needed? -
answer- Localized pain
- Localized numbness
- Localized tingling
- Abnormalities noted
Where can you see guttering in the hand? - answer- between the metacarpals
What occurs to the hand as a result of the aging process? - Answer- a decrease in
muscle bulk can be noted
What occurs to grip strength as a result of the aging process? - answer- Remains
relatively intact
What does the dorsal hand look like as a result of the aging process? - answer- often
looks wasted
What Senile tremors occur as a result of the aging process?? - answerBenign tremors
What type of head nodding occurs in benign tremors as a result of the aging process? -
answer"Yes" and "No" directional shaking of head
What benign tremors occur as a result of the aging process? - answer- Intention tremors
- head nodding
- tongue protrusion
What is Dyskinesias? - answer- Repetitive stereotyped movement in the jaw, lips
- tongue senile tremors accompanying movements
- No associated rigidity present
What occurs to our Gait as a result of the aging process? - answer- Becomes slower
- More deliberate than younger individuals
- May deviate from midline path
At what age is at risk of developing a loss of sensation? - answer- > 65 years of age
What are some loss of sensations that becomes apparent as a result of the aging
process? - answer- Ankle Malleolus (vibration)
- Ankle jerk
- Tactile sensation
- Light Touch simulation
- Plantar reflex
What is a movement that becomes more difficult due to the aging process? - answer-
rapid alternating movement
(pronating / supinating hands on the thigh)
, What does the Romberg test entail? - answer- asking person to stand up w/ feet
together and arms at side
- Once stable, ask to close the eyes and to hold the position
What is a normal response to the Romberg test? - answer- maintain posture / balance
even w/ the visual orientation blocked
- slight swaying may occur
What is the order of a Neurological assessment? - answer- Mental status
- Cranial nerves
- Motor system
- Sensory assessment
-Reflex assessment
What does the tandem walking assessment entail? - answer- Having client walk in
straight line (Heel to Toe walking)
What does the the sensory assessment entail? - answer- Asking client to ID various
sensory stimuli to test intactness of various aspects of the sensory system
What does the sensory assessment test? - answer- peripheral nerve fibers
- sensory tracts
- higher cortical discrimination
How does one ensure the validity of a sensory system test? - answer- Ensures person
is Alert
- Ensures person is Cooperative
- Ensures person is Comfortable
- Ensures person is Has adequate attention space
What can be the result of an client who isn't alert, cooperative, comfortable and attentive
during a sensory assessment test? - answer- Results may be mislead
- Results may be invalid
What are some things to remember regarding the sensory system assessment? -
answer- Assessment may be fatiguing
- May need to repeat portions of the exam
- May need to break exam into parts when client is tired
What are some indications that a complete sensory system assessment is needed? -
answer- Localized pain
- Localized numbness
- Localized tingling
- Abnormalities noted
