ABAC NURS 1109 Physical Assessment exam 1
Questions and Correct Answers | Latest Update
What a person says about themselves during history taking Ans:
Subjective data
What you can see as the health professional observing through
inspection. Percussing, palpitating, and auscultation during the physical
examination Ans: Objective data
Apparent when a person's response is much greater than what is
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expected to a traumatic life event Ans: Mental disorder
A disorder caused by a brain disease of a known specific organic cause
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Ans: Organic disorder
A disorder in which an organic etiology has not yet been established Ans:
Psychiatric mental disorders
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Being aware of one's own existence, thoughts, feelings, and of the
environment (Is the most elementary of mental status functions) Ans:
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Consciousness
Using the voice to communicate one's thoughts and feelings (Is the basic
tool of humans and has a heavy social impact on an individual if lost)
Ans: Language
A temporary expression of feelings or state of mind Ans: Affect
A more durable and prolonged display of feeling that color the entire
emotional life Ans: Mood
The awareness of the objective world in relation to self, including person,
place, and time Ans: Orientation
The power of concentration and the ability to focus on one specific thing
thin with out being distracted by other stimuli Ans: Attention
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The ability to lay down and store experiences and perceptions for later
recall Ans: Memory
Memory based on years Recent: Memory based on day to day events Ans:
Remote memory
The pondering of a deeper meaning beyond what is concrete and literal
Ans: Abstract reasoning
The way a person thinks; The logical train of thought Ans: Thought
process
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What the person thinks (Specific ideas, beliefs, and the use of words)
Ans: Thought content
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An awareness of objects through the five senses Ans: Perceptions
Awake or readily aroused; oriented, fully aware of external and internal
stimuli and respond appropriately; conducts meaning full interpersonal
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interactions Ans: Alert
Not fully alert drifts off to sleep when not stimulated; can be aroused to
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name when called in normal voice but looks drowsy, responds to
questions or commands but thinking seems slow and fuzzy, in att Ans:
Lethargic or somnolent
Sleeps most of time; difficult to arouse—needs loud shout or vigorous
shake; acts confused when is aroused; converses in monosyllables;
speech may be mumbled and incoherent; requires constant stimulation
for even marginal cooperation. Ans: Obtunded
Spontaneously unconscious; responds only to persistent and vigorous
shake or pain; has appropriate motor response (i.e., withdraws hand to
avoid pain); otherwise can only groan, mumble, or move restlessly; reflex
activity persists. Ans: Stupor or semi-coma
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Completely unconscious; no response to pain or any external or internal
stimuli (e.g., when suctioned, does not try to push the catheter away);
light coma has some reflex activity but no purposeful movement; deep
coma has no motor response. Ans: Coma
Clouding of consciousness (dulled cognition, impaired alertness);
inattentive; incoherent conversation; impaired recent memory and
confabulatory for recent events; often agitated and having visual
hallucinations; disoriented, with confusion worse at night when
environmental stimuli are decreased. Ans: Delirium (acute confusional
state)
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Difficulty or discomfort in talking, with abnormal pitch or volume,
caused by laryngeal disease Voice sounds hoarse or whispered, but
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articulation and language are intact Ans: Dysphagia (Disorder of Voice)
Distorted speech sounds; speech may sound unintelligible; basic
language (word choice, grammar, comprehension) intact Ans: Dysarthria
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(Disorder of Articulation)
True language disturbance; defect in word choice and grammar or defect
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in comprehension; defect is in higher integrative language processing.
Ans: Aphasia (Disorder of Language comprehension and production
secondary to brain damage)
The most common and severe form Spontaneous speech is absent or
reduced to a few stereotyped words or sounds. Comprehension is absent
or reduced to only the person's own name and a few select words.
Repetition, reading, and writing are severely impaired Prognosis for
language recovery is poor Caused by a large lesion that damages most of
combined anterior and posterior language areas. Ans: Global aphasia
Expressive aphasia Cannot express himself or herself using language
Characterized by non-fluent, dysarthric, and effortful speech Speech is
mostly nouning and verbs (high-content words) with few grammatic