HA= exam 4 Neurological and Mental Status

Clients with dysphagia will consume soft foods and take small bites or find it easier to use a straw when drinking.

nurse will use noxious stimuli, such as applying pressure to the nail bed to elicit pain response if pt is unresponsive

The nurse uses a scale of 0-5 to document muscle strength.

Dysphagia can lead to complications because the food or liquid could be aspirated into the lungs.

In the voluntary division(somatic nervous system)

cerebellum

temporal lobe works with limbic system

Occipital-The occipital lobe is the seat of most of the brain's visual cortex

test sensory funct by holding 2 cotton swabs apart, move together until pt can feel the cotton swabs at the same point

Risk factors that are non-modifiable are factors that cannot be changed, such as ___

The nervous system is classified according to function as either voluntary or involuntary (autonomic).

the nurse instructs the pt to close their eyes then touches a part of the body on both sides and asks where they felt it

focused neurological assessment, done to further evaluate a specific condition or abnormal finding includes:

The comprehensive neurological assessment begins with?

patient appreciates the environment and responds quickly to stimuli.

patient is unresponsive and can be aroused only briefly by vigorous, repeated stimulation.

Athetosis is involuntary, snakelike movements of an extremity.

the client will have difficulty with understanding the spoken word or use verbal and written as communication.

tested by stroking the sole of the foot with a blunt object beginning at the heel and stopping short of the big toe

When collecting health history, the nurse should assess the client’s risk factors for diseases, such as stroke.

The brain and spinal cord are within the ___

Spinal cord injury: pt will experience a loss of function at or below the injury because the brain is unable to send __

Pupil size changes; decreased reactivity to light in one or both pupils calls for a _____ assessment

vHealth-related patient teaching in relation to neurological assessment includes what?

pt is disoriented to time, place, person, has shortened attention span, shows memory or has difficult following commands

A grade 0 is no muscle contraction, while grade 5 is active movement against full resistance.

The simplest type of reflex arc involves a receptor-sensing organ and an effector motor organ.

Parietal is the sensory area and is responsible for the cognition of

difficulty with swallowing

positive Babinski’s, the client’s big toe will fan out, or dorsiflex.

Clients who are ____ American are twice as likely to have a stroke compared to clients who are Caucasians.

The nervous system includes

CNS age-related changes

located in the frontal lobe, is responsible for the processing of verbal expression and writing ability of language.

Sensory changes can occur with normal aging, such as decreased _, _, _, and _.

The resistance is usually created by the nurse holding up or pushing against the muscle group, patient should push

Clients who are ___ or Native American have a high risk, but still less compared to clients who are African American

nurse will place an object in the pt hand & instruct the pt to close their eyes and identify the object

head to toe assessment includes the most important or most common techniques to assess the function and structure of

patient responds to stimuli appropriately but with delay and slowness, may respond to some but not all AKA lethargy

Aphasia is the difficulty to understand or express language and is a common symptom following a stroke

The next stimulation would be normal by stating the client’s name, followed by loud voice if no initial response.

the cranial, spinal, and peripheral nerves are part of the __

stereognosis is documented when a pt is able to identify the object in a cortical sensory function test.

Cranial nerve V (trigeminal) is for the sensory function of the __ and the motor function of the muscle of mastication.

Damage to the Wernicke area, which is for the understanding of spoken & written words, will have difficulty in

Tactile stimulation, touching the client’s arm or shoulder lightly, is used if voice does not produce a response.

In the primarily unconscious autonomic division peripheral fibers connect the CNS to

The frontal lobe is responsible for cognition processes including

The nurse assesses muscle strength by asking the client to move muscle groups, like in the lower extremities, ___ and __

Brain volume decreases w/ healthy aging, resulting in reduced response to stimuli, memory, and slower cognitive function

to assess the motor function of the oculomotor muscles, nurse will perform the 6 cardinal positions of gaze which asses

The temporal lobe also helps you connect senses to your memories.

patient is unresponsive and generally cannot be aroused.

The highest LOC is the client having spontaneous alertness, which can occur with arousal when the nurse enters a room.

Astereognosis is when a client is unable to name the object, such as calling a key a penny.

The nurse is able to assess level of consciousness (LOC) through evaluating how a client responds to stimulation.

routine neurological assessment

Spinal Cord Injury-Spinal cord injury results in damage to the spinal column and the nerves

When the nurse traces a number or letter in the client’s palm and instructs the client to identify what was traced is

Aging can cause normal changes in the central nervous system, including structural and sensory changes.

Cranial II (optic) is responsible for visual acuity and peripheral vision.

Pts with affected Broca area will still be able to comprehend language. The nurse should use

Risk factors for stroke include _, _, and a history of _.

Urgent assessment: Significant changes in neurological status