Health Assessment - Neuro

Last update by mayurcooled on 04/23/2014
16549 People have viewed this Quiz
  • Share

What are the components of assessing mental status?

Orientation; appearance, general behavior, mood; thought content, memory, recall; intellectual/functional ability

View Health Assessment - Neuro as Flashcard Deck

Related Quiz Content
  • allison brook
    What is the earliest and most sensitive indicator of alternations in cerebral function?
    Change in LOC
  • allison brook
    What are the levels of consciousness in order of decreasing awareness?
    Alert (fully aware), Lethargy (aroused by saying name, touching, return to sleep when stimuli ceasing), Obtunded (louder verbal stimuli and vigorous shaking, return to sleep), Stuporous (painful stimuli, withdrawal is only response), Coma (no reflexes, no purposeful movement)
  • allison brook
    What are several methods for applying painful stimuli to assess LOC?
    Pressing on nail plate, squeezing trapezius muscle, applying supraorbital pressure, applying mandibular pressure, rubbing sternum (avoid - possible bruising)
  • allison brook
    What are the three components of the Glasgow Coma Scale? What score indicates normal functioning?
    Best eye-opening response (4 to 1), best verbal response (5 to 1), and best motor response (6 to 1). Alert and responsive = 15 out of 15
  • allison brook
    What is abnormal flexion (decorticate response)?
    abnormal flexion to painful stimuli - rigid flexion; upper arms held tightly to sides; elbows, wrists, fingers flexed; feet plantar flexed, legs extended/internally rotated; may have fine tremors or intense stiffness
  • allison brook
    What is abnormal extension (decerebrate response)?
    Extension to painful stimuli; rigid extension; arms fully extended; forearms pronated; wrists and fingers flexed; jaws clenched, neck extended, back may be arched; feet plantar flexed; may occur spontaneously, intermittently, or in response to stimulus
  • allison brook
    What are the tests for meningitis?
    Reduced neck mobility and neck pain, + Kernig's sign and + Brudzinski's sign
  • allison brook
    How are Kernig's and Brudzinski's signs assessed?
    Kernig's - client supine, flex leg at hip/knee, extend knee
    (-) = no pain (+) = pain along vertebral column

    Brudzinski's - client supine, nurse flexes client's neck
    (-) = no pain/resistance to neck flexion
    (+) = client flexes hip and knee in response, pain along vertebral column
  • allison brook
    What types of questions should be part assessing present health status in a neuro exam?
    Changes in ADLs; chronic diseases, impact on health maintenance; meds, taking as prescribed?; alcohol/drug use;
  • allison brook
    What types of questions should be part of assessing past medical history during a neuro exam?
    Injury to head/spinal cord, when, changes since?; outcome of any surgery on brain, spinal cord or nerves; stroke, changes since?; seizure disorder; kind, frequency, prevention; prenatal or birth events; exposures, toxins or drugs; illnesses (EB, Palsies, RM Spotted Fever, Lyme, etc)
  • allison brook
    What are some common neurological diseases/events that should be asked about when assessing family history during a neuro exam?
    Strokes, seizures, brain or spinal cord tumors; ALS; Parkinson's; MS; Tourettes; Myasthenia Gravis; Migraine; Nuerofibromatosis; Alzheimer's disease; MD
Health Assessment   Neuro
Health Assessment - Neuro
Total Views: 16549
Teams This Deck Belongs To
Deck does not belong to any team.