NURS1921 Exam IV: Neurological Assessment

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NURS1921 Exam IV: Neurological Assessment
2011-10-24 19:06:21
NURS1921 Exam IV Neurological Assessment

Based on lecture by Mrs. Robertson
Show Answers:

  1. What are two essential components of a neurological assessment?
    • Motor Function -
    • Sensory Function -
  2. How do you assess general appearance, orientation and behavior?
    • general appearance - tired, lethargic, energetic, etc..
    • oriented - person, place, time, situation
    • behavior
  3. How do you assess level of consciousness in a patient?
    Awake, alert, lethargic, in a stupor, comotose?
  4. How do you assess memory?
    • Long term - better in older adults; ask who was the president when?
    • Short term - not as good in older adults; ask pt to recite numbers
  5. What is cognitive function?
    • Abstract thinking
    • Math skills
    • Critial thinking
    • Language skills/Reading
    • Problem solving
    • Intellectual

    Sometimes b/c of trauma, stroke or too much meds
  6. What is motor function?
  7. What is sensory function?
    Sensation on the skin

    Testing sharp or dull object on the feet of a diabetic patient **Important**
  8. What part of the assessment if reflexes a part of?
  9. Neurovascular check of a diabetic's foot
    Always check for motor and sensory
  10. What are terms used in a language assessment?
    • Clear
    • Slurred
    • Unintelligable
    • Aphasic - Receptive Does not understand what is being said. Expressive no verbal communication; pt cannot express how you feel but understands/thinks
  11. How are reflexes rated?
    • Rating from 0-5
    • 0 = Absent
    • 4+ = Hyperactive
  12. Babinski Reflex
    • In the foot (upper motor neurons)
    • AKA plantar reflex
    • Positive babinski in stroke patients; also means there is something wrong with the brain.
    • Normal - toes grip, like a branch
    • Abnormal - toes flare (normal in children <2 yrs)
  13. What are some older adult considerations when performing a neurological assessment?
    • Responses may be slower/wider gait
    • Decreased sensory function
    • Decreased deep tendon reflexes
    • Slower coordination and voluntary movements
    • Slower thought processes and verbal responses
    • Intelligence & learning ability are unaltered with age