Exam (elaborations)
MARYVILLE NURSING 660 EXAM 1
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MARYVILLE NURSING 660 EXAM 1
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MARYVILLE NURSING 660 EXAM 1sequencing - Answers-putting events in proper sequence to help the patient slow down
the events and process them
theming - Answers-theme identification helps the patient to identify patterns of behavior
recognizing - Answers-helps the patient to know that his feelings are understood and
accepted and encouraged him to continue to express them
validating - Answers-the recognition and acceptance of another persons thoughts,
feelings, sensations, and behaviors as understandable
Mental Status Exam (MSE) - Answers-the psychological equivalent of a physical exam
that describes the mental state and behaviors of the person being seen. includes both
objective observations of the clinician and subjective descriptions given by the patient
why do MSE - Answers-provides information for diagnosis and assessment of disorder
and response to treatment, provides a snapshot at a point in time, if another provider
sees your patient it allows them to determine if the patients status has changed without
previously seeing the patient
components of MSE are? - Answers-appearance, behavior, speech, mood, affect,
thought process, thought content, cognition, insight/judgement
what are the 3 parameters of orientation - Answers-person, place, time
following commands - Answers-start with a 1 step command (touch your nose with your
right hand then test a 3 step command "take a piece of paperin your right hand, fold it i n
half, put it on the floor
testing judgement - Answers-ask about a hypotheticl situation such as what would you
do if you fond a stamped letter
erikson stages - Answers-infant-18 months- trust vs mistrust-related form of
psychopathology psychosis, addictions, depressin
18 months to 3 years-autonomy vs shame and doubt-paranoia, obcessions,
compulsions, impulsivity
3-5 years-initiative vs guilt-conversion disorder, phobia, psychosomatic disorder,
inhibition
5-13 years-industry vs inferiority-creative inhibition, inertia
13-21 years-identity vs role confusion-delinquint behaviorgender related identity
disorder, borderline psychotic behaviors
21-39 years-intimacy vs isolation-schizoid personality, distantiation
40-65 years-generativity vs stagnation-midlife crisis, premature invalidism
, 65 and older-ego integrity vs dispair-extreme alienation, dispair
four lobes of the cerebral cortex - Answers-frontal, parietal, occipital, temporal
frontal lobe - Answers-located at the front of the brain, associated with reasoning, motor
skills, higher level cognition, and expressive language-recieves information from various
lobes of the brain and utilizes this information to carry out body movements
parietal lobe - Answers-middle section of the brain, associated with processing tactile
sensory information such as pressure, touch and pain, the somatosensory cortex is
located in this lobe and is essential to the processing of the bodys senses
temporal lobe - Answers-located in the bottom section of the brain, location of primary
auditory cortex which is important for interpreting sounds and the language we hear
how do you test short term memory - Answers-ask the patient to recall 3 objects after
about 2-5 minutes
how do you test long term memory - Answers-ask the patient a question about the past
such as what color suit did you wear to your wedding, or what was the make of your first
car
Math - Answers-any simple mathematical test, often use serial 7s, start at 100 and
subtract 7, then 7 from 93 etc
word finding - Answers-ask patient to name as many items in a catagory, such as fruits
or animals,in a minute
attention/concentration - Answers-ask the patient to spell a 5 letter word forward and
backward, world is often used
naming objects - Answers-present an object, such as pen or watch and ask patient to
name it
hippocampus - Answers-located in the temporal lobe, heavily associated with formation
of memories, damage to the temporal lobe causes problems with memory, speech
perception and language skills responsible for processing of long term memory and
emotional responses
occipital lobe - Answers-located in the back portion of the brain and is associated with
interpreting visual stimuli and information, the primary visual cortex which recieves and
interprets information from the retinas of the eyes is located in the occipital lobe
thalamus - Answers-responsible for relaying information from the sensory receptors to
proper areas of the brain where it can be processed
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