NURS 550 FINAL EXAM LATEST 2024 DREXEL EXAM WITH ANSWERS GRADED A+ alert patient awake and aware level of consciousness how aware the person is of their environment lethargic you must speak to the patient in a loud forceful manner to get a response obtunded you must shake a patient to get a response stuporous the patient is unarousable except by painful stimuli (sternal rub) coma patient completely unarousable short term memory covers events or memories that occurred minutes to days before long -term memory covers events or memories that occurred months to years before orientation aware of person (who they are), place (where t hey are), and time (when is it) perceptions awareness of the objects in the environment to the five senses and their interrelationships thought processes the logic, coherence, and relevance of a patient's thoughts as they lead to thoughts and goals - HOW people think insight awareness that thought, symptoms, or behaviors are normal or abnormal ex: distinguishing that a daydream or hallucination is not rea l judgement process of comparing and evaluating different possible courses of action affect observable mood of a person expressed through facial expression, body movements, voice mood sustained emotion of the paint - euthymic (tranquil, normal), dyst hmic (chronic form of depression, low mood), manic (extreme elevation and high energy) language complex symbolic system for expressing hand written and verbal thoughts, emotion, attention, and memory higher cognitive functions level of intelligence, assessed by vocabulary, knowledge base, calculations, and abstract thinking fluency involves the rate, flow, and melody of speech hesitancies in speech seen in patients with aphasia from strokes monotone inflections schizophren ia or severe depression circumlocutions words or phrases are substituted for the word a person cannot remember paraphasias words are malformed, wrong, or invented circumstanttiality speech characterized by indirection and delay due to the patients ex cessive use of details that have no connection to the point derailment speech in which a person shifts topics with no apparent relation between the topics, no flow flight of ideas accelerated change of topics in a very fast but generally coherent manner
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