Exam (elaborations)
NURS 6035 Neuro Exam 2
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NURS 6035 Neuro Exam 2 NURS 6035 Neuro Exam 2 NURS 6035 Neuro Exam 2
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NURS 6035 Neuro Exam 2Dysarthria - ANS -difficulty forming words (articulation)
-lesions of the tongue and palate are usually responsible
Dysphonia - ANS -difficulty in phonation resulting in an alteration in the volume and tone of the voice
-lesions of the palate and vocal cords are usually responsible
dysphasia - ANS difficulty comprehending or speaking as a result of cerebral dysfunction
Aphasia - ANS total loss of speech
expressive aphasia - ANS -Difficulty to produce language ( despite being able to understand language)
-you know what you want to say but have trouble saying or writing what you mean
Receptive aphasia - ANS -inability to understand spoken or written words; hear the words/see the print
but cant make sense of the words
-speak well and use long sentences, but what they say may not make sense. They may not know that
what they're saying is wrong, so may get frustrated when people don't understand them
- "word salad" speech tends to include random words and phrases thrown together
Destructive lesion - ANS -A lesion is an area of tissue that has been damaged through injury or disease
-Can be caused by injury, infection, exposure to chemicals, problems with the immune system, etc.
Orientation - ANS -Refers to a person's awareness of self in relation to other persons, places, and time
-What is your name, where are you right now, what year is it
, Judgement - ANS -Asking the patient to interpret a simple problem
-Requires higher cerebral function
-"What would you do if you noticed an addressed envelope with an uncanceled stamp on it on the street
near a mailbox?"
Abstraction - ANS -Higher cerebral function that requires comprehension and judgement
-Commonly uses proverbs: interpret "people who live in glass houses shouldn't throw stones"
Affect - ANS emotional response to an event
visual agnosia - ANS the inability to recognize a visual stimulus despite the ability to see it and pick it up
Agnosia - ANS ailure to recognize a sensory stimulus despite normal primary sensationF
Tactile agnosia - ANS -The inability to identify objects by touch
-Can feel the weight of the object, yet unable to understand the significance or the use of the object;
can still name objects by sight, draw pictures of objects, as well as reach them
-Caused by lesions to the parietal lobe
Autotopagnosia - ANS Inability to identify body parts on self
Praxis - ANS ability to perform a motor activity
Dyspraxia - ANS -Decreased ability to perform voluntary movement
-caused by deep frontal lobe lesion
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