Neuropsych

Front 1

In the neuropsych evaluation, this information will obtained by the patient

Back 1

Loss of fxn; abnormal fxn
loss of sensation, abn sensatn
effect on daily activities
changes in cognition, mood, behavior

Front 2

In this part of the neuropsych evaluation we obtain this information from others.

Back 2

progression of the illness
loss of fxn, abnormal fxn
effect on daily activities
changes in cognition, behavior, attitute, personality

Front 3

What are we describing when assessing alertness

Back 3

alert, drowsy, lethargic, obtunded, comatose

Front 4

Orientation to..

Back 4

place, person, time, situation

Front 5

Appropriateness is described by

Back 5

speech, dress, familiarity, behaviors, grooming, mannerisms

Front 6

What do we look for when listening to a neuropsych patient speak?

Back 6

speed, prosity, clarity, content, voluble, pressured, disorganized, neologisms

Front 7

What is overlearned content?

Back 7

forward and backwards
days of the week
Months of the year
spell your name
count backwards

Front 8

Judgement is

Back 8

a measure by what someone has done, not by what they say they will do

Front 9

Affect describes

Back 9

appropriateness, congruence to content, responsiveness

Front 10

Affect:
Normal mood

Back 10

responses are appropriate with normal variances of excitement and seriousness

Front 11

Mood:
Flat affect

Back 11

monotome, no changes in expressions or not excitable

Front 12

Mood:
Blunted affect

Back 12

very little change in exchange and excitability

Front 13

Mood:
Labile affect

Back 13

varying, unpredictable periods of excitment and seriousness

Front 14

Describing the mood means to

Back 14

use words like: depressed, hopless, angry. Descriptive phrases: "everything is closing in on me."

Front 15

Thought content

Back 15

suicidal or homocidal: plan, effectiveness, likelihood?
Hallucinations: auditory, visual, tactile, gustatory, olfactory, kinesthetic, proprioceptive
Delusions: unusual ideas, suspicious, special powers

Front 16

Thought Process

Back 16

tangential, circumstantial, loose associations, goal-directed, logical/illogical
ability to abstract
denial
mentation
inhibition/disinhibition

Front 17

when you leave things out is called_______. In the patients mind, the story is intact

Back 17

tangential

Front 18

when you talk AROUND the topic is called

Back 18

circumstantial

Front 19

when there is no connection with thought content is termed

Back 19

loose associations

Front 20

word salad means

Back 20

patient does not make sense.

Front 21

Denial is

Back 21

conscious: knows but is denying it or
not conscious: does not know (believes does not have a problem)

Front 22

Inhibition

Back 22

are rules that we accept as normal behavior

Front 23

disinhibition

Back 23

abnormal behavior: due to drugs, ETOH, mental illness, encephalopathy, trauma

Front 24

fund of knowledge...what is this?

Back 24

checking/measuring their knowledge base. ask a question about their profession or where they are competent

Front 25

psychomotor activity: examples of

Back 25

agitated, irritable, impulsive, increased or decreased motor activity, tremor

Front 26

signs/symptoms of withdrawal

Back 26

vital signs, agitation sweating, tremor, pupil size, startle response, CIWA scale

Front 27

When ETOH w/d, the HR increases or decreases?

Back 27

increases

Front 28

When nicotine w/d, the HR increases or decreases?

Back 28

decreases

Front 29

if ETOH and opiod intoxicated the patient will be agitated or sedated

Back 29

sedated

Front 30

if ETOH and opioid w/d the patient will be agitated or sedated?

Back 30

agitated

Front 31

Agnosia is

Back 31

feels, the object, can describe it, but doesn't know it

Front 32

Anomia

Back 32

knows the object, can demostrate its fxn, but can't name it

Front 33

apraxia

Back 33

knows what to do but can't do it

Front 34

aphasia (2 types)

Back 34

expressive: knows what wants to say, but can't say it
receptive: hears the words but cannot understand what is said

Front 35

Stereographia

Back 35

writing a letter or number on hand with eyes closed

Front 36

stereognosis

Back 36

recognize the object by feel

Front 37

Abnormal Neurological signs

Back 37

are involuntary muscle movements: face, neck, tongue, hands, arms, legs, feet

Front 38

Choreiform movements

Back 38

are dance like

Front 39

athetoid movements

Back 39

snake like

Front 40

Tardive dyskinesia

Back 40

repetetive, involuntary, purposeless movements.

Front 41

examples of tardive dyskinesia

Back 41

grimacing, tongue protrusion, lip smacking, lip puckering or pursing, rapid eye blinking. rapid movements of legs, arms and trunk may also occur

Front 42

tremor

Back 42

repetetive, regular rhythmic movements