Sensory And Neuro Nurse Assessment

Front 1

Dendrites

Back 1

Receive and carry impulses to the cell body

Front 2

Cell Body

Back 2

Generates electrical impulses

Front 3

Axons

Back 3

Carry electrical impulses to the dendrites of another neuron using neurotransmitters

Front 4

Frontal lobe

Back 4

Regulates emotional expression, behavior and intellect, controls voluntary movement

Front 5

Broca's area

Back 5

expressive language function

Front 6

Temporal

Back 6

influences hearing, smell, taste and memory

Front 7

Wernicke's area

Back 7

language comprehension

Front 8

Limbic system

Back 8

emotional and sexual arousal, behavioral expression, recent memory, and smell

Front 9

Parietal

Back 9

perceives and interprets sensory input such as pain, temperature, touch, texture and proprioception

Front 10

Insula (central lobe)

Back 10

Involved in GI and viscera activity

Front 11

Occipital

Back 11

perceives and interprets visual stimuli, including spatial relationships

Front 12

Diencephalon

Back 12

connects cerebrum to brainstem

Front 13

thalamus

Back 13

clusters sensory stimuli and filters out unimportant stimuli

Front 14

hypothalamus

Back 14

controls and integrates autonomic nervous system and pituitary activity

Front 15

cerebellum

Back 15

located at the base of the brain, regulates involuntary aspects of movement, coordination, muscle tone, posture, equilibrium and kinesthetics

Front 16

brainstem

Back 16

involuntary survival, includes midbrain, medulla and pons, transmits impulses from the spinal cord and brain, attachment site of 10 of the 12 cranial nerves

Front 17

Dura mater (outer layer)

Back 17

Adds support and protection

Front 18

Arachnoid (middle layer)

Back 18

Provides space for cerebrospinal fluid

Front 19

Pia Mater (inner layer)

Back 19

Contains blood vessels

Front 20

Sensory pathways

Back 20

ascending. Medulla - L12
Afferent

Front 21

Motor pathways

Back 21

Descending, Efferent

Front 22

Lateral Corticospinal

Back 22

Movement of extremities, fine finger movement

Front 23

Anterior corticospinal

Back 23

Voluntary movement of axial muscles

Front 24

Corticobulbar

Back 24

cranial nerves

Front 25

Rubrospinal

Back 25

Coordination and control of skilled muscle movement

Front 26

Reticulospinal

Back 26

integration of axial body movements, posture, body and limb movements

Front 27

vestibulospinal

Back 27

body posture, body and limb movements

Front 28

Spinal reflexes

Back 28

Not dependent on conscious perception bc they don't involve the brain. deep tendon and flexor

Front 29

Spinal and peripheral nerves

Back 29

31 pairs, ascending and descending fibers, innervates a particular area of the body

Front 30

Dermatomes

Back 30

cutaneous innervations of the spinal nerves

Front 31

Sympathetic (ANS)

Back 31

fight or flight

Front 32

Parasympathetic (ANS)

Back 32

rest and digest

Front 33

Protective reflexes of newborn

Back 33

Rooting, sucking, palmar grasp, stepping, moro/startle reflex

Front 34

Folic acid deficiency in pregnant women

Back 34

neural tube defects (spina bifida)

Front 35

African americans

Back 35

increased HTN and stroke

Front 36

Irish

Back 36

Neural tube defects

Front 37

Navajo

Back 37

unique neuropathy causes severe neurological symptoms

Front 38

Symptoms signal a problem with neurologic system

Back 38

headache, mental status, dizziness, vertigo, syncope, numbness, deficits of the 5 senses

Front 39

Neurologic exam tests:

Back 39

mental, cranial nerve function, sensory, reflex, cerebellar

Front 40

LOC

Back 40

arousal and orientation

Front 41

Glasgow coma scale

Back 41

Predicts how well you'll recover from head injury

Front 42

Memory

Back 42

Immediate, recent and remote

Front 43

Mathematic ability

Back 43

Count backwards 20-0

Front 44

Thought processes

Back 44

Attention span, abstract reasoning, judgment, communication

Front 45

Mini mental state exam

Back 45

Orientation, registration, attention and calculation, recall, language

Front 46

Single cutoff

Back 46

<24 abnormal

Front 47

Range

Back 47

<21 Increased odds of dementia
>25 decreased odds of dementia

Front 48

Education

Back 48

21 Abnormal for 8th grade education
<23 Abnormal for high school education
<24 abnormal for college education

Front 49

Severity

Back 49

24-30 No cognitive impairment
18-23 Mild cognitive impairment
0-17 severe cognitive impairment

Front 50

Mnemonic for Mental Status Exam: FROMAJE

Back 50

Function (physical)
Reasoning
Orientation
Memory
Arithmetic
Judgement
Emotions

Front 51

LOC: Alert

Back 51

keen and attentive

Front 52

LOC: lethargic

Back 52

Dull and drowsy

Front 53

LOC: Obtunded

Back 53

difficult to arouse

Front 54

LOC: Stuporous

Back 54

requires vigorous stimulation for a response. May require painful stimulus

Front 55

LOC: Comatose

Back 55

Does not respond appropriately to either verbal or painful stimuli

Front 56

Sensory function checks for:

Back 56

Superficial, Deep, discriminatory sensations

Front 57

Superficial sensation

Back 57

Pain, light touch, temperature

Front 58

Deep sensation

Back 58

vibratory, kinesthetics

Front 59

Discriminatory sensation

Back 59

Stereognosis, graphesthesia, 2 point discrimination, point localization, sensory extinction

Front 60

Deep tendon reflexes grading

Back 60

0 no response
1 response present but diminished
2 normal
3 somewhat stronger than normal
4 hyperactive with clonus

Front 61

Superficial reflexes

Back 61

Plantar, abdominal, anal,

Front 62

Protective reflexes

Back 62

gag, cough, swallow, blink, corneal

Front 63

Primitive reflexes

Back 63

babinski, sucking, grasp, rooting, snout, glabellar

Front 64

Cerebellar function

Back 64

Roadside sobriety test, balance, coordination, accuracy of movement

Front 65

Reticular Activating System (RAS)

Back 65

Network of hyperexcitable neurons in the brain stem and cerebral cortex
Screens and channels incoming sensory input
Helps maintain consciousness

Front 66

Hyperactive reflexes:

Back 66

in later pregnancy may signal preeclampsia.

Front 67

Older adults:

Back 67

Creative, critical, and abstract thinking and problem solving abilities are often increased.

Front 68

Avoid making:

Back 68

Language barrier or cultural variations in communication for neurological impairment.

Front 69

What can history tell you about the neurologic/sensory system?

Back 69

Biographical data
Current health status
Past health history
Family history
ROS
Psychosocial history

Front 70

Babinski

Back 70

Stroke lateral sole of foot - dorsiflexion of great toe and fanning of toes.

Front 71

Sucking

Back 71

Stimulate lips with swab, client starts sucking.

Front 72

Grasp

Back 72

Place fingers in hand - client automatically grasps yours.

Front 73

Rooting

Back 73

Gently stroke side of face and client turns face toward stroked side.

Front 74

Snout

Back 74

Gently tap oral area and lips pucker

Front 75

Glabellar

Back 75

Gently tap client's forehead and client blinks

Front 76

Balance

Back 76

Tandem walking or Romberg's test

Front 77

Coordination

Back 77

Rapid alternating movements, finger thumb opposition, heel to shin

Front 78

Accuracy of movement

Back 78

Point to point localization (finger to nose)