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The Neuro Assessment: 5 Components – Questions & Answers | Nursing Exam Prep

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The Neuro Assessment: 5 Components – Questions & Answers | Nursing Exam Prep

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The Neuro Assessment (5 Components) answer keys
The Neuro Assessment (5 Components)
Study online at https://quizlet.com/_40nok9

1. "5 Components" Emotional state (external mood) - natural, flat, anxious, angry, or irritable

Language ability - (spoken and written) understands and communicates clear,
slurred... any type of Aphasia
Impact on Lifestyle - Role in home, society and community

Level of consciousness - is client alert and able to follow commands... if not, Glasgow
Coma Scale (eye, verbal, and motor) noxious stimuli is applied 1st (Centrally -
trapezius pinch, mandible pressure, supra orbital pressure or sternal rub 2nd
Painful stimuli or peripherally - nailbed pressure, nipple twist, testicular pressure
or hair pulling)

Cranial Nerves

Motor ability - Atrophy
gradual loss of muscle or flesh usually because of disease or lack of usage
or Tremors/Tics, abnormalities in tone Spasticity (increased muscle tone, Rigidity
(resistance to passive stretch), and Flaccidity (lack of muscle tone, limb, floppy).

Romberg Test - screening test for balance (seated or standing) eyes closed and
open for 20 seconds - stand close for support > slight swaying is normal > break in
stance is abnormal = + Romberg test

Sensory system - knowing dermatomes (Fig. 65-9, pg. 1915) that represent distri-
bution of the peripheral nerves that arise from spinal cord SC.

Tactile sensation (touching area with cotton tip), Pain/Temp. transmitted together in
lateral part of SC (hot/cold - pain sharp/dull), Vibration/Proprioception transmitted
together posterior part of SC (Tuning fork on bony prominence > explain sensation
or notify when ceases).
Close both eyes explain which direction great toe or index finger alternately moved
up and down. Agnosia - inability to recognize objects

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