NURS 3200 EXAM #1 | STUDY GUIDE |
QUESTIONS AND ANSWERS | NURSING
EXAM PREP| GRADED A+ | GUARANTEED
SUCCESS
Updated Questions and Answers | 100% Verified Exam Prep
,Component #1 of MSE appearance
appearance MSE observe the pt's posture, body movements, dress, grooming, hygiene, and pupils
Component #2 of MSE Behavior
Behavior in MSE evaluate level of consciousness, facial expression, speech and articulation, and mood
and effect
Component #3 of MSE cognition
cognition in MSE check orientation, attention span, recent memory, remote memory, and new learning. For
patients with aphasia, test word comprehension, reading and writing
Component #4 of MSE thought process
thought process in MSE ask questions to evaluate thought process, thought content, and perceptions
- also screen for anxiety disorders, depression, and sucidal thoughts
Mini-Mental State Examination (MMSE) simplified scored assessment of cognitive functions. It measures visuo-constructive
ability, language function, memory, auditory attention, conceptual thinking, working
memory and calculations, well as speech/language
Components of General Survey 1. Physical appearance
2. Body structure
3. Mobility
4. Behavior
Physical Appearance 1. Age ( appears stated age)
2. Sex ( if sexual development is on track, if trans note their stage)
3. Level of Consciousness( A&O x4, attend to questions & respond appropriately)
4. Skin color ( even tone, skin intact, note tattoos& piercings)
5. Facial features ( symmetric w/ movement)
6. Overall appearance ( no signs of acute distress)
, Body Structure 1. Stature ( height appears normal for age and genes)
2. nuture ( weight is norm, fat is distribute)
3. Symmetry ( body parts are equal bilaterally and proportion)
4. posture ( stands comfortably erect,plumb line)
5. position ( sits comfortable, relaxed arms, head turns to examiner)
6. Body build/ contour ( arm span=height, body length to crown to pubis = length from
pubis to sole
7. obvious deformities
mobility Gait
- base is wide as shoulder width
-walk is smooth, even, balanced w/o assistance
- associated movements ( symmetric arm swing ) are there
Range of Motion
- full mobility for each joint
- movement is deliberate, accurate, smooth, and coordinated
- no involuntary movement
Behavior 1. Facial expression
- maintain eye contact
- expressions are appropriate to situation
2. Mood and affect
- person is comfortable and cooperative
- interacts pleasantly
3. speech
- articulation is clear and understandable
4. Speech pattern
- stream of talking is fluent
- conveys ideas clearly
- communicates easily
5. Dress
- clothing is coordinated to weather, culture, age group
- clothing looks clean and fits
6. Personal hygiene
- appears clean + we;; groomed for age, job, and socio group
- hair is groomed
subjective data ask pt questions and they answer
objective data actually perform assessment ( inspection, palpitation, auscultation, percussion)
QUESTIONS AND ANSWERS | NURSING
EXAM PREP| GRADED A+ | GUARANTEED
SUCCESS
Updated Questions and Answers | 100% Verified Exam Prep
,Component #1 of MSE appearance
appearance MSE observe the pt's posture, body movements, dress, grooming, hygiene, and pupils
Component #2 of MSE Behavior
Behavior in MSE evaluate level of consciousness, facial expression, speech and articulation, and mood
and effect
Component #3 of MSE cognition
cognition in MSE check orientation, attention span, recent memory, remote memory, and new learning. For
patients with aphasia, test word comprehension, reading and writing
Component #4 of MSE thought process
thought process in MSE ask questions to evaluate thought process, thought content, and perceptions
- also screen for anxiety disorders, depression, and sucidal thoughts
Mini-Mental State Examination (MMSE) simplified scored assessment of cognitive functions. It measures visuo-constructive
ability, language function, memory, auditory attention, conceptual thinking, working
memory and calculations, well as speech/language
Components of General Survey 1. Physical appearance
2. Body structure
3. Mobility
4. Behavior
Physical Appearance 1. Age ( appears stated age)
2. Sex ( if sexual development is on track, if trans note their stage)
3. Level of Consciousness( A&O x4, attend to questions & respond appropriately)
4. Skin color ( even tone, skin intact, note tattoos& piercings)
5. Facial features ( symmetric w/ movement)
6. Overall appearance ( no signs of acute distress)
, Body Structure 1. Stature ( height appears normal for age and genes)
2. nuture ( weight is norm, fat is distribute)
3. Symmetry ( body parts are equal bilaterally and proportion)
4. posture ( stands comfortably erect,plumb line)
5. position ( sits comfortable, relaxed arms, head turns to examiner)
6. Body build/ contour ( arm span=height, body length to crown to pubis = length from
pubis to sole
7. obvious deformities
mobility Gait
- base is wide as shoulder width
-walk is smooth, even, balanced w/o assistance
- associated movements ( symmetric arm swing ) are there
Range of Motion
- full mobility for each joint
- movement is deliberate, accurate, smooth, and coordinated
- no involuntary movement
Behavior 1. Facial expression
- maintain eye contact
- expressions are appropriate to situation
2. Mood and affect
- person is comfortable and cooperative
- interacts pleasantly
3. speech
- articulation is clear and understandable
4. Speech pattern
- stream of talking is fluent
- conveys ideas clearly
- communicates easily
5. Dress
- clothing is coordinated to weather, culture, age group
- clothing looks clean and fits
6. Personal hygiene
- appears clean + we;; groomed for age, job, and socio group
- hair is groomed
subjective data ask pt questions and they answer
objective data actually perform assessment ( inspection, palpitation, auscultation, percussion)
