NURS 550 Final Exam Questions and
100% Correct Answers | Grade A+
Attention definitions: Alert, lethargic, obtunded, Stuporous, coma
Ans: Alert - pt is awake and aware
Lethargic - you have to speak to pt in a loud and forceful manner to get a response
Obtunded - you must shake pt to get a response
Stuporous - arousable except by painful stimuli (sternal rub)
Coma - pt is completely unarousabe
Memory
Ans: Short term memory - covers events or memories that occurred minutes to days before
Long term memory - covers event or memories that occurred months to years before
Orientation
Ans: Aware of person, place, and time
Perceptions
,Ans: Awareness of the objects in the environment to the five senses and their
interrelationships
Thought processes
Ans: The logic, coherence, and relevance of the patient's thoughts and goals; how ppl think
Insight
Ans: Awareness that thought, symptoms, or behaviors are normal or abnormal; e.g.
distinguishing that a daydream or hallucination is not real
Judgment
Ans: process of comparing and evaluating different possible courses of action
Affect
Ans: The observable mood of a person expressed through facial expression, body
movements, and voice
Mood
Ans: The sustained emotion of the patient (euthymic, dysthymic, manic)
,Language
Ans: The complex symbolic system for expressing written and verbal thoughts, emotion,
attention, and memory
Higher cognitive functions
Ans: level of intelligence assessed by vocabulary, knowledge base, calculations, and
abstract thinking
Speech and Language: Quantity, Rate, Loud, Articulation of words
Ans: Quantity: is patient talkative or silent
Rate: is the speech fast or slow
Loud: Is speech loud or soft
Articulation of words: does the patient speak clearly and distinctly
Fluency: involves the rate, flow, melody of speech
Define: hesitancies in speech
Monotone infections
Circumlocutions
Paraphasias
Ans: Hesitancies in speech - as seen in patients with aphasia from strokes
, Monotone inflections - schizophrenia or severe depression
Circumlocutions - words or phrases are substituted for the word a person cannot remember;
e.g. "the thing you block out your writing with" for an eraser
Paraphasias: words are malformed ("I write with a den"), wrong ("I write write with a
branch"), or invented ("I write with a dar")
Abnormal thought processes:
Circumstantiality
Derailment
Flight of Ideas
Neologisms
Incoherence
Blocking
Confabulation
Perseveration
Echolalia
Clanging
Ans: Circumstantiality - speech characterized by indirection and delay due to the patients
excessive use of details that have no connection to the point
Derailment - speech in which a person shifts topics with no apparent relations between the
tropics
100% Correct Answers | Grade A+
Attention definitions: Alert, lethargic, obtunded, Stuporous, coma
Ans: Alert - pt is awake and aware
Lethargic - you have to speak to pt in a loud and forceful manner to get a response
Obtunded - you must shake pt to get a response
Stuporous - arousable except by painful stimuli (sternal rub)
Coma - pt is completely unarousabe
Memory
Ans: Short term memory - covers events or memories that occurred minutes to days before
Long term memory - covers event or memories that occurred months to years before
Orientation
Ans: Aware of person, place, and time
Perceptions
,Ans: Awareness of the objects in the environment to the five senses and their
interrelationships
Thought processes
Ans: The logic, coherence, and relevance of the patient's thoughts and goals; how ppl think
Insight
Ans: Awareness that thought, symptoms, or behaviors are normal or abnormal; e.g.
distinguishing that a daydream or hallucination is not real
Judgment
Ans: process of comparing and evaluating different possible courses of action
Affect
Ans: The observable mood of a person expressed through facial expression, body
movements, and voice
Mood
Ans: The sustained emotion of the patient (euthymic, dysthymic, manic)
,Language
Ans: The complex symbolic system for expressing written and verbal thoughts, emotion,
attention, and memory
Higher cognitive functions
Ans: level of intelligence assessed by vocabulary, knowledge base, calculations, and
abstract thinking
Speech and Language: Quantity, Rate, Loud, Articulation of words
Ans: Quantity: is patient talkative or silent
Rate: is the speech fast or slow
Loud: Is speech loud or soft
Articulation of words: does the patient speak clearly and distinctly
Fluency: involves the rate, flow, melody of speech
Define: hesitancies in speech
Monotone infections
Circumlocutions
Paraphasias
Ans: Hesitancies in speech - as seen in patients with aphasia from strokes
, Monotone inflections - schizophrenia or severe depression
Circumlocutions - words or phrases are substituted for the word a person cannot remember;
e.g. "the thing you block out your writing with" for an eraser
Paraphasias: words are malformed ("I write with a den"), wrong ("I write write with a
branch"), or invented ("I write with a dar")
Abnormal thought processes:
Circumstantiality
Derailment
Flight of Ideas
Neologisms
Incoherence
Blocking
Confabulation
Perseveration
Echolalia
Clanging
Ans: Circumstantiality - speech characterized by indirection and delay due to the patients
excessive use of details that have no connection to the point
Derailment - speech in which a person shifts topics with no apparent relations between the
tropics
