Health assessment (concepts) exam 2
The ability to understand and process information, focus attention, solve problems and
demonstrate the ability to remember recent and remote events - correct answer cognition
positive consequences of cognition - correct answer Intellectual ability
Communication mechanism
Basic or Higher Order Functioning
Attention span
negative consequences of cognition - correct answer Developmental delay
Depression/mental health concerns
Inability to communication effectively
Risk for Injury
Impulsiveness
what makes up the CNS - correct answer brain
spinal cord
What make up the PNS - correct answer cranial nerves
spinal nerves
give an example of questions you . may ask a pt when doing a health history for cognition -
correct answer Present health status:
seizures, stroke, dementia, meds
Past:
hx of any of the above and spinal cord injuries
Family:
same disorders
Personal:
ADLS
What does the cerebellum do? - correct answer Balance and coordination
,Health assessment (concepts) exam 2
what does occipital lobe do? - correct answer visual processing
headaches
dizziness
seizures
LOC
change in movement
change in sensation
dysphagia
aphagia
are all sypmtoms you may see while doing which type of SA? - correct answer Cognition `
What is dysphagia? - correct answer difficulty in swallowing or inability to swallow
What is aphasia? - correct answer impairment of language/difficulty with confusion
what are the componenets of a neuro exam? (there are 8) - correct answer mental status and
LOC
speech
gait
muscle strength of extremities
DTR's
Balance and coordination
Sensation of peripheral nerves
cranial nerve function
what are the expected outcomes when assessing mental health and LOC - correct answer alert
and oriented x 3
-time
-place
-person
,Health assessment (concepts) exam 2
May ask them:
Name
DOB
If they know where they are
do they know what the time/date is
etc
what are some physical things you can look at to assess if a pt is alert and oriented? - correct
answer engaged and making eye contact
CN I - correct answer Olfactory
able to identify aromas
not frequently tested
a pt would not be able to smell.
testing: close one nostril and have the pt identify the smell in each one. (use common smells)
CN II - correct answer Optic
able to read and see objects
variance: pt is unable to read/bumps into objects
Testing: have pt hold something about 12-14 inches in front of them and test each eye
separately
CN III - correct answer Oculomotor- PERRLA
variance: diminished to absent pupil restriction asymmetry of constriction, lack of
accomodation
, Health assessment (concepts) exam 2
testing: use a pen light, one at a time. Pupils should constrict with the pen light.
Assess for consensual restriction. This means: whatever one pupil does, the other should be
doing the same
Accommodation: have pt focus on an object far away. The pupils should dilate. quickly have pt
focus on a near object, pupils should constrict
PERRLA stands for - correct answer pupils equal, round, reactive to light and accomodation
CN III, IV, VI - correct answer III: oculomotor
IV (4) trochlear
VI (6) abducens
6 cardinal fields of gaze intact
variance: eyes do not move in opposite directions, eye movements that are not parallel
testing:
station head
have pt follow finger in 6 directions
do it slow
both eyes should move in the same direction bilaterally
nystagnus - correct answer involuntary, rapid, rhythmic movement of the eyeball
What are the 6 cardinal fields of gaze? - correct answer Superior rectus (upward movement)
Superior oblique (downward and outward movement)
Lateral rectus (outward movement)
Medial rectus (inward movement)
Inferior oblique (upward and outward movement)
The ability to understand and process information, focus attention, solve problems and
demonstrate the ability to remember recent and remote events - correct answer cognition
positive consequences of cognition - correct answer Intellectual ability
Communication mechanism
Basic or Higher Order Functioning
Attention span
negative consequences of cognition - correct answer Developmental delay
Depression/mental health concerns
Inability to communication effectively
Risk for Injury
Impulsiveness
what makes up the CNS - correct answer brain
spinal cord
What make up the PNS - correct answer cranial nerves
spinal nerves
give an example of questions you . may ask a pt when doing a health history for cognition -
correct answer Present health status:
seizures, stroke, dementia, meds
Past:
hx of any of the above and spinal cord injuries
Family:
same disorders
Personal:
ADLS
What does the cerebellum do? - correct answer Balance and coordination
,Health assessment (concepts) exam 2
what does occipital lobe do? - correct answer visual processing
headaches
dizziness
seizures
LOC
change in movement
change in sensation
dysphagia
aphagia
are all sypmtoms you may see while doing which type of SA? - correct answer Cognition `
What is dysphagia? - correct answer difficulty in swallowing or inability to swallow
What is aphasia? - correct answer impairment of language/difficulty with confusion
what are the componenets of a neuro exam? (there are 8) - correct answer mental status and
LOC
speech
gait
muscle strength of extremities
DTR's
Balance and coordination
Sensation of peripheral nerves
cranial nerve function
what are the expected outcomes when assessing mental health and LOC - correct answer alert
and oriented x 3
-time
-place
-person
,Health assessment (concepts) exam 2
May ask them:
Name
DOB
If they know where they are
do they know what the time/date is
etc
what are some physical things you can look at to assess if a pt is alert and oriented? - correct
answer engaged and making eye contact
CN I - correct answer Olfactory
able to identify aromas
not frequently tested
a pt would not be able to smell.
testing: close one nostril and have the pt identify the smell in each one. (use common smells)
CN II - correct answer Optic
able to read and see objects
variance: pt is unable to read/bumps into objects
Testing: have pt hold something about 12-14 inches in front of them and test each eye
separately
CN III - correct answer Oculomotor- PERRLA
variance: diminished to absent pupil restriction asymmetry of constriction, lack of
accomodation
, Health assessment (concepts) exam 2
testing: use a pen light, one at a time. Pupils should constrict with the pen light.
Assess for consensual restriction. This means: whatever one pupil does, the other should be
doing the same
Accommodation: have pt focus on an object far away. The pupils should dilate. quickly have pt
focus on a near object, pupils should constrict
PERRLA stands for - correct answer pupils equal, round, reactive to light and accomodation
CN III, IV, VI - correct answer III: oculomotor
IV (4) trochlear
VI (6) abducens
6 cardinal fields of gaze intact
variance: eyes do not move in opposite directions, eye movements that are not parallel
testing:
station head
have pt follow finger in 6 directions
do it slow
both eyes should move in the same direction bilaterally
nystagnus - correct answer involuntary, rapid, rhythmic movement of the eyeball
What are the 6 cardinal fields of gaze? - correct answer Superior rectus (upward movement)
Superior oblique (downward and outward movement)
Lateral rectus (outward movement)
Medial rectus (inward movement)
Inferior oblique (upward and outward movement)
