Drexel Final Exam Study Guide NUR 550 - A+ Graded Solutions

Drexel Final Exam Study Guide NUR 550 - A+ Graded Solutions alert - answer - patient awake and aware level of consciousness - answer - how aware the person is of their environment lethargic - answer - you must speak to the patient in a loud forceful manner to get a response obtunded - answer - you must shake a patient to get a response stuporous - answer - the patient is unarousable except by painful stimuli (sternal rub) coma - answer - patient completely unarousable short term memory - answer - covers events or memories that occurred minutes to days before long-term memory - answer - covers events or memories that occurred months to years before orientation - answer - aware of person (who they are), place (where they are), and time (when is it) perceptions - answer - awareness of the objects in the environment to the five senses and their interrelationships thought processes - answer - the logic, coherence, and relevance of a patient's thoughts as they lead to thoughts and goals - HOW people think insight - answer - awareness that thought, symptoms, or behaviors are normal or abnormal ex: distinguishing that a daydream or hallucination is not real judgement - answer - process of comparing and evaluating different possible courses of action affect - answer - observable mood of a person expressed through facial expression, body movements, voice mood - answer - sustained emotion of the paint - euthymic (tranquil, normal), dysthmic (chronic form of depression, low mood), manic (extreme elevation and high energy) language - answer - complex symbolic system for expressing hand written and verbal thoughts, emotion, attention, and memory higher cognitive functions - answer - level of intelligence, assessed by vocabulary, knowledge base, calculations, and abstract thinking fluency - answer - involves the rate, flow, and melody of speech hesitancies in speech - answer - seen in patients with aphasia from strokes monotone inflections - answer - schizophrenia or severe depression circumlocutions - answer - words or phrases are substituted for the word a person cannot remember paraphasias - answer - words are malformed, wrong, or invented circumstanttiality - answer - speech characterized by indirection and delay due to the patients excessive use of details that have no connection to the point derailment - answer - speech in which a person shifts topics with no apparent relation between the topics, no flow flight of ideas - answer - accelerated change of topics in a very fast but generally coherent manner neologisms - answer - invented or distorted words incoherence - answer - speech that is incomprehensible because it's illogical blocking - answer - sudden interruption of speech, before the completion of an idea, occurs in normal people confabulation - answer - fabrication of facts to hide memory impairment preservation - answer - persistant repetition of words or ideas echolalia - answer - repetition of the words or phrases of others clanging - answer - choosing a word on the basis of sound rather than meaning compulsions - answer - repetitive behaviors that a person feels driven to perform to prevent or produce some future state of affairs obsessions - answer - recurrent, uncontrollable thoughts, images, or impulses that a patient considered unacceptable phobias - answer - persistent fear of a stimuli the patient feels is irrational (spiders, snakes, the dark) anxiety - answer - apprehension or fear that may be focused (phobia) or free floating (general sense of dread) delusions - answer - false, fixed beliefs that are not shared by other members of the person's culture illusions - answer - misinterpretations of real stimuli hallucinations - answer - subjective external stimuli the patient hears or sees that others do not hear or see that the patient may not recognize as false; tense can be auditory, visual, olfactory, gustatory, or tactile calculating ability - answer - ask the patient to perfo