N244 LECTURE 3 EXAM QUESTIONS WITH
100% VERIFIED CORRECT ANSWERS!!
Alert
Client is responsive and able to fully respond by opening their eyes and attending to a normal
tone of voice and speech. Answers questions appropriately.
Lethargic
Client is able to open their eyes and respond but is drowsy and falls asleep readily.
Stupurous
The client requires vigorous or painful stimuli to elicit a brief response. may not be able to
respond verbally.
comatose
the client is unconscious and does not respond to painful stimuli
decorticate rigidity
flexion and internal rotation of upper extremity joints and legs
Decebrate Rigidity
neck and elbow extension, wrist and finger flexion
Mood
A client's mood provides information about the emotion that they are feeling
Affect
A client's affect is an objective expression of mood, such as flat affect or lack of facial
expression
Immediate memory
the ability to recall a series of number or a list of objects given by the nurse
, Recent Memory
the ability to recall recent events such as visitors from the current day, or the purpose of the
current appointment
Remote memory
The ability to state a fact from his past that is verifiable such as birth date or mothers maiden
name.
List of points in the MMSE
1. Orientation to time and place
2.Attention span and ability to calculate by counting backward by 7
3. Registration and recalling of objects.
4. Language including naming of objects, following commands, and ability to write.
GCS
15 indicates the client is awake and responding appropriately.
7 or less indicates the client is in a coma
HEADSSS
Home environment
Education / employment
Activities
Drug/ substance use
Suicide / depression
Savagery
Classification of serious mental illness
Includes disorders classified as severe and persistent mental illness.
Client has difficulty with ADL's
Can be chronic or recurrent
Beneficence
100% VERIFIED CORRECT ANSWERS!!
Alert
Client is responsive and able to fully respond by opening their eyes and attending to a normal
tone of voice and speech. Answers questions appropriately.
Lethargic
Client is able to open their eyes and respond but is drowsy and falls asleep readily.
Stupurous
The client requires vigorous or painful stimuli to elicit a brief response. may not be able to
respond verbally.
comatose
the client is unconscious and does not respond to painful stimuli
decorticate rigidity
flexion and internal rotation of upper extremity joints and legs
Decebrate Rigidity
neck and elbow extension, wrist and finger flexion
Mood
A client's mood provides information about the emotion that they are feeling
Affect
A client's affect is an objective expression of mood, such as flat affect or lack of facial
expression
Immediate memory
the ability to recall a series of number or a list of objects given by the nurse
, Recent Memory
the ability to recall recent events such as visitors from the current day, or the purpose of the
current appointment
Remote memory
The ability to state a fact from his past that is verifiable such as birth date or mothers maiden
name.
List of points in the MMSE
1. Orientation to time and place
2.Attention span and ability to calculate by counting backward by 7
3. Registration and recalling of objects.
4. Language including naming of objects, following commands, and ability to write.
GCS
15 indicates the client is awake and responding appropriately.
7 or less indicates the client is in a coma
HEADSSS
Home environment
Education / employment
Activities
Drug/ substance use
Suicide / depression
Savagery
Classification of serious mental illness
Includes disorders classified as severe and persistent mental illness.
Client has difficulty with ADL's
Can be chronic or recurrent
Beneficence
