Exam 3) NURS 242 Exam 3: Questions & Answers: Latest Updated

When assessing a pt during the Mental Status Exam, what are some thing you are looking for? (Ans- Appearance/ grooming habits Behavior (body language, emotional status) Cognition (Memory, judgement, attention span) Speech (voice, articulation, comprehension, aphasia) Thought processes (mood and feeling) What are some tools/ tests you can utilize to assess your patient's mental status? (AnsSLUMS MOCA LOC Glasgow When you assess your patient and they are disoriented and have impaired judgement, how would you document? (Ans- The patient is confused.When you assess a patient and they are drowsy but otherwise oriented, how would you document? (Ans- The patient is lethargic. When you assess a patient and they respond slowly to your questions, but fall back to sleep if not continuously stimulated, how would you document? (Ans- The patient is obtunded. When you assess a patient and they show little to no response to your efforts and slightly moan or grunt to stimulation, how would you document this patient? (Ans- The patient is stuporous. When you assess your patient and they have no response at all to your efforts to rouse them, how would you document this patient? (Ans- The patient is comatose. CN I Olfactory (Oh) Function of Nerve (Some) (AnsSensory Nerve- Smell Test for odor identificationCN II Optic (Oh) Function of Nerve (Say) Examination (Ans- Sensory Nerve- Visual Acuity Test visual fields Perform ophthalmologic exam CN III Oculomotor (Oh) Function of Nerve (Marry) (AnsMotor Nerve- Eye Movement, Pupil Size, Eyelid opening PERRLA Up and Down (toward the Nose) CN IV Trochlear (To) Function of Nerve (Money) (Ans- Motor Nerve- Eye movement Downward movement and out away from the nose