Neurological System Overview
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Questions and Answers

Which of the following is NOT a component of the brainstem?

  • Midbrain
  • Medulla Oblongata
  • Cerebellum (correct)
  • Pons
  • The thalamus is responsible for regulating body temperature, appetite, and water balance.

    False (B)

    What is the function of the pyramidal tracts?

    The pyramidal tracts control voluntary skeletal muscle movement.

    The ______ is a specialized nerve cell that transmits nerve impulses.

    <p>neuron</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Sensory organs = Structures that receive stimuli from the environment Cranial nerves = Nerves that connect the brain to the head and neck Spinal nerves = Nerves that connect the spinal cord to the rest of the body Ganglia = Collections of nerve cell bodies outside the CNS Dermatomes = Pathways of spinal nerves that correspond to specific areas of skin</p> Signup and view all the answers

    Which of the following is a symptom that indicates damage to the midbrain or brainstem?

    <p>Extensor posturing (A)</p> Signup and view all the answers

    The peripheral nervous system includes the brain and spinal cord.

    <p>False (B)</p> Signup and view all the answers

    What is the difference between hemiparesis and hemiplegia?

    <p>Hemiparesis is weakness affecting one side of the body, while hemiplegia is paralysis of one side of the body.</p> Signup and view all the answers

    The ______ is a junction between two nerve cells.

    <p>synapse</p> Signup and view all the answers

    Which of the following is NOT a function of the medulla oblongata?

    <p>Coordinating movement (D)</p> Signup and view all the answers

    Which of the following scores on the FOUR Score Scale indicates a fully alert patient?

    <p>15 (D)</p> Signup and view all the answers

    The FOUR Score Scale is used to assess comatose patients and those who cannot speak due to intubation.

    <p>True (A)</p> Signup and view all the answers

    What are the four categories assessed in the FOUR Score Scale?

    <p>Eye response, motor response, brain stem reflexes, and respiration</p> Signup and view all the answers

    Decorticate posturing is characterized by extension of the legs with internal rotation and adduction of the arms with the elbows bent upward, indicating damage to the ______.

    <p>cortex</p> Signup and view all the answers

    Which of the following is NOT a recommended method for applying painful stimuli to assess level of consciousness?

    <p>Sternal rub with the knuckles (B)</p> Signup and view all the answers

    Decerebrate posturing, characterized by extended stiff arms held close to the body with flexed wrists, indicates damage to the midbrain or brainstem.

    <p>False (B)</p> Signup and view all the answers

    What is the purpose of the 'doll's eye' test?

    <p>To test the function of the brainstem. (B)</p> Signup and view all the answers

    The Babinski reflex tests the motor functions of the 1st and 2nd sacral nerves.

    <p>False (B)</p> Signup and view all the answers

    What is the purpose of assessing the patient's hand grip strength?

    <p>Assessing hand grip strength is part of the neurological/neuromuscular function evaluation and helps determine if the patient has weakness or paralysis in their hand.</p> Signup and view all the answers

    The cranial nerve responsible for eye movement and pupil constriction is the ______ nerve.

    <p>Oculomotor</p> Signup and view all the answers

    Match the following cranial nerves to their functions:

    <p>CN I = Smell CN II = Hearing and balance CN III = Eyelid elevation and extraocular movements CN V = Taste and facial muscle movement CN VIII = Visual acuity and field of vision CN VII = Sensory for the face, chewing, biting, and jaw movement</p> Signup and view all the answers

    Which of the following reflexes tests the 2nd to 4th lumbar nerves?

    <p>Knee Jerk reflex (C)</p> Signup and view all the answers

    Proprioception refers to the sense of touch and pressure.

    <p>False (B)</p> Signup and view all the answers

    What is clonus?

    <p>Clonus is a series of involuntary, rhythmic muscle contractions triggered by a constant stimulus. It indicates hyperreflexia.</p> Signup and view all the answers

    In a normal 'doll's eye' test, the patient's eyes will

    <p>Move in the opposite direction of the head is rotated. (D)</p> Signup and view all the answers

    Sensory testing involves assessing ______, light touch and pressure, vibration, and proprioception.

    <p>pain and temperature</p> Signup and view all the answers

    Which of the following is NOT a cranial nerve?

    <p>Brachial (B)</p> Signup and view all the answers

    The Achilles Tendon reflex tests the function of the 5th and 6th cervical nerves.

    <p>False (B)</p> Signup and view all the answers

    What is the role of a dendrite in a neuron?

    <p>To receive impulses from other cells and transmit them to the cell body (D)</p> Signup and view all the answers

    The axon of a neuron is responsible for sending impulses away from the cell body.

    <p>True (A)</p> Signup and view all the answers

    What is the term for the movement of the eyes in different directions, assessing their ability to follow an object?

    <p>Smooth pursuits</p> Signup and view all the answers

    What is the function of a synapse?

    <p>A synapse is a gap between the axon of one neuron and the dendrite of another neuron, where neurotransmitters are used to carry the impulse across the gap.</p> Signup and view all the answers

    The mnemonic "On Old Olympus's Towering Top, A Finn Very Gladly Viewed A Hop" is used to remember the names of the ______ nerves.

    <p>cranial</p> Signup and view all the answers

    Which cranial nerve is responsible for taste and facial muscle movements?

    <p>Facial (C)</p> Signup and view all the answers

    The ______ is responsible for producing and releasing neurotransmitters.

    <p>neuron</p> Signup and view all the answers

    Match the neurotransmitters with their primary functions.

    <p>Acetylcholine = Generally excitatory in the CNS; Inhibitory to some visceral effectors Norepinephrine = The receptor it acts on determines whether it is excitatory or inhibitory Dopamine = Excitatory; Involved in control of movement and reward-motivated behavior Serotonin = Inhibitory; Regulates mood, social behavior, and sexual function/desire Endorphins/Enkephalins = Inhibitory; Control pain and stress</p> Signup and view all the answers

    Which of these are protective membranes for the brain and spinal cord?

    <p>All of the above (D)</p> Signup and view all the answers

    The Circle of Willis is a common site for aneurysm.

    <p>True (A)</p> Signup and view all the answers

    What is the normal CSF pressure during a lumbar puncture?

    <p>100 - 180 cmH2O</p> Signup and view all the answers

    The _____ is a tough protective membrane covering the brain and spinal cord.

    <p>Dura mater</p> Signup and view all the answers

    Match the following conditions with their causative factors:

    <p>Cerebral palsy = Genetics/ Acquired developmental disorders Huntington's disease = Genetics/ Acquired developmental disorders Meningitis = Infection and Inflammation Brain abscess = Infection and Inflammation Ruptured aneurysm = Vascular degeneration Migraine = Vascular degeneration Multiple Sclerosis = Neuromuscular disorders Myasthenia gravis = Neuromuscular disorders Parkinson’s disease = Degenerative Disorders Alzheimer’s disease = Degenerative Disorders Bells Palsy = Cranial Nerve disorders Trigeminal neuralgia = Cranial Nerve disorders</p> Signup and view all the answers

    Neurons in the brain can regenerate, similar to those in the peripheral nervous system.

    <p>False (B)</p> Signup and view all the answers

    What is the normal intracranial pressure?

    <p>5-15 mmHg</p> Signup and view all the answers

    The _____ _____ is a network of blood vessels that helps maintain a constant blood flow to the brain.

    <p>Circle of Willis</p> Signup and view all the answers

    Which of the following is NOT a factor that can affect neurological functioning?

    <p>Weather patterns (D)</p> Signup and view all the answers

    Slower reaction time in older adults is attributed to decreased number of dendrites.

    <p>True (A)</p> Signup and view all the answers

    What is the name of the outer membrane that can regenerate in some PNS nerve cells?

    <p>neurolemma (Schwann sheath)</p> Signup and view all the answers

    A complete neurological exam measures the body's ability to perform ______ and ______ functions.

    <p>motor, sensory</p> Signup and view all the answers

    Which of the following is a possible cause of increased intracranial pressure?

    <p>All of the above (D)</p> Signup and view all the answers

    Cerebrospinal fluid (CSF) is produced and reabsorbed at the same rate to maintain constant volume and pressure.

    <p>True (A)</p> Signup and view all the answers

    What is the common name for a cerebrovascular accident?

    <p>stroke</p> Signup and view all the answers

    Which of the following is NOT a nursing implication for a patient with an altered breathing pattern?

    <p>Administer oxygen as needed, regardless of the patient's respiratory status. (C)</p> Signup and view all the answers

    Turning a patient every 2 hours helps maintain skin integrity and prevent pressure ulcers.

    <p>True (A)</p> Signup and view all the answers

    What is the purpose of a bladder training program?

    <p>To prevent urinary infections, complications such as kidney stones, promote skin health, and promote independence.</p> Signup and view all the answers

    The ______ maneuver is used to help patients with nerve damage and paralysis below L2 empty their bladder by pressing on the bladder area.

    <p>Crede</p> Signup and view all the answers

    Match the nursing implications with their corresponding nursing care measures:

    <p>Altered mobility = Provide range of motion (ROM) to prevent contractions and muscle atrophy. Dysphagia = Place the patient in high Fowler's position for meals and for at least 30 minutes afterward. Aphasia = Use self-talk, parallel-talk, expansion, and modeling to facilitate communication. Incontinence / Bladder Training Program = Implement a 2-hour toileting schedule and encourage fluid intake up to 6 pm.</p> Signup and view all the answers

    Which of the following is NOT a recommendation for providing oral hygiene to patients with altered self-care ability?

    <p>Cleanse the mouth with a toothbrush dipped in apple cider vinegar. (B)</p> Signup and view all the answers

    Patients with dysphagia should always attempt to drink small amounts of water successfully before eating food.

    <p>True (A)</p> Signup and view all the answers

    What are two ways to provide eye care for patients who cannot close their eyes?

    <p>Cleanse with warm sterile water or normal saline every few hours and instill artificial tears or lubricants.</p> Signup and view all the answers

    When caring for patients with aphasia, it is important to avoid talking to them as if they are ______.

    <p>mentally incompetent</p> Signup and view all the answers

    Match the nursing implications associated with confusion/deficit in memory, intellect, reasoning, judgement, with their corresponding interventions:

    <p>Support and Protect the patient = Provide a stable quiet environment Teach family safety = Instruct family members about potential risks and safety measures. Provide a consistent and dependable schedule for activities = Maintain a predictable routine to minimize confusion.</p> Signup and view all the answers

    Which of the following is NOT a common nursing implication for patients with pain?

    <p>Administer narcotics freely to ensure maximum pain relief. (B)</p> Signup and view all the answers

    Patients with bowel training programs should avoid a high-fiber diet and adequate liquid intake.

    <p>False (B)</p> Signup and view all the answers

    What are two important interventions when caring for patients with altered self-care ability?

    <p>Assist or provide activities of daily living (ADLs), including oral hygiene, and assist the patient to cope with loss of independence.</p> Signup and view all the answers

    When providing care for patients with sexual dysfunction, it is important to allow the patient to express their ______, ______, and ______.

    <p>feelings, concerns, beliefs</p> Signup and view all the answers

    Which of the following is NOT a strategy for communicating with patients who have aphasia?

    <p>Correct the patient's pronunciation when they make mistakes. (C)</p> Signup and view all the answers

    Providing oral hygiene for patients with aphasia is important because it can make it easier for them to form words.

    <p>True (A)</p> Signup and view all the answers

    What are two key elements of providing psychosocial support for patients with spinal cord injuries?

    <p>Allow the patient to express feelings, concerns, and beliefs, and support the patient emotionally.</p> Signup and view all the answers

    Flashcards

    Delirium

    An altered state of consciousness, usually acute and short-lived.

    Dysphagia

    Difficulty swallowing, affecting the ability to ingest food and liquids.

    Efferent

    Nerve fibers that carry impulses away from the Central Nervous System (CNS).

    Extensor posturing

    Position where arms are stiffly extended and legs are stiff with toes downward; indicates midbrain or brainstem damage.

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    Flexor posturing

    Position with stiff legs and arms bent upward, indicating damage to the cortex.

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    Hemiparesis

    Weakness affecting only one side of the body.

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    Nystagmus

    Involuntary rapid rhythmic eye movement.

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    Cerebrum

    Part of the brain responsible for intellect, consciousness, and voluntary movements.

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    Thalamus

    Relay center in the diencephalon for sensory and motor signals; regulates consciousness and sleep.

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    Neuron

    The functional unit of the nervous system that transmits nerve impulses, consisting of a cell body, dendrites, and axon.

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    Axon

    A long extension conducting impulses away from the cell body.

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    Dendrite

    Short branches that receive signals from other cells.

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    Synapse

    The gap between neurons where neurotransmitters act.

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    Neurotransmitter

    Chemicals that transmit signals across synapses.

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    Polarization

    The state where the inside of a neuron is negatively charged.

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    Impulse Conduction

    The process of transmitting electrical signals along the neuron.

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    Reflex Arc

    A pathway that allows for quick reflex responses.

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    Afferent Pathways

    Nerve pathways that carry sensory information to the brain.

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    Efferent Pathways

    Nerve pathways that carry impulses from the brain to the body.

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    Somatic Nervous System

    Controls voluntary muscle movements.

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    Autonomic Nervous System

    Controls involuntary bodily functions.

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    Myelin Sheath

    Insulating layer around axons that speeds up impulses.

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    Sympathetic Nervous System

    Mobilizes energy for 'fight or flight' responses.

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    Parasympathetic Nervous System

    Conserves energy and promotes 'rest and digest.'

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    GCS Score

    Glasgow Coma Scale rating; scores from 3 to 15 indicating consciousness level.

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    FOUR Score Scale

    A scale for assessing comatose or intubated patients based on four categories.

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    Decorticate Posturing

    Flexor posturing indicating damage to the cortex; arms bent upward.

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    Decerebrate Posturing

    Extensor posturing with stiff arms indicating serious brain damage.

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    Mental Function Assessment

    Evaluating consciousness by asking orientation questions.

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    Pain Response Levels

    Categorize responses from purposeful withdrawal to nonresponsive behavior.

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    Orientation Assessment

    Determine memory lapses by asking about current events or addresses.

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    Judgment Evaluation

    Assess decision-making by posing scenarios or life questions.

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    Stimulus Response Techniques

    Methods include loud voice, gentle shake, and pain stimulation for assessment.

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    Neurologic Status Observation

    Gather information from patient interactions and daily activities.

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    Meninges

    Three protective membranes surrounding the brain and spinal cord.

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    Pia Mater

    The innermost layer of the meninges, directly covering the brain.

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    Cerebrospinal Fluid (CSF)

    Fluid that cushions and protects the brain and spinal cord, circulates in the subarachnoid space.

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    Circle of Willis

    A circulatory structure at the base of the brain ensuring constant blood flow.

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    Intracranial Pressure (ICP)

    Pressure inside the skull determined by brain tissue, CSF, and blood volume.

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    Aging Brain Changes

    Changes in the brain with age include neuron loss and slower impulse transmission.

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    Oxygen Supply to Brain

    Brain cells die within 4-6 minutes without oxygen, highlighting its constant need.

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    Neurolemma

    The outer membrane of peripheral nerve cells, aiding in repair/regeneration.

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    Hypoactive Reflexes

    Weaker or diminished reflex responses often seen in aging or neurological disorders.

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    Neuromuscular Disorders

    Conditions affecting the nerves that control voluntary muscles, e.g., MS and MG.

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    Normal CSF Pressure

    Standard pressure is 100-180 cmH2O during a lumbar puncture.

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    Dura Mater

    The tough outer layer of the meninges protecting the brain and spinal cord.

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    Neurotransmitter Decrease

    Decrease in brain chemicals (like dopamine) affects function and mood with aging.

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    Tremors

    Involuntary shaking or trembling movements, can occur with aging or disorders.

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    Assessment of Neurologic Function

    Comprehensive exams measure motor and sensory abilities, often in hospital settings.

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    Elevate HOB

    Head of Bed (HOB) should be elevated 30 degrees to aid lung expansion.

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    Skin Integrity

    Measure to maintain healthy skin; includes clean, dry, and protection.

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    ROM Exercises

    Range of Motion (ROM) exercises prevent muscle atrophy and maintain joint mobility.

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    ADLs

    Activities of Daily Living (ADLs) include essential personal care tasks.

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    Dysphagia Screening

    Check swallowing ability before giving food or meds; use water test.

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    Bladder Training

    Program to encourage toilet use, maintain hygiene, and promote independence.

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    Bowel Training

    Monitor bowel habits, increase fiber, and regular toilet times to prevent incontinence.

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    Pain Assessment

    Evaluate and manage pain to provide appropriate relief and comfort.

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    Aphasia Types

    Receptive, expressive, and global aphasia affect communication abilities.

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    Self-Talk

    Verbalize actions to help the patient associate words with activities.

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    Parallel-Talk

    Explain the patient’s actions during tasks to reinforce learning.

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    Emotional Support

    Providing emotional reassurance helps stabilize the patient's mental health.

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    Sexual Dysfunction Support

    Address sexual issues and concerns openly, provide counseling as needed.

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    Psychosocial Support

    Assist patients in emotional coping, social reintegration, and resilience.

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    Family Education

    Educate family on care processes and resources to support patient needs.

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    Oculocephalic Test

    Tests brainstem function by checking eye movement in response to head turning in an unconscious patient.

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    Knee Jerk Reflex

    A patellar reflex that tests the contraction of the quadriceps muscle when the tendon is tapped.

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    Grading of Reflexes

    Reflex responses are rated from 0 to 4, where 0 is absent and 4 is exaggerated with clonus.

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    Babinski Reflex

    Test involving scraping the sole of the foot; a normal response is toe flexion.

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    Cranial Nerve I

    Olfactory nerve responsible for the sense of smell.

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    Cranial Nerve VII

    Facial nerve responsible for facial movements and taste sensation.

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    PERRLA

    Pupils Equal, Round, Reactive to Light and Accommodation; an assessment tool in eye exams.

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    Motor Function Assessment

    Evaluating strength and movement in the arms and legs through resistance and movement tasks.

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    Proprioception

    The sense of body position and movement, assessed by having patients close their eyes and touch their nose.

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    Caloric Testing

    A test of the oculovestibular reflex using temperature to assess brainstem function in unconscious patients.

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    Neurological Checks

    Routine assessments for patients at risk of neurological damage, focusing on various vital signs.

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    Triceps Reflex

    Test by tapping on the triceps tendon while the arm is bent, assessing the 7th and 8th cervical nerves.

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    Finger Tapping Test

    A coordination test where patients tap each finger to the thumb quickly.

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    Study Notes

    Neurological System

    • The nervous system comprises the central nervous system (CNS) and the peripheral nervous system (PNS).
    • The CNS includes the brain and spinal cord.
    • The PNS includes nerves and sensory organs.
    • The brain is divided into the cerebrum, diencephalon, cerebellum and brainstem.
    • The brainstem includes the midbrain, pons, and medulla oblongata.
    • Each part of the brain has specific functions including sensory information processing, voluntary movement control, and involuntary functions.
    • The spinal cord transmits signals between the brain and the body.
    • The peripheral nervous system includes cranial nerves (12 pairs), spinal nerves (31 pairs), ganglia, and sensory organs.
    • Neurons are specialized nerve cells.
    • A neuron comprises a cell body, dendrites, and axon.
    • Dendrites receive signals from other neurons.
    • Axons transmit signals to other neurons.
    • Neurotransmitters carry signals across synapses.
    • Common neurotransmitters include acetylcholine, norepinephrine, and dopamine.
    • There are different types of nerve pathways for the body (e.g., reflex arc and other nerve pathways).
    • The nervous system is sensitive to injury and requires careful assessment and support during care.

    Definitions of Key Terms

    • Accommodation: ability of the ocular lens to focus on objects at varying distances.
    • Afferent: carries impulses toward the central nervous system (CNS).
    • Aphasia: loss of the ability to communicate through speech, writing, or signs.
    • Babinski Reflex: reflex action characterized by dorsiflexion of the big toe and flaring of other toes.
    • Clonus: involuntary muscular contractions characterized by a rhythmic, alternating pattern.
    • Calculi: hard deposits of mineral salts in the urinary tract or other organs.
    • Cerebrovascular accident (CVA) or stroke: disruption of blood flow to the brain.
    • Delirium: state of confusion and disorientation, usually temporary.
    • Decerebrate posturing: rigid extension of the arms and legs.
    • Dysphagia: difficulty swallowing.
    • Efferent: carries impulses away from the CNS.
    • Extensor posturing: rigid extension of the arms and legs.
    • Flexor posturing: flexion of the arms and legs at the joints.
    • Hemiparesis: weakness on one side of the body.
    • Hemiplegia: paralysis on one side of the body.
    • Nystagmus: involuntary, rapid eye movement.
    • Quadriplegia: paralysis of all four extremities.
    • Synapse: the junction between two neurons.
    • Tetraplegia: paralysis of all four extremities.

    Anatomy and Physiology

    • The brain is divided into different lobes (e.g., frontal, parietal, occipital, temporal).
    • Each lobe has specific functions concerning different brain activities.
    • The diencephalon consists of the thalamus and hypothalamus.

    Anatomy and Physiology of the CNS

    • The cerebrum is the center of intellect and consciousness.
    • The cerebellum coordinates movement, posture, and balance.

    Anatomy and Physiology of the Brainstem

    • The midbrain controls visual and auditory processing and cranial nerves III and IV.
    • The pons relays messages and helps regulate respiration.
    • The medulla oblongata regulates heartbeat, respiration, and blood pressure.

    Anatomy and Physiology of the Spinal Cord

    • The spinal cord extends from the medulla to the lumbar vertebra.
    • It acts as a conduction pathway for sensory and motor impulses.
    • It also functions as a reflex center.
    • Pyramidal tracts control voluntary movement.
    • Extrapyramidal tracts control involuntary movement.

    Anatomy and Physiology of the Peripheral Nervous System

    • Sensory receptors detect and relay information to the brain.
    • Cranial nerves connect the brain with structures in the head and neck.
    • Spinal nerves connect the spinal cord with the rest of the body.
    • Ganglia are clusters of nerve cell bodies.
    • Nuclei are clusters of nerve cell bodies in the CNS.
    • Dermatomes are areas of skin innervated by specific spinal nerves.

    Conduction of an Impulse

    • Neurons have a polarized state (inside negative, outside positive).
    • A stimulus changes the permeability of the neuronal membrane.
    • Neurotransmitters carry impulses across synapses from the axons to the dendrites.
    • Different neurotransmitters function in distinct parts of the body.

    Assessment of the Neurological System

    • Neurological assessment evaluates the body's ability to perform motor and sensory functions.
    • It normally includes evaluations of mental status, cranial nerves, motor system, reflexes, and sensory system.

    Protective Mechanisms of the CNS

    • The skull and vertebral column protect the brain and spinal cord.
    • Meninges are layers that protect the brain and spinal cord.
    • Cerebrospinal fluid (CSF) cushions these structures.

    Blood Flow to the CNS

    • The brain requires a constant supply of oxygen (O2).
    • The Circle of Willis is a major arterial network supplying the brain.
    • Increased intracranial pressure (ICP) can be a sign of various problems.
    • Various changes occur in the nervous system with age.
    • Some changes include a reduction in the number of neurons, slower nerve conduction, and decreased blood flow.

    Causative Factors of Neurological Disorders

    • Genetic factors (e.g., cerebral palsy, muscular dystrophy) and acquired conditions (e.g., head injury, inflammation).
    • Vascular disorders (e.g., stroke, aneurysms) and degenerative diseases (e.g., Parkinson's disease, Alzheimer's disease).
    • Infections and tumors also contribute.

    Diagnostic Studies

    • Specific tests are used to assess neurological functioning.
    • Various diagnostic methods examine the cerebral state.

    Nursing Implications

    • Assessment and management of neurological issues require various nursing protocols.
    • Interventions must be tailored to the specific condition.
    • Proper nursing care includes protecting the patient from injury.

    Cranial Nerves

    • Cranial nerves connect the brain to structures in the head.
    • They are numbered I to XII.
    • Some are primarily sensory; others motor, and some are both.
    • Different cranial nerves perform different functions.

    Prevention Methods

    • Prevention of neurological complications is crucial.
    • Protective gear, preventing head injuries, and controlling vascular risk factors (e.g., high blood pressure) can reduce the risk of neurological disorders.

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    Explore the essentials of the neurological system, including the structure and functions of the central and peripheral nervous systems. Learn about the components such as the brain, spinal cord, and neurons, as well as how they work together to process signals and control bodily functions.

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