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Questions and Answers
Which of the following is NOT a component of the brainstem?
Which of the following is NOT a component of the brainstem?
The thalamus is responsible for regulating body temperature, appetite, and water balance.
The thalamus is responsible for regulating body temperature, appetite, and water balance.
False (B)
What is the function of the pyramidal tracts?
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.
The ______ is a specialized nerve cell that transmits nerve impulses.
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Match the following terms with their definitions:
Match the following terms with their definitions:
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Which of the following is a symptom that indicates damage to the midbrain or brainstem?
Which of the following is a symptom that indicates damage to the midbrain or brainstem?
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The peripheral nervous system includes the brain and spinal cord.
The peripheral nervous system includes the brain and spinal cord.
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What is the difference between hemiparesis and hemiplegia?
What is the difference between hemiparesis and hemiplegia?
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The ______ is a junction between two nerve cells.
The ______ is a junction between two nerve cells.
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Which of the following is NOT a function of the medulla oblongata?
Which of the following is NOT a function of the medulla oblongata?
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Which of the following scores on the FOUR Score Scale indicates a fully alert patient?
Which of the following scores on the FOUR Score Scale indicates a fully alert patient?
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The FOUR Score Scale is used to assess comatose patients and those who cannot speak due to intubation.
The FOUR Score Scale is used to assess comatose patients and those who cannot speak due to intubation.
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What are the four categories assessed in the FOUR Score Scale?
What are the four categories assessed in the FOUR Score Scale?
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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 ______.
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 ______.
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Which of the following is NOT a recommended method for applying painful stimuli to assess level of consciousness?
Which of the following is NOT a recommended method for applying painful stimuli to assess level of consciousness?
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Decerebrate posturing, characterized by extended stiff arms held close to the body with flexed wrists, indicates damage to the midbrain or brainstem.
Decerebrate posturing, characterized by extended stiff arms held close to the body with flexed wrists, indicates damage to the midbrain or brainstem.
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What is the purpose of the 'doll's eye' test?
What is the purpose of the 'doll's eye' test?
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The Babinski reflex tests the motor functions of the 1st and 2nd sacral nerves.
The Babinski reflex tests the motor functions of the 1st and 2nd sacral nerves.
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What is the purpose of assessing the patient's hand grip strength?
What is the purpose of assessing the patient's hand grip strength?
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The cranial nerve responsible for eye movement and pupil constriction is the ______ nerve.
The cranial nerve responsible for eye movement and pupil constriction is the ______ nerve.
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Match the following cranial nerves to their functions:
Match the following cranial nerves to their functions:
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Which of the following reflexes tests the 2nd to 4th lumbar nerves?
Which of the following reflexes tests the 2nd to 4th lumbar nerves?
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Proprioception refers to the sense of touch and pressure.
Proprioception refers to the sense of touch and pressure.
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What is clonus?
What is clonus?
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In a normal 'doll's eye' test, the patient's eyes will
In a normal 'doll's eye' test, the patient's eyes will
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Sensory testing involves assessing ______, light touch and pressure, vibration, and proprioception.
Sensory testing involves assessing ______, light touch and pressure, vibration, and proprioception.
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Which of the following is NOT a cranial nerve?
Which of the following is NOT a cranial nerve?
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The Achilles Tendon reflex tests the function of the 5th and 6th cervical nerves.
The Achilles Tendon reflex tests the function of the 5th and 6th cervical nerves.
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What is the role of a dendrite in a neuron?
What is the role of a dendrite in a neuron?
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The axon of a neuron is responsible for sending impulses away from the cell body.
The axon of a neuron is responsible for sending impulses away from the cell body.
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What is the term for the movement of the eyes in different directions, assessing their ability to follow an object?
What is the term for the movement of the eyes in different directions, assessing their ability to follow an object?
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What is the function of a synapse?
What is the function of a synapse?
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The mnemonic "On Old Olympus's Towering Top, A Finn Very Gladly Viewed A Hop" is used to remember the names of the ______ nerves.
The mnemonic "On Old Olympus's Towering Top, A Finn Very Gladly Viewed A Hop" is used to remember the names of the ______ nerves.
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Which cranial nerve is responsible for taste and facial muscle movements?
Which cranial nerve is responsible for taste and facial muscle movements?
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The ______ is responsible for producing and releasing neurotransmitters.
The ______ is responsible for producing and releasing neurotransmitters.
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Match the neurotransmitters with their primary functions.
Match the neurotransmitters with their primary functions.
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Which of these are protective membranes for the brain and spinal cord?
Which of these are protective membranes for the brain and spinal cord?
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The Circle of Willis is a common site for aneurysm.
The Circle of Willis is a common site for aneurysm.
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What is the normal CSF pressure during a lumbar puncture?
What is the normal CSF pressure during a lumbar puncture?
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The _____ is a tough protective membrane covering the brain and spinal cord.
The _____ is a tough protective membrane covering the brain and spinal cord.
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Match the following conditions with their causative factors:
Match the following conditions with their causative factors:
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Neurons in the brain can regenerate, similar to those in the peripheral nervous system.
Neurons in the brain can regenerate, similar to those in the peripheral nervous system.
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What is the normal intracranial pressure?
What is the normal intracranial pressure?
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The _____ _____ is a network of blood vessels that helps maintain a constant blood flow to the brain.
The _____ _____ is a network of blood vessels that helps maintain a constant blood flow to the brain.
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Which of the following is NOT a factor that can affect neurological functioning?
Which of the following is NOT a factor that can affect neurological functioning?
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Slower reaction time in older adults is attributed to decreased number of dendrites.
Slower reaction time in older adults is attributed to decreased number of dendrites.
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What is the name of the outer membrane that can regenerate in some PNS nerve cells?
What is the name of the outer membrane that can regenerate in some PNS nerve cells?
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A complete neurological exam measures the body's ability to perform ______ and ______ functions.
A complete neurological exam measures the body's ability to perform ______ and ______ functions.
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Which of the following is a possible cause of increased intracranial pressure?
Which of the following is a possible cause of increased intracranial pressure?
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Cerebrospinal fluid (CSF) is produced and reabsorbed at the same rate to maintain constant volume and pressure.
Cerebrospinal fluid (CSF) is produced and reabsorbed at the same rate to maintain constant volume and pressure.
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What is the common name for a cerebrovascular accident?
What is the common name for a cerebrovascular accident?
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Which of the following is NOT a nursing implication for a patient with an altered breathing pattern?
Which of the following is NOT a nursing implication for a patient with an altered breathing pattern?
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Turning a patient every 2 hours helps maintain skin integrity and prevent pressure ulcers.
Turning a patient every 2 hours helps maintain skin integrity and prevent pressure ulcers.
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What is the purpose of a bladder training program?
What is the purpose of a bladder training program?
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The ______ maneuver is used to help patients with nerve damage and paralysis below L2 empty their bladder by pressing on the bladder area.
The ______ maneuver is used to help patients with nerve damage and paralysis below L2 empty their bladder by pressing on the bladder area.
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Match the nursing implications with their corresponding nursing care measures:
Match the nursing implications with their corresponding nursing care measures:
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Which of the following is NOT a recommendation for providing oral hygiene to patients with altered self-care ability?
Which of the following is NOT a recommendation for providing oral hygiene to patients with altered self-care ability?
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Patients with dysphagia should always attempt to drink small amounts of water successfully before eating food.
Patients with dysphagia should always attempt to drink small amounts of water successfully before eating food.
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What are two ways to provide eye care for patients who cannot close their eyes?
What are two ways to provide eye care for patients who cannot close their eyes?
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When caring for patients with aphasia, it is important to avoid talking to them as if they are ______.
When caring for patients with aphasia, it is important to avoid talking to them as if they are ______.
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Match the nursing implications associated with confusion/deficit in memory, intellect, reasoning, judgement, with their corresponding interventions:
Match the nursing implications associated with confusion/deficit in memory, intellect, reasoning, judgement, with their corresponding interventions:
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Which of the following is NOT a common nursing implication for patients with pain?
Which of the following is NOT a common nursing implication for patients with pain?
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Patients with bowel training programs should avoid a high-fiber diet and adequate liquid intake.
Patients with bowel training programs should avoid a high-fiber diet and adequate liquid intake.
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What are two important interventions when caring for patients with altered self-care ability?
What are two important interventions when caring for patients with altered self-care ability?
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When providing care for patients with sexual dysfunction, it is important to allow the patient to express their ______, ______, and ______.
When providing care for patients with sexual dysfunction, it is important to allow the patient to express their ______, ______, and ______.
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Which of the following is NOT a strategy for communicating with patients who have aphasia?
Which of the following is NOT a strategy for communicating with patients who have aphasia?
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Providing oral hygiene for patients with aphasia is important because it can make it easier for them to form words.
Providing oral hygiene for patients with aphasia is important because it can make it easier for them to form words.
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What are two key elements of providing psychosocial support for patients with spinal cord injuries?
What are two key elements of providing psychosocial support for patients with spinal cord injuries?
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Flashcards
Delirium
Delirium
An altered state of consciousness, usually acute and short-lived.
Dysphagia
Dysphagia
Difficulty swallowing, affecting the ability to ingest food and liquids.
Efferent
Efferent
Nerve fibers that carry impulses away from the Central Nervous System (CNS).
Extensor posturing
Extensor posturing
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Flexor posturing
Flexor posturing
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Hemiparesis
Hemiparesis
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Nystagmus
Nystagmus
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Cerebrum
Cerebrum
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Thalamus
Thalamus
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Neuron
Neuron
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Axon
Axon
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Dendrite
Dendrite
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Synapse
Synapse
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Neurotransmitter
Neurotransmitter
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Polarization
Polarization
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Impulse Conduction
Impulse Conduction
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Reflex Arc
Reflex Arc
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Afferent Pathways
Afferent Pathways
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Efferent Pathways
Efferent Pathways
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Somatic Nervous System
Somatic Nervous System
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Autonomic Nervous System
Autonomic Nervous System
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Myelin Sheath
Myelin Sheath
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Sympathetic Nervous System
Sympathetic Nervous System
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Parasympathetic Nervous System
Parasympathetic Nervous System
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GCS Score
GCS Score
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FOUR Score Scale
FOUR Score Scale
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Decorticate Posturing
Decorticate Posturing
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Decerebrate Posturing
Decerebrate Posturing
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Mental Function Assessment
Mental Function Assessment
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Pain Response Levels
Pain Response Levels
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Orientation Assessment
Orientation Assessment
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Judgment Evaluation
Judgment Evaluation
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Stimulus Response Techniques
Stimulus Response Techniques
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Neurologic Status Observation
Neurologic Status Observation
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Meninges
Meninges
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Pia Mater
Pia Mater
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Cerebrospinal Fluid (CSF)
Cerebrospinal Fluid (CSF)
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Circle of Willis
Circle of Willis
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Intracranial Pressure (ICP)
Intracranial Pressure (ICP)
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Aging Brain Changes
Aging Brain Changes
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Oxygen Supply to Brain
Oxygen Supply to Brain
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Neurolemma
Neurolemma
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Hypoactive Reflexes
Hypoactive Reflexes
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Neuromuscular Disorders
Neuromuscular Disorders
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Normal CSF Pressure
Normal CSF Pressure
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Dura Mater
Dura Mater
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Neurotransmitter Decrease
Neurotransmitter Decrease
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Tremors
Tremors
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Assessment of Neurologic Function
Assessment of Neurologic Function
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Elevate HOB
Elevate HOB
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Skin Integrity
Skin Integrity
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ROM Exercises
ROM Exercises
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ADLs
ADLs
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Dysphagia Screening
Dysphagia Screening
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Bladder Training
Bladder Training
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Bowel Training
Bowel Training
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Pain Assessment
Pain Assessment
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Aphasia Types
Aphasia Types
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Self-Talk
Self-Talk
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Parallel-Talk
Parallel-Talk
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Emotional Support
Emotional Support
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Sexual Dysfunction Support
Sexual Dysfunction Support
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Psychosocial Support
Psychosocial Support
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Family Education
Family Education
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Oculocephalic Test
Oculocephalic Test
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Knee Jerk Reflex
Knee Jerk Reflex
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Grading of Reflexes
Grading of Reflexes
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Babinski Reflex
Babinski Reflex
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Cranial Nerve I
Cranial Nerve I
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Cranial Nerve VII
Cranial Nerve VII
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PERRLA
PERRLA
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Motor Function Assessment
Motor Function Assessment
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Proprioception
Proprioception
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Caloric Testing
Caloric Testing
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Neurological Checks
Neurological Checks
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Triceps Reflex
Triceps Reflex
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Finger Tapping Test
Finger Tapping Test
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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.
Age-Related Changes
- 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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Description
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.