Mental Status/Neurological Assessment Quiz

What are the components of a Mental Status Exam? SATA

• Appearance

• Thought Processes

• Behavior

• Responsiveness

Patient is awake and readily aroused. Responds appropriately and is aware of external and internal stimuli. What level of consciousness is the patient?

• Lethargic (Somnolent)

• Alert

• Obtunded

• Coma

Patient is spontaneously unconscious; only responds to persistent and vigorous shake or pain; has appropriate motor response. What level of consciousness is the patient in?

• Obtunded

• Coma

• Stupor (Semi-coma)

• Lethargic

Patient is completely unconscious, with no response to pain or any external or internal stimuli. What level of consciousness is the patient in?

• Coma

• Semi-coma

• Delirium

• Obtunded

Delirium is a chronic progressive loss of cognitive and intellectual functions, although perception and consciousness are intact.

• True

• False

Patient drifts off to sleep when not being stimulated. Patient can be aroused to name when called in normal voice but looks drowsy. What level of consciousness is the patient in?

• Alert

• Lethargic (Somnolent)

• Stupor (Semi-coma)

• Delirium

When assessing a patient's LOC which of the following are signs of a patient experiencing delirium? SATA

• Sudden onset

• Alzheimer disease can be a causative factor

• Signs of impaired memory and judgement

• Experiencing visual hallucinations.

A positive babinski sign would be indicated by?

• Dorsiflexion of the big toe

• Plantar flexion of toes

• Expected response in healthy adults

• Plantar flexion of big toe

What scale can be used to describe a patients level of consciousness?

• Denver II Screening

• Patient Health Questionnaire (PHQ-9)

• Glasgow Coma Scale (GCS)

• Generalized Anxiety Scale

What are the three categories the nurse will assess for using the GCS? SATA

• Motor Response

• Emotional response

• Eye opening Response

• Verbal Response

• Gag reflex