Time orientation



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tarix01.06.2018
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Time orientation

  • Time orientation

  • Place orientation

  • Registration of three words

  • Serial 7s as a test of attention and calculation

  • Recall of three words

  • Naming



Repetition

  • Repetition

  • Comprehension

  • Reading

  • Writing

  • Drawing



Level of consciousness

  • Level of consciousness

  • Posture and body movements

  • Gait

  • Dress

  • Hygiene



Facial expressions

  • Facial expressions

  • Speech

  • Behaviours

  • Thought patterns

  • Mood, feelings, expressions



Is the following statement true or false?

  • Is the following statement true or false?

  • Evaluating level of consciousness is part of a mental status exam.



True.

  • True.

  • Evaluating level of consciousness is part of a mental status exam.



Alert and awake

  • Alert and awake

  • Lethargy

  • Obtunded

  • Stupor

  • Coma



Which describes a patient who is stuporous?

  • Which describes a patient who is stuporous?

  • Awakes to vigorous shake or painful stimulus but returns to unresponsive sleep

  • Remains unresponsive to all stimuli; eyes stay closed

  • Opens eyes to loud voice, responds slowly with confusion, seems unaware of environment

  • Opens eyes, answers questions and falls back to sleep



Awakes to vigorous shake or painful stimulus but returns to unresponsive sleep.

  • Awakes to vigorous shake or painful stimulus but returns to unresponsive sleep.

  • Stuporous patients awake to vigorous shake or painful stimulus but returns to unresponsive sleep. Coma remains unresponsive to all stimuli; eyes stay closed. Obtunded opens eyes to loud voice, responds slowly with confusion, seems unaware of environment. Lethargy opens eyes, answers questions and falls back to sleep.



Eye opening response

  • Eye opening response

  • Most appropriate verbal response

  • Most integral motor response (arm)



Orientation

  • Orientation

  • Concentration

  • Recent memory

  • Remote memory



Use of memory to learn new information

  • Use of memory to learn new information

  • Abstract reasoning

  • Judgement

  • Visual perceptual and constructional ability



Young adult: Intimacy versus isolation

  • Young adult: Intimacy versus isolation

  • Middle-aged adult: Generativity versus stagnation

  • Older adult: Integrity versus despair



Is the following statement true or false?

  • Is the following statement true or false?

  • The Erikson’s developmental task for young adult is intimacy versus isolation.



True.

  • True.

  • The Erikson’s developmental task for young adult is intimacy versus isolation.



Mental and emotional health

  • Mental and emotional health

  • Self-concept

  • Role development

  • Relationships

  • Coping

  • Stress patterns

  • Spiritual beliefs



Repeatedly asks the same questions

  • Repeatedly asks the same questions

  • Becomes lost or disoriented in familiar places

  • Cannot follow directions

  • Is disoriented as to the date or time of day

  • Doesn’t recognise and is confused about familiar people

  • Has difficulty with routine tasks such as paying bills

  • Neglects personal safety, hygiene and nutrition



Falling asleep

  • Falling asleep

  • Sleep during the night

  • Waking up too early

  • Sleeping too much

  • Feeling sad

  • Decreased or increased appetite

  • Decreased or increased weight



Concentration/decision making

  • Concentration/decision making

  • View of oneself

  • Thoughts of death or suicide

  • General interest

  • Energy level

  • Feeling slowed down

  • Feeling restless



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