maryville nursing 660 exam 1 Questions and Correct Answers Guaranteed Success 1st cranial nerve - Correct Answer:smell, a function of the 1st olfactory cranial nerve is only evluated after head trauma or when lesions of the anterior fossa (menigiomas) are suspected or patients report abnormal smell or taste, pt is asked to identify odors, alcohol, ammonia and other irritants which test the nociceptive receptors of hte 5th (trigeminal) cranial nerve are used only when malingering is suspected
3rd, 4th and 6th cranial nerves - Correct Answer:3rd is oculomotor, 4th is troclear, and 6th abducens are tested witheyes observed for symmetry of movement looking for assymetry, droop (ptosis) and twitches
5th cranial nerve - Correct Answer:trigeminal, if facial sensation ois lost the angle of the law should be examined, sparing of this area (innervated by spinal root C2) suggests a trigeminal defect. A weak blink due to facial weakness (7th cranial nerve paralysis) should be distinguised from depessed or absent corneal sensation which is common in contact lens wearers, a patient with facial weakness will still feel the cotton wisp on both sides even though blink is decreased. Trigeminal nerve is tested by palpating the masseter muscle against resistance
8th cranial nerve - Correct Answer:weber and rinne, vestibular function can be
evaluated for nystagmus
9th and 10th cranial nerves - Correct Answer:9th glossopharyngeal and 10th (vagus) "AH"
11th cranial nerve - Correct Answer:spinal assessory, push head against hand
12th cranial nerve - Correct Answer:hypoglossal stick tongue out
accomodation - Correct Answer:adjusting old schemas or developing new ones to
better fit the new information
antisocial personality disorder - Correct Answer:characterized by a pervasive pattern of disregard for the rights of other people that often manifests itself as hostility and /or aggression. Deceit and manipulation are also central features
assimilation - Correct Answer:absorbing new information into exsiting schemas
attention/concentration - Correct Answer:ask the patient to spell a 5 letter word forward and backward, world is often used
avoidant personality disorder - Correct Answer:characterized by a pervasive pattern of social inhibition, feelings of inadequacy, and a hypersensitivity to negative evaluation, 1 / 2
people with this disorder are intensely afraid that other will ridicule them, reject them, or criticize them
best technique when completing an interview with an elementary school aged child - Correct Answer:reach out to parents and provide guidance assuming open hostility does not exist, build rapport and establish engagement, be flexible and patient, choose topic areas that the child would find familiar and interesting, be aware of voice tone and melody, gives praises for prosocial and adaptive behavior, give positive and encouraging feedback, pay attention to and ficus on the childs presenting problem, be cognizant of labguage and assure it is appropriate for the developmental age
borderline personality disorder - Correct Answer:tend to experience intense and
unstable emotions and moods that can shift quickly. They generally have a hard time calming down once they have become upset. As a result they frequently have angry outbursts and engage in impulsive behaviors such as substance abuse sexual liaisons, self injury, overspending or binge eating
boundries - Correct Answer:problems arrive in treatment situations when the
friendships develop between psychiatrist and patient, objectivity is compromised, therapeutic neutrality is impaired, factors outside of the consciousness of either party may play a destructive role
characteristics of being genuine - Correct Answer:responsive, spontaneous, consistant, the clinician appears to feel at ease with herself and patient, emotional balance of provider-responsiveness-laugh at a joke, offer tissue to crying, sponaneity, well times comments, flexible interview, OK with patient questions, consistancy, don't change responsiveness/sponaneity in same interview
cluster a - Correct Answer:social awkwardness and social withdrawl-paranoid
personality disorder, schizoid personality disorder, schizotypal personality disorder
cluster B - Correct Answer:dramatic, emotional, erratic-borderline, narcissistic, histrionic, antisocial
cluster c - Correct Answer:avoidant personality disorder, dependent personality
disorder, OCD-all have high levels of anxiety
clusters, personality disorders - Correct Answer:cluster 1-odd eccentric, cluster b dramatic, emotional, erratic, cluster c anxious, fearful
components of MSE are? - Correct Answer:appearance, behavior, speech, mood,
affect, thought process, thought content, cognition, insight/judgement
concept of therapeutic boundries with a child that has been exposed to sexual abuse - Correct Answer:hand shake or no contact, share a joke, a cookie or object like a toy
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