Neurological System Chapter 38
Nursing, Med-Surg 3 Neuro System
Questions and Answers
- 1.
The nervous system is divided into:
Explanation
The nervous system is divided into three main components: the central nervous system (CNS), the peripheral nervous system (PNS), and the autonomic nervous system (ANS). The CNS consists of the brain and spinal cord, which are responsible for processing and coordinating information. The PNS includes all the nerves that extend from the CNS to the rest of the body, allowing for communication between the CNS and the organs, muscles, and sensory receptors. The ANS controls involuntary functions such as heart rate, digestion, and breathing. Therefore, the correct answer is central, peripheral, autonomic nervous system.Rate this question:
- 2.
Central Nervous System:
Explanation
The central nervous system consists of the brain and spinal cord. These two components work together to process and transmit information throughout the body. The brain is responsible for controlling various bodily functions, such as thinking, memory, and movement, while the spinal cord acts as a pathway for communication between the brain and the rest of the body. Together, the brain and spinal cord play a crucial role in coordinating and regulating the body's activities.Rate this question:
- 3.
Peripheral Nervous System:
Explanation
The correct answer is cranial and spinal nerves. The peripheral nervous system consists of the nerves that extend from the brain (cranial nerves) and the spinal cord (spinal nerves) to the rest of the body. These nerves are responsible for transmitting signals between the central nervous system and the various organs, muscles, and tissues throughout the body. They play a crucial role in sensory perception, motor control, and coordinating bodily functions.Rate this question:
- 4.
Autonomic Nervous System:
Explanation
The autonomic nervous system is a part of the peripheral nervous system. It consists of two divisions: the sympathetic nervous system and the parasympathetic nervous system. The sympathetic nervous system is responsible for the "fight or flight" response, while the parasympathetic nervous system is responsible for the "rest and digest" response. Together, these two divisions regulate involuntary bodily functions such as heart rate, digestion, and breathing.Rate this question:
- 5.
The brain is composed of:
Explanation
The brain is made up of gray and white matter, which are responsible for controlling, initiating, and integrating body functions. Gray matter consists of the cell bodies of neurons and is involved in processing information and decision-making. White matter, on the other hand, consists of myelinated nerve fibers that connect different regions of the brain, allowing for communication and coordination of various functions. Together, gray and white matter form the complex network that enables the brain to regulate and coordinate the body's activities.Rate this question:
- 6.
Neurons:
Explanation
The answer is correct because neurons are indeed the basic cells of the nervous system. Neurons are specialized cells that transmit information through electrical and chemical signals, allowing the nervous system to function. They are responsible for receiving, processing, and transmitting information, enabling the coordination of various bodily functions and responses. Without neurons, the nervous system would not be able to carry out its essential functions, making them the fundamental building blocks of this complex system.Rate this question:
- 7.
Neurons (3) components:
Explanation
This question is asking for the components of neurons. The correct answer is axons, dendrites, and cell body. Neurons are specialized cells in the nervous system that transmit information through electrical and chemical signals. Axons are long, slender projections that transmit signals away from the cell body, while dendrites are shorter, branched projections that receive signals from other neurons. The cell body, also known as the soma, contains the nucleus and other organelles necessary for the neuron's functioning. Together, these three components play a crucial role in the transmission of information within the nervous system.Rate this question:
- 8.
Axon consists of:
Explanation
Axons are long, slender projections of nerve cells that transmit electrical impulses. The myelin sheath is a protective covering made up of fatty substances that surrounds and insulates the axon, allowing for faster transmission of signals. The nodes of Ranvier are small gaps in the myelin sheath where the axon is exposed. These nodes play a crucial role in facilitating the rapid conduction of nerve impulses. Terminal branches are the end branches of the axon that form connections with other neurons or target cells, allowing for the transmission of signals to the next cell in the neural pathway.Rate this question:
- 9.
Dendrites:
Explanation
Dendrites are the branch-like structures of a neuron that receive signals from other neurons and transmit them towards the cell body. These impulses, in the form of electrical signals, travel through the dendrites and are then passed on to the cell body. Therefore, it can be concluded that dendrites carry impulses towards the body of the neuron.Rate this question:
- 10.
Axons:
Explanation
Axons are long, slender extensions of a neuron that transmit electrical impulses away from the cell body to other neurons, muscles, or glands. These impulses travel along the axon, which is covered by a fatty substance called myelin that acts as an insulator, allowing for faster transmission of the electrical signals. Therefore, the statement "carry impulses away from the cell body" accurately describes the function of axons in the nervous system.Rate this question:
- 11.
Cell body:
Explanation
The cell body of a neuron is responsible for controlling the functions of the neuron. It contains the nucleus, which houses the genetic material and controls the production of proteins necessary for the neuron's functioning. Additionally, the cell body contains other organelles that support the neuron's metabolic activities. Overall, the cell body plays a crucial role in coordinating and regulating the various functions of the neuron, such as receiving and integrating incoming signals, generating electrical impulses, and transmitting information to other neurons.Rate this question:
- 12.
Neurotransmitters:
Explanation
The given answer correctly defines neurotransmitters as chemical substances that have the ability to either excite, inhibit, or modify the response of another neuron. These substances play a crucial role in transmitting signals between neurons in the brain and nervous system. They are released by one neuron and bind to receptors on another neuron, influencing the electrical activity and communication between the neurons. This process is essential for various physiological and cognitive functions, including mood regulation, memory formation, and muscle movement.Rate this question:
- 13.
Cerebrospinal fluid (CSF) produced primarily in:
Explanation
Cerebrospinal fluid (CSF) is primarily produced in the choroid plexus. The choroid plexus is a network of blood vessels located in the ventricles of the brain. It is responsible for filtering blood plasma and secreting CSF into the ventricles. CSF plays a crucial role in protecting and nourishing the brain and spinal cord, as well as removing waste products. Therefore, the choroid plexus is the main site of CSF production in the body.Rate this question:
- 14.
Function of CSF:
Explanation
Cerebrospinal fluid (CSF) serves multiple functions in the body. One of its primary functions is to absorb shock and provide cushioning to the brain and spinal cord. This is important as it helps protect these delicate structures from injury caused by sudden movements or impacts. Additionally, CSF also acts as a bath, surrounding and nourishing the brain and spinal cord with essential nutrients and removing waste products. This ensures proper functioning and maintenance of these vital organs.Rate this question:
- 15.
How many cranial nerves are there?
Explanation
There are 12 pairs of cranial nerves in the human body. These nerves originate from the brain and are responsible for various functions such as sensory perception, motor control, and the regulation of autonomic functions. Each pair of cranial nerves serves a specific region or function in the body, including the senses of sight, hearing, smell, and taste, as well as controlling facial muscles and transmitting information to and from the brain.Rate this question:
- 16.
Autonomic Nervous System:
Explanation
The autonomic nervous system is responsible for maintaining internal homeostasis in the body. It regulates various involuntary functions such as heart rate, blood pressure, digestion, and respiration. This system works continuously to ensure that the body's internal environment remains stable and balanced. It achieves this by constantly monitoring and adjusting the body's physiological processes to respond to changes in the external environment and internal conditions. By maintaining internal homeostasis, the autonomic nervous system helps to keep the body functioning optimally and allows for proper physiological processes to occur.Rate this question:
- 17.
Subdivisions of the Autonomic Nervous System:
Explanation
The subdivisions of the Autonomic Nervous System are the sympathetic and parasympathetic nervous systems. The sympathetic nervous system is responsible for the body's "fight or flight" response, activating during times of stress or danger. It increases heart rate, dilates blood vessels, and releases adrenaline. On the other hand, the parasympathetic nervous system is responsible for the body's "rest and digest" response, promoting relaxation and conserving energy. It slows heart rate, constricts blood vessels, and stimulates digestion. These two systems work together to maintain the body's balance and regulate various bodily functions.Rate this question:
- 18.
Sympathetic system causes:
Explanation
The sympathetic system is responsible for the "fight or flight" response in the body. When activated, it increases heart rate, blood pressure, and causes vasoconstriction (narrowing of blood vessels) to redirect blood flow to vital organs. Dilated pupils also occur as a result of sympathetic activation, allowing for improved vision in high-stress situations.Rate this question:
- 19.
Which system prepares the body for "fight or flight"?
Explanation
The sympathetic nervous system prepares the body for the "fight or flight" response. This response is activated in times of stress or danger and involves the release of adrenaline, increased heart rate, and heightened awareness. The sympathetic nervous system is responsible for these physiological changes, allowing the body to respond quickly and effectively to perceived threats.Rate this question:
- 20.
Parasympathetic system:
Explanation
The parasympathetic system is responsible for conserving, restoring, and maintaining vital body functions. It works in opposition to the sympathetic system, which is responsible for the fight-or-flight response. The parasympathetic system helps regulate activities such as digestion, heart rate, and respiratory rate, promoting relaxation and rest. By conserving energy and promoting homeostasis, it ensures the body's vital functions are maintained and restored to their optimal state.Rate this question:
- 21.
The neurological screening involves:
Explanation
The neurological screening involves assessing the level of consciousness and verbal responses to specific questions. This is done to evaluate the functioning of the brain and nervous system. By assessing the level of consciousness, healthcare professionals can determine if the individual is alert, awake, and oriented to their surroundings. Verbal responses to specific questions help to assess cognitive function, language skills, and overall neurological health. This screening is important in identifying any potential neurological impairments or abnormalities.Rate this question:
- 22.
How is level of consciousness assessed?
Explanation
The level of consciousness is assessed by determining the client's awareness and orientation. This involves evaluating their ability to perceive and understand their surroundings, as well as their ability to accurately identify themselves, the time, and their location. Assessing awareness and orientation helps healthcare professionals gauge the client's cognitive function and overall mental status.Rate this question:
- 23.
What is the most important indicator of a neurological status change?
Explanation
A change in level of consciousness is the most important indicator of a neurological status change. This is because consciousness is a fundamental aspect of brain function and any alteration in it can suggest underlying neurological issues. Changes in level of consciousness can range from mild confusion or disorientation to more severe symptoms such as coma or loss of consciousness. Monitoring and recognizing these changes is crucial in identifying and managing neurological conditions or emergencies.Rate this question:
- 24.
What is the glasgow coma scale?
Explanation
The Glasgow Coma Scale is a standardized assessment tool used to evaluate the level of consciousness in clients. It measures three main components: eye opening, verbal response, and motor response. By assigning numerical scores to these components, healthcare professionals can objectively assess the client's level of consciousness and monitor any changes over time. This scale is commonly used in emergency departments and intensive care units to assess the severity of brain injuries and to guide treatment decisions.Rate this question:
- 25.
When is the Glasgow Coma Scale most frequently used?
Explanation
The Glasgow Coma Scale is most frequently used in cases of head injuries. This scale is a standardized assessment tool used to evaluate the level of consciousness and neurological functioning in patients with head trauma. It helps healthcare professionals to assess the severity of the injury, monitor the patient's condition, and make informed decisions regarding treatment and management. By measuring aspects such as eye-opening, verbal response, and motor response, the Glasgow Coma Scale provides a quantitative measure that aids in communication and documentation of the patient's neurological status.Rate this question:
- 26.
If a patient has a spontaneous eye opening response that would be how many points on the glasgow scale?
Explanation
A patient with a spontaneous eye opening response would score 4 points on the Glasgow Coma Scale. The scale is used to assess the level of consciousness in a patient and is based on three components: eye opening, verbal response, and motor response. Each component is assigned a score ranging from 1 to 4 or 5, with a higher score indicating a higher level of consciousness. In this case, a spontaneous eye opening response corresponds to a score of 4.Rate this question:
- 27.
What is the total on the Glasgow Coma Scale?
Explanation
The Glasgow Coma Scale is a neurological scale used to assess the level of consciousness in a patient. It evaluates three aspects: eye-opening response, verbal response, and motor response. The scale ranges from 3 to 15, with a score of 3 indicating deep unconsciousness and a score of 15 indicating normal consciousness. This range allows for a comprehensive evaluation of the patient's neurological status and helps determine the severity of brain injury or impairment.Rate this question:
- 28.
Neuralgia:
Explanation
Neuralgia refers to pain in nerves. It is a condition characterized by severe and often sharp shooting pain along the course of a nerve. This pain can be caused by various factors such as nerve damage, inflammation, or pressure on the nerves. Neuralgia can affect any part of the body and is often described as a sudden and intense pain that comes and goes. Treatment for neuralgia typically involves addressing the underlying cause of the condition and managing the pain through medication or other therapies.Rate this question:
- 29.
Aphasia:
Explanation
The term "aphasia" refers to the inability to communicate verbally. This means that individuals with aphasia have difficulty speaking or understanding spoken language. It is a communication disorder that can result from damage to the brain, often caused by stroke or head injury. People with aphasia may struggle to find the right words, form sentences, or comprehend what others are saying. They may also have difficulty reading and writing. Overall, aphasia is characterized by a loss or impairment of language skills, specifically in the verbal domain.Rate this question:
- 30.
How is symmetry assessed?
Explanation
Symmetry is assessed by palpating major muscle groups of the arms and legs. This means that by touching and feeling the muscles in these areas, one can determine if there is any noticeable asymmetry or imbalance between the two sides of the body. Palpation allows for the detection of any differences in muscle tone, size, or strength, which can indicate potential underlying issues or injuries. By assessing symmetry through palpation, healthcare professionals can identify any abnormalities and develop appropriate treatment plans.Rate this question:
- 31.
What may be an indicator of a nervous system problem?
Explanation
Unilateral atrophy can be an indicator of a nervous system problem. It refers to the shrinkage or wasting away of muscles on one side of the body, which can occur due to nerve damage or dysfunction. Nervous system disorders such as stroke, spinal cord injury, or nerve compression can lead to this condition. Unilateral atrophy may also be associated with conditions like motor neuron disease or peripheral neuropathy. Therefore, the presence of unilateral atrophy can suggest an underlying nervous system problem that requires further evaluation and medical attention.Rate this question:
- 32.
Ataxia:
Explanation
Ataxia refers to the inability to perform specific movements. This condition is characterized by a lack of coordination and control over voluntary muscle movements, leading to unsteady and clumsy movements. Individuals with ataxia may have difficulty with tasks such as walking, writing, or even simple movements like reaching for an object. This impairment in motor function is a key feature of ataxia.Rate this question:
- 33.
Romberg Test:
Explanation
The Romberg test is a neurological test that evaluates a person's balance. It involves asking the individual to stand with their feet together and their eyes closed. The test is designed to assess the person's ability to maintain their balance and detect any abnormalities or issues with their proprioception (the sense of body position). By removing visual input, the test challenges the vestibular and proprioceptive systems, making it a reliable assessment of balance.Rate this question:
- 34.
What should the nurse always do during the Romberg Test and why?
Explanation
During the Romberg Test, the nurse should stand in front of the patient in case of a fall because this test assesses the patient's balance and proprioception. The patient is asked to stand with their feet together and eyes closed, which can make them unsteady and more prone to falling. By standing in front of the patient, the nurse can quickly react and prevent any potential injuries if the patient loses their balance and falls.Rate this question:
- 35.
Abnormal Posturing occurs when:
Explanation
Abnormal posturing occurs when there is injury to the motor tract. This is because the motor tract is responsible for transmitting signals from the brain to the muscles, allowing for voluntary movement and control. When there is damage or injury to the motor tract, the normal signals are disrupted, leading to abnormal posturing or positioning of the limbs and body. This can manifest as either decerebrate posturing, where the limbs are extended and rotated outward, or decorticate posturing, where the limbs are flexed and rotated inward. These abnormal postures are indicative of severe brain injury or dysfunction.Rate this question:
- 36.
Two types of posturing that should be observed?
Explanation
Flexion and extension are two types of posturing that should be observed. Flexion refers to the bending or decreasing the angle of a joint, while extension refers to the straightening or increasing the angle of a joint. These postures can provide valuable information about the range of motion and muscle strength of an individual. By observing flexion and extension, healthcare professionals can assess the functionality and potential issues with the joints and muscles, aiding in diagnosis and treatment planning.Rate this question:
- 37.
Flexion posturing:
Explanation
Flexion posturing refers to a specific body position characterized by the flexion (bending) of the arms, adduction (movement towards the midline) of the upper extremities (arms), and extension (straightening) of the lower extremities (legs). This posture is often observed in individuals with certain neurological conditions or severe brain injuries.Rate this question:
- 38.
Cause of flexion posturing:
Explanation
Flexion posturing refers to a rigid flexion of the arms and legs, typically seen in response to a severe brain injury or damage. The correct answer states that the cause of flexion posturing is lesions of the cerebral hemispheres or internal structures. This means that any injury or damage to these areas of the brain can lead to the development of flexion posturing. These lesions can disrupt the normal functioning of the brain, resulting in abnormal muscle contractions and postures.Rate this question:
- 39.
Extension posturing is caused by:
Explanation
Extension posturing is caused by brainstem injury. The brainstem is responsible for controlling basic functions such as breathing and heart rate. When the brainstem is injured, it can lead to abnormal muscle contractions and postures, including extension posturing. This type of posturing is characterized by the arms and legs being extended and rigid, often indicating severe damage to the brainstem.Rate this question:
- 40.
Characteristics of external posturing:
Explanation
The characteristics described in the answer are the external posturing movements. These movements include arcing of the back, backward flexion of the head, adduction and hyperpronation of the arms, and extension of the feet. These postures are often seen in individuals with certain neurological conditions or injuries, such as severe brain damage or spinal cord injury. These postures are involuntary and can indicate a loss of motor control and coordination.Rate this question:
- 41.
Vibration is tested by using:
Explanation
A tuning fork is used to test vibration because it produces a consistent and easily measurable frequency. When struck against a surface, it vibrates at a specific frequency, creating a sound wave that can be detected. This makes it a convenient tool for testing the vibration of other objects or systems, such as determining the resonance frequency of a structure or checking the calibration of instruments that rely on vibration.Rate this question:
- 42.
Encephalitis:
Explanation
Encephalitis refers to the inflammation of the brain. This condition can be caused by viral infections, autoimmune diseases, or other factors. The inflammation can lead to various symptoms such as fever, headache, confusion, seizures, and in severe cases, it can result in brain damage or even death. Treatment for encephalitis typically involves managing the symptoms, providing supportive care, and addressing the underlying cause if possible.Rate this question:
- 43.
Meningitis:
Explanation
The term "meningitis" refers to the inflammation of the meninges, which are the protective membranes covering the brain and spinal cord. This condition is typically caused by an infection, such as a viral or bacterial infection. The inflammation can lead to symptoms like severe headache, fever, stiff neck, and sensitivity to light. Prompt diagnosis and treatment are crucial to prevent complications and serious health risks associated with meningitis.Rate this question:
- 44.
What is the most common cause of encephalitis or meningitis?
Explanation
Encephalitis and meningitis are both typically caused by viral infections. Viruses such as herpes simplex virus, enteroviruses, and arboviruses are known to be common causes of these conditions. These viruses can infect the brain and spinal cord, leading to inflammation and symptoms like headaches, fever, and neck stiffness. Bacterial and fungal infections can also cause encephalitis or meningitis, but viruses are the most frequent culprits.Rate this question:
- 45.
What nerve is neuralgia caused by?
Explanation
The correct answer is V. The question asks about the nerve that is associated with neuralgia. Although the question is incomplete and lacks necessary details, V likely refers to the trigeminal nerve (cranial nerve V). Neuralgia is a condition characterized by severe pain along the distribution of a nerve, and trigeminal neuralgia specifically affects the trigeminal nerve, which is responsible for sensory information in the face. Therefore, it can be inferred that V is the correct answer.Rate this question:
- 46.
Chorea:
Explanation
Chorea refers to the occurrence of involuntary and purposeless movements in all muscles of the body. These movements are not under the control of the individual and lack any specific goal or intention. Chorea can manifest as jerky, random, and unpredictable motions that can affect various body parts. This condition is often associated with certain neurological disorders, such as Huntington's disease, and can be caused by abnormalities in the basal ganglia of the brain.Rate this question:
- 47.
Concussions:
Explanation
The answer provided correctly defines concussions as transient neurological deficits caused by shaking the brain. Concussions occur when the brain experiences a sudden jolt or impact, causing it to shake within the skull. This shaking can disrupt the normal functioning of the brain, leading to temporary neurological deficits such as confusion, dizziness, memory loss, and headache. It is important to recognize and properly manage concussions to prevent further damage and promote recovery.Rate this question:
- 48.
What are some types of closed head injuries?
Explanation
Closed head injuries refer to injuries that occur when the head experiences a sudden impact or trauma but the skull remains intact. Concussion is a type of closed head injury that occurs when the brain is shaken within the skull, leading to temporary loss of brain function. Contusion refers to a bruise on the brain caused by a direct impact to the head, resulting in bleeding and swelling. Laceration is a type of closed head injury involving a deep cut or tear in the brain tissue, often caused by a sharp object penetrating the skull.Rate this question:
- 49.
Contusions:
Explanation
Contusions are defined as surface bruises of the brain. This means that there is damage to the brain tissue due to a direct impact or trauma to the head. The force causes the blood vessels in the brain to rupture, leading to bleeding and bruising. These bruises can occur on the surface of the brain and can vary in severity depending on the extent of the injury. Contusions can result in symptoms such as headache, dizziness, confusion, and in severe cases, loss of consciousness. Prompt medical attention is necessary to assess and treat contusions to prevent further complications.Rate this question:
- 50.
What happens to vitals during a contusion?
Explanation
During a contusion, which is a bruise caused by a direct blow to the body, the blood vessels in the affected area are damaged. This can lead to bleeding and swelling, which can result in decreased blood flow and oxygen supply to the surrounding tissues. As a result, the pulse, blood pressure, and respirations may be below normal. The body's response to the injury causes a decrease in vital signs as it tries to conserve energy and redirect resources to heal the damaged area.Rate this question:
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