The nurse places a coin in the patient's hand, the patient is with eyes closed. The ability to identify an object by feeling it is defined as:

Extinction

Stereognosis

Proprioception

Two-point discrimination

Answer and Explanation

The Correct Answer is B

A.   Extinction refers to the phenomenon where a person fails to recognize a stimulus on one side of the body when another stimulus is presented simultaneously on the opposite side. This is often tested in cases of neurological impairment, particularly in the context of sensory neglect or loss
B.   Stereognosis is the ability to identify an object by touch and proprioception without visual input. It involves recognizing the shape, size, and texture of an object solely through tactile information. Placing a coin in the patient’s hand and asking them to identify it with their eyes closed tests their ability to use tactile information to recognize objects, making stereognosis the correct term for this assessment.
C.   Proprioception is the sense of the position and movement of the body and its parts. It involves awareness of body position in space, which is crucial for coordination and balance. While important, proprioception does not specifically involve identifying objects by touch alone; it is more about the awareness of body position.
D.   Two-point discrimination is the ability to distinguish between two closely spaced points of contact on the skin. It tests the sensitivity of the skin to touch and is often used to assess sensory nerve function. It does not involve identifying objects by touch but rather measuring how well one can discern between two separate points of contact.

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Correct Answer is A

Explanation

A. 3- This is the lowest possible score on the GCS and reflects no eye opening, no verbal response, and no motor response to stimuli. Score of 4-6: The patient might exhibit some responses, but these responses are still severely impaired. For example, the patient might open their eyes to pain but not respond verbally or move purposefully.
B. A GCS score in the range of 13 to 15 reflects a higher level of consciousness.
C. A GCS score of 0 is not a valid score on the scale.
D. A GCS score in the range of 9 to 12 reflects moderate impairment of consciousness.

A. Dementia B. Delusion C. Depression D. Delirium

Correct Answer is A

Explanation

A. In the Mini-Cog assessment, the inability to recall the three words (which tests short-term memory) while still being able to draw a clock (which tests visuospatial skills) could suggest early cognitive impairment or dementia. Dementia often presents with deficits in memory but may retain some other cognitive functions, like drawing. The result is consistent with a possible diagnosis of dementia, especially if memory issues are noted over time.
B. A delusion is a false belief held despite evidence to the contrary. Delusions are more related to psychiatric disorders and are not primarily assessed by the Mini-Cog. The Mini-Cog does not assess for delusions but rather focuses on cognitive function.
C. Depression can affect cognitive function, sometimes resulting in difficulties with concentration, memory, and other cognitive tasks. While depression can cause cognitive symptoms, it typically presents with other signs such as changes in mood, loss of interest in activities, and changes in sleep patterns.
D. Delirium is an acute, fluctuating change in cognition and attention, often caused by an underlying medical condition, medication, or intoxication. Delirium is characterized by rapid onset and fluctuating levels of consciousness and attention, which is not consistent with the Mini-Cog results showing stable performance on the clock drawing but poor recall.

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The nurse places a coin in the patient's hand, the patient is with eyes closed. The ability to identify an object by feeling it is defined as:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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