Neuro Worksheet -NURS122 PURPOSE: The purpose of this assignment is.

Neuro Worksheet -NURS122 PURPOSE: The purpose of this assignment is to practice a portion of the neuro assessment. Students will practice a mental status examination and make clinical judgement decisions based on their assessment. Focus on distinguishing signs or symptoms indicating depression.dementia or delirium 1. Mr. Stone is 87 years old and lives in a long-term care facility. He has cataracts and a long history of chronic confusion. Each day he spends hours looking for his glasses. He says, "I always leave my glasses at my office. But I can drive to work without them. I’ve never needed them for driving." "Get my tools. How can I go to work without them? I have so much to do before my vacation." a. Is this delirium, dementia, or depression? b. Provide rationale for your answer. How does the nurse differentiate signs and symptoms of dementia versus delirium. 2. Gladys Wilson is a 78-year-old admitted to the hospital with a left hip fracture. Her surgery was 3 days ago. Her daughter comes and asks you, "Why is mother so forgetful? What is going on? She seems really confused here in the hospital. She was never like that at home." You’ve noted Ms. Wilson needs to have instructions repeated several times. a. Is this delirium, dementia or depression? b. Provide rationale for your answer. How does the nurse differentiate signs and symptoms of dementia versus delirium. Practice nursing process and clinical judgement with a case study 3. Watch this Youtube video. Older Adult Woman There are two parts. Watch both parts and then complete the rest of the worksheet (read through the questions below so you can take notes while you watch): NURSING ASSESSMENT: a. List here your general survey assessment observations of the older adult patient in this scenario as you watch the video: b. Using the ABCT format, complete a Mental Status Exam (MSE) of the client in the Youtube video (the ABCT format was described in the Panopto on Mental Status Assessment and is in the PP slides for that Panopto. It is also in the Jarvis handbook. i. Appearance (posture, body movent, dress, grooming): ii. Behavior (level of consciousness, facial expression, speech, mood/affect): ili. Cognition (orientation, attention span, recent & remote memory, unrelated words test) iv. Thought process, thought content (Is thinking consistent & logical? How so?): ANALYSIS / ETIOLOGY: a. Reflect upon your assessment data. Why is this patient having these signs or symptoms? What is the reason or disease process causing these symptoms? c. Identify the most concerning problems. What needs to be addressed right away? What are the problems you as the nurse can address independently? List a minimum of 2. PROBLEMS / PLANNING / NURSING ACTIONS: Select one of the problems you identified and write the problem in PES format: Problem: Etiology: (r/t) Signs/symptoms: (AEB) GOAL/OUTCOME: Write one outcome/goal for the problem you identified above. Write the goal using SMART format. For example: The patient will identify 3 benefits of smoking cessation today. This example is specific, measurable, achievable, realistic and timebound. INTERVENTIONS (NURSING ACTIONS): List 3 independent nursing interventions. The student nurse will: