Chapter 10 - Neuropsych Assessment and Screening

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Spring 2014 Mind Map on Chapter 10 - Neuropsych Assessment and Screening, created by nina.stuer14 on 04/23/2014.
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Mind Map by nina.stuer14, updated more than 1 year ago
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Chapter 10 - Neuropsych Assessment and Screening
  1. 1. The corpus callosum is the major commissure that serves to integrate the functions of the two cerebral hemispheres; it is a large bundle of subcortical nerve fibers
    1. 2. The cerebral cortex, the outer most layer of the brain, is the source of the highest levels of sensory, motor, and cognitive processing
      1. AKA Neocortex
        1. FRONTAL LOBE = motor control ; PARIETAL LOBE = processing of touch/somatosensory info ; OCCIPITAL LOBE = visual perception; TEMPORAL LOBE = essential to processing of auditory info
        2. 3. DIVIDED ATTENTION - AKA distributed attention, pertains to the ability to shift back and forth between two or more tasks --> SUSTAINED ATTENTION - refers to the ability to sustain attention relatively over periods of time
          1. 4. Cerebellum - sits just below the cerebrum at the back of the brain, and helps coordinate muscle tone, posture, and hand and eye movement.
            1. Damage to the cerebellum can cause a variety of motor disorders; slurred hesitant speech known as DYSARTHIA may be a symptom of cerebellar damage
            2. 5. The most common syndrome cause by damage to the BASAL GANGLIA is PARKINSON'S DISEASE
              1. The BASAL GANGLIA consist of a collection of nuclei in the forebrain that makes connections with the cerebral cortex above the thalamus below
              2. 6. The hippocampus and amygdala in the temporal lobe appear to be involved in various aspects of memory and learning
                1. 7. BROCA'S AREA is just in front of the motor cortex in the left hemisphere, and BROCA'S APHASIA causes those with it to have difficulty enunciating words, although they have no problem understanding written or spoken language
                  1. WERNICKE'S AREA is located in the upper and rearward portion of the left temporal lobe, and those with WERNICKE'S APHASIA have no difficulty perceiving words, but cannot associate the words with their underlying meaning; they appear unable to comprehend spoken or written language
                  2. 8. CONSTRUCTIONAL DYSPRAXIA is the impaired ability to deal with spatial relationships either in a two or three dimensional framework
                    1. 9. Damage to the association cortex of the occipital lobes may cause VISUAL AGNOSIA which is a difficulty in the recognition of drawings, objects, or faces
                      1. 10. Executive functions are substantially, but not exclusively, underwritten in the frontal lobes
                        1. Although it is true that disturbances in executive functions can arise from a variety of neurological conditions, in the vast majority of cases the frontal lobe is implicated
                        2. 11. One of the most widely used fixed batteriesthe HALSTEAD-REITAN NEUROPSYCHOLOGICAL BATTERY is a set of tests that include the finger-tapping test, seashore rhythm test, trail making, tactile form recognition, category test, and more
                          1. 12. The INTERMEDIATE VISUAL AND AUDITORY CONTINUOUS PERFORMANCE TEST is normed on 781 people ranging from 5-90 years of age and screened for attention deficit, learning difficulties, emotional problems, and medication use
                            1. 13. the WECHSLER MEMORY SCALE III - 10 primary subtests are described in Table 10.6, and these constitute the basis for obtained age-adjusted scaled scores
                              1. 14. A clinical examination for aphasia has the advantages of simplicity, flexibility, and brevity
                                1. Certain elements are assessed: 1. Spontaneous speech (word-finding difficulty or neologisms), 2. Repetition of sentences and phrases, 3. Comprehension of spoken language, 4. Word finding, 5. Reading, 6. Writing and copying, 7. CALCULATION
                                  1. These tasks are so simple that normal subjects almost never fail them
                                2. 15. APRAXIA refers to a variety of dysfunctions characterized by a breakdown in the direction or execution of complex motor acts
                                  1. 16. Many neuropsychologists analyze executive functioning by using the clinical method to evaluate executive functions instead of administering formal test; they use interview and observations to fill out the structured checklist on executive functions
                                    1. 17. Normative expectation is that the nondominant hand will yield a tapping rate of only 90% of the dominant hand
                                      1. 18. The CAGE questionnnaire is a short screening tool that consists of asking the client CAGE; have they thought about 1. Cutting down on drinking 2. becoming Annoyed by criticism of drinking, 3. felt Guilty about drinking, or 4. had an Eye-opener drink in the morning
                                        1. 19. The MENTAL STATUS EXAMINATION is a loosely structured interview that usually PRECEDES other forms of psychological and medical assessment
                                          1. The purpose is to provide an accurate description of the patient's functioning in the realms of orientation, memory, thought, feeling, and judgment; equivalent of the general physical examination
                                            1. Most commonly assessed are elderly, especially those who might have AD
                                            2. 20. Mini mental state exam is the most widely used mental status tool; the reliability of this instrument is excellent; 23 or below is abnormal; it is about 80-90% accurate in identifying those suspected to have AD
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