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A full mental status examination should be completed if the patient
a. develops dysphagia.
b. has a new diagnosis of type 2 diabetes mellitus.
c. complains of insomnia.
,d. has a change in behavior and the family is concerned. - 🧠 ANSWER
✔✔d. has a change in behavior and the family is concerned.
A full mental status examination is indicated if there is any abnormality in
affect or behavior and in the following situations: family members
concerned about a person's behavioral changes; brain lesions; aphasia; or
symptoms of psychiatric mental illness, especially with acute onset. A full
mental status examination is not indicated for dysphagia or difficulty with
swallowing. A full mental status examination is not indicated for a medical
problem such as type 2 diabetes mellitus. A full mental status examination
is not indicated for a symptom such as insomnia.
Aphasia is best described as
a. a disturbance in executive functioning (planning, organizing, sequencing,
abstracting).
b. a language disturbance in speaking, writing, or understanding.
c. the impaired ability to recognize or identify objects despite intact sensory
function.
,d. the impaired ability to carry out motor activities despite intact motor
function. - 🧠 ANSWER ✔✔b. a language disturbance in speaking, writing,
or understanding.
Aphasia is a language disturbance. Apraxia is an impaired ability to carry
out motor activities despite intact motor function. Agnosia is an impaired
ability to identify objects correctly despite intact sensory function. A
disturbance in executive functioning is a cognitive disturbance. Dementia is
the development of multiple cognitive deficits with both memory impairment
and a cognitive disturbance.
A patient in whom a seizure disorder was recently diagnosed plans to
continue a career as a pilot. At this time in the interview, the nurse begins
to question the patient's
a. thought process.
b. intellect.
c. judgment.
d. perception. - 🧠 ANSWER ✔✔c. judgment.
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, To assess judgment in the interview, the nurse should notice what the
person says about job plans, social or family obligations, and plans for the
future. Job and future plans should be realistic and should take into
account the person's health situation. Thought processes should be
consistent, coherent, relevant, and logical. Perceptions should be
congruent; the person should be consistently aware of reality. Intellectual
functioning is measured by problem-solving and reasoning abilities.
A major characteristic of dementia is
a. hallucinations.
b. sudden onset of symptoms.
c. cognitive deficits that are substance-induced.
d. impaired short-term and long-term memory. - 🧠 ANSWER ✔✔d.
impaired short-term and long-term memory.
Dementia is the presence of cognitive deficits; the deficits include memory
impairment (impaired ability to learn new information or to recall previously