Exam 2 - Advanced Health Assessment Nurs 532 (Chapter 1
- clinical reasoning + cultural competency Chapter 3-
examination tools and techniques Chapter 4 - clinical
decision making Chapter 7 - mental status Chapter 15 - 16
Heart and blood vessels Chapter 18 - abdomen Chapter 23 –
Neuro) Questions With Complete Solutions
Which type of hallucination is most commonly associated with
alcohol withdrawal?
a. Olfactory
b. Visual
c. Auditory
d. Tactile
ANS: D
Tactile hallucinations are most commonly associated with
alcohol withdrawal.
Flight of ideas or loosening of associations is associated with
a. aphasia.
b. dysphonia.
c. multiple sclerosis.
d. psychiatric disorders.
ANS: D
Flight of ideas, loosening of associations, word salads,
neologisms, clang associations, echolalia, and utterances of
unusual sounds are all associated with psychiatric disorders.
,The Glasgow Coma Scale is used to
a. determine the cause of decreased consciousness.
b. diagnose disorders that alter level of consciousness.
c. quantify consciousness.
d. predict response to stimulant medications.
ANS: C
The Glasgow Coma Scale is used when a patient has an altered
level of consciousness and is used to quantify consciousness.
Which condition is considered progressive rather than
reversible?
a. Delirium
b. Dementia
c. Depression
d. Anxiety
ANS: B Dementia is considered progressive and irreversible.
Delirium has the potential for reversal. Depression and anxiety
are reversible.
A clinical syndrome of failing memory and impairment of other
intellectual functions, usually related to obvious structural
diseases of the brain, describes
a. delirium.
b. dementia.
c. depression.
d. anxiety.
ANS: B
,Dementia results from a chronic progressive deterioration of the
brain that results in failing memory and impairment of other
intellectual functioning.
Mrs. Griffiths, a 28-year-old patient, presents to your office to
discuss her attention-deficit/hyperactivity disorder (ADHD).
Which statement is true in regard to ADHD?
a. It occurs before 7 years of age.
b. It is usually related to mental retardation.
c. It is usually related to dementia.
d. It is manifested by prolonged periods of catatonic behavior.
ANS: A
ADHD occurs before 7 years of age. ADHD is not related to
mental retardation, dementia, or prolonged periods of catatonic
behavior.
An aversion to touch or being held, along with delayed or absent
language development, is characteristic of
a. attention-deficit/hyperactivity disorder.
b. autism.
c. dementia.
d. mental retardation.
ANS: B
Autistic disorder involves a combination of behavioral traits
(lack of awareness of others, aversion to touch or being held,
odd or repetitive behaviors, or preoccupation with parts of
, objects) and communication deficits (usually echolalia [parrot
speech]).
You are interviewing a 20-year-old patient with a new-onset
psychotic disorder. The patient is apathetic and has disturbed
thoughts and language patterns. The nurse recognizes this
behavior pattern as consistent with a diagnosis of
a. depression.
b. autistic disorder.
c. mania.
d. schizophrenia.
ANS: d. schizophrenia.
Schizophrenia manifests as a psychotic disorder of early adult
onset, with disturbances in language and speech, emotions and
social withdrawal, and apathy. Depression and mania do not
have the language or speech component. Autistic disorders are
not psychotic disorders, and they usually begin before 3 years of
age.
While interviewing a patient, you ask him to explain the ―Lion
and the Mouse — to assess
a. reading comprehension.
b. attention span.
c. mood and feeling.
d. reasoning skills.
ANS: D
- clinical reasoning + cultural competency Chapter 3-
examination tools and techniques Chapter 4 - clinical
decision making Chapter 7 - mental status Chapter 15 - 16
Heart and blood vessels Chapter 18 - abdomen Chapter 23 –
Neuro) Questions With Complete Solutions
Which type of hallucination is most commonly associated with
alcohol withdrawal?
a. Olfactory
b. Visual
c. Auditory
d. Tactile
ANS: D
Tactile hallucinations are most commonly associated with
alcohol withdrawal.
Flight of ideas or loosening of associations is associated with
a. aphasia.
b. dysphonia.
c. multiple sclerosis.
d. psychiatric disorders.
ANS: D
Flight of ideas, loosening of associations, word salads,
neologisms, clang associations, echolalia, and utterances of
unusual sounds are all associated with psychiatric disorders.
,The Glasgow Coma Scale is used to
a. determine the cause of decreased consciousness.
b. diagnose disorders that alter level of consciousness.
c. quantify consciousness.
d. predict response to stimulant medications.
ANS: C
The Glasgow Coma Scale is used when a patient has an altered
level of consciousness and is used to quantify consciousness.
Which condition is considered progressive rather than
reversible?
a. Delirium
b. Dementia
c. Depression
d. Anxiety
ANS: B Dementia is considered progressive and irreversible.
Delirium has the potential for reversal. Depression and anxiety
are reversible.
A clinical syndrome of failing memory and impairment of other
intellectual functions, usually related to obvious structural
diseases of the brain, describes
a. delirium.
b. dementia.
c. depression.
d. anxiety.
ANS: B
,Dementia results from a chronic progressive deterioration of the
brain that results in failing memory and impairment of other
intellectual functioning.
Mrs. Griffiths, a 28-year-old patient, presents to your office to
discuss her attention-deficit/hyperactivity disorder (ADHD).
Which statement is true in regard to ADHD?
a. It occurs before 7 years of age.
b. It is usually related to mental retardation.
c. It is usually related to dementia.
d. It is manifested by prolonged periods of catatonic behavior.
ANS: A
ADHD occurs before 7 years of age. ADHD is not related to
mental retardation, dementia, or prolonged periods of catatonic
behavior.
An aversion to touch or being held, along with delayed or absent
language development, is characteristic of
a. attention-deficit/hyperactivity disorder.
b. autism.
c. dementia.
d. mental retardation.
ANS: B
Autistic disorder involves a combination of behavioral traits
(lack of awareness of others, aversion to touch or being held,
odd or repetitive behaviors, or preoccupation with parts of
, objects) and communication deficits (usually echolalia [parrot
speech]).
You are interviewing a 20-year-old patient with a new-onset
psychotic disorder. The patient is apathetic and has disturbed
thoughts and language patterns. The nurse recognizes this
behavior pattern as consistent with a diagnosis of
a. depression.
b. autistic disorder.
c. mania.
d. schizophrenia.
ANS: d. schizophrenia.
Schizophrenia manifests as a psychotic disorder of early adult
onset, with disturbances in language and speech, emotions and
social withdrawal, and apathy. Depression and mania do not
have the language or speech component. Autistic disorders are
not psychotic disorders, and they usually begin before 3 years of
age.
While interviewing a patient, you ask him to explain the ―Lion
and the Mouse — to assess
a. reading comprehension.
b. attention span.
c. mood and feeling.
d. reasoning skills.
ANS: D
