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NSG 3160 EXAM 2 WITH VERIFIED QUESTIONS AND ANSWERS 2026
A full mental status examination should be completed if d. has a
change in behavior and the family is concerned. the patient
A full mental status examination is indicated if there is
any abnormality in affect
a. develops dysphagia. or behavior and in the following situations: family
members concerned about a
b. has a new diagnosis of type 2 diabetes mellitus. person's behavioral changes; brain lesions;
aphasia; or symptoms of psychiatric
c. complains of insomnia. mental illness, especially with acute onset. A full mental
status examination is
d. has a change in behavior and the family is not indicated for dysphagia or
difficulty with swallowing. A full mental status concerned. 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 b. a language disturbance in speaking, writing, or
understanding.
a. a disturbance in executive functioning (planning, Aphasia is a language
disturbance. Apraxia is an impaired ability to carry out organizing, sequencing,
abstracting). motor activities despite intact motor function.
Agnosia is an impaired ability to
b. a language disturbance in speaking, writing, or identify objects correctly despite intact
sensory function. A disturbance in
understanding. executive functioning is a cognitive disturbance.
Dementia is the development
c. the impaired ability to recognize or identify objects of multiple cognitive
deficits with both memory impairment and a cognitive despite intact sensory function.
disturbance.
d. the impaired ability to carry
out motor activities despite
intact motor function.
A patient in whom a seizure disorder was
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recently c.
judgment. diagnosed plans to continue a
career as a pilot. At this
time in the interview, the nurse begins to question the To assess judgment in the
interview, the nurse should notice what the person patient's 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
a. thought process. health situation. Thought processes should be
consistent, coherent, relevant,
b. intellect. and logical. Perceptions should be congruent; the
person should be
c. judgment. consistently aware of reality. Intellectual functioning is
measured by problem-
d. perception. solving and reasoning abilities.
A major characteristic of dementia is d. impaired short-term and long-term memory.
a. hallucinations. Dementia is the presence of cognitive deficits; the
deficits include memory
b. sudden onset of symptoms. impairment (impaired ability to learn new information
or to recall previously
c. cognitive deficits that are substance-induced. learned information). Hallucinations are a
form of delirium. Delirium is a
d. impaired short-term and long-term memory. disturbance that develops over a short
period of time. Delirium may be
substance-induced.
Mental status assessment documents c. emotional and cognitive functioning.
a. schizophrenia and other mental health disorders. Mental status assessment is a systematic
check of emotional and cognitive
b. artistic or writing ability in the mentally ill person. functioning. Intelligence testing measures
problem-solving and reasoning
c. emotional and cognitive functioning. abilities; results of intelligence testing should be
assessed considering
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d. intelligence and educational level. educational and cultural background. Mental status
assessment evaluates
appearance, behavior, cognition, and thought
processes, not artistic or writing ability.
Abnormalities in mood and affect may indicate
schizophrenia and other mental health disorders.
Although a full mental status examination may not be c. appearance,
behavior, cognition, and thought processes. required for every patient,
the health care provider
must address the four main components during a health The four main components of a
full mental status examination are appearance, history and physical examination. The four
components behavior, cognition, and thought processes. Select behaviors that are
assessed are with a mental status examination include memory,
attention, thought content,
and perceptions. Select behaviors that are assessed
with a mental status
a. language, orientation, attention, and abstract examination include language,
orientation, attention, and abstract reasoning. reasoning. Select behaviors that are
assessed with a mental status examination include
b. mood, affect, consciousness, and orientation. mood, affect, consciousness, and
orientation.
c. appearance, behavior,
cognition, and thought
processes.
d. memory, attention, thought content, and perceptions.
An older adult a. has a slower response time.
a. has a slower response time. Response time is slower in an aging adult; it may take
longer for the brain to
b. has diminished recent and remote memory recall. process information and react. Timed
intelligence testing may be lower for an
c. experiences a 10-point decrease in intelligence. aging adult; intelligence has not declined,
but it may take longer to respond to
d. has difficulty with problem-solving. questions. Recent memory requires processing and
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may decrease with aging.
Remote memory is not affected by the aging
process. Aging does not usually have an impact on
mental status (e.g., intelligence, reasoning
abilities, and
problem solving).
Which of the following statements about mental status d. Abnormal findings are
usually r/t not achieving an expected developmental testing of children is correct?
milestone.
a.The behavioral checklist is useful to assess children Abnormalities in mental
status in children are often problems of omission; the who are 3 to 5 years old. child
does not achieve a milestone that is expected. The validity of the Denver
b. Input from parents and caregivers is discouraged II screening test is based on more
than 2000 children in Colorado; the sample when assessing psychosocial
development. represented a broad spectrum of children and was
representative of the U.S.
c. The results of the Denver II screening test are valid population with only minor
demographic differences. The behavioral checklist for white, middle-class children only.
is useful as a mental status assessment for school-age children (7 to 11 years
d. Abnormal findings are usually r/t not achieving an old). A child's psychosocial
development and mental status assessment is expected developmental milestone.
mostly based on information obtained from the parent.
The mental status examination b. assesses mental health strengths and coping
skills and screens for any dysfunction.
a. should be completed at the end of the physical
examination. The purpose of the mental status examination is to
assess mental health
b. assesses mental health strengths and coping skills strengths and coping skills and to
screen for any dysfunction. The mental status and screens for any dysfunction.
assessment usually can be completed during the context of the entire health
c. is usually not assessed in children younger than 2 history interview. If basic
functions (e.g., language) are abnormal, other years of age. assessments (of new
learning or abstract reasoning) may be erroneous. A
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