NURS 612 Advanced Health Assessment exam 4
LATEST 2025- 2026 MARYVILLE COLLEGE
ACCURATE SPRING-SUMMER GRADED A+
Verified Questions and Answers
The examiner asks the patient to complete this statement: "A bird is to air as a fish is to
." This is an example of what type of testing?
A. Calculation
B. Analogies
C. Judgment
D. Mood and feelings
B. Analogies
An analogy is a comparison of two things based on their being alike in some way. Analogies
are used to investigate cognitive abilities.
An inability to describe similarities or differences between common objects such as carrots
and green beans is suggestive of which problem?
A. A left cerebral hemisphere lesion
B. Depression
C. An eating disorder
D. Aphasia
,A. A left cerebral hemisphere lesion
Patients with average intelligence should be able to describe the similarities and differences
between common objects. An inability to describe similarities or differences may indicate a
lesion of the left or dominant cerebral hemisphere.
A 65-year-old woman is brought to the clinic by her family, who report that they have noticed
a change in her mental abilities over the past 2 weeks. Normally she is independent,
intelligent, and socially oriented. Her medical history is unremarkable except for congestive
heart failure, which is controlled with digoxin. She has had no major changes in her health.
What question would be the most important for the examiner to ask the family?
A. "Is there a family history of Alzheimer's disease?"
B. "How much alcohol does she drink in an average week?"
C. "When was her digoxin blood level last checked?"
D. "Did you know that mental function begins to decline after the age of 60?"
C. "When was her digoxin blood level last checked?"
Digoxin may cause disorientation and confusion. Responses to questions regarding
medication use are important for evaluating present illness.
Anger or rage reactions, impulsive behavior, and hyperarousal persisting for more than a
month are characteristic signs of which problem?
A. Schizophrenia
B. Attention-deficit/hyperactivity disorder
C. Posttraumatic stress disorder
D. Vascular dementia
C. Posttraumatic stress disorder
Anger or rage reactions, impulsive behavior, hyperarousal, condition persists for more than 4
weeks are objective data of posttraumatic stress disorder.
,Mrs. Gerrard is a 72-year-old patient who presents to your office. After your examination, you
suspect she is depressed. Which of the following findings could indicate depression in an adult
patient?
A. Unable to demonstrate abstract reasoning
B. Unable to correctly write his or her name
C. Unable to comb his or her hair
D. Demonstrates impaired math skills
D. Demonstrates impaired math skills
Impairment of arithmetic skills may be associated with depression and diffuse brain disease.
The patient's inability to demonstrate abstract reasoning, correctly write his or her name, or
comb his or her hair are associated with other impaired cognitive abilities.
Mrs. Bates is a 56-year-old patient who presents to your office with her son. He states she has
had a change in mental status. On examination, you note that her judgment is poor. With
which problem is poor judgment most closely associated?
A. Drug toxicity
B. Dementia
C. Temporal lobe injury
D. Limbic system dysfunction
B. Dementia
Impaired judgment may indicate intellectual disability, emotional disturbance, frontal lobe
injury, dementia, or psychosis.
A patient who has difficulty writing or drawing is most likely to have which condition?
A. Temporal lobe damage
B. Peripheral neuropathy
, C. Wernicke paralysis
D. Psychiatric hallucinations
B. Peripheral neuropathy
LATEST 2025- 2026 MARYVILLE COLLEGE
ACCURATE SPRING-SUMMER GRADED A+
Verified Questions and Answers
The examiner asks the patient to complete this statement: "A bird is to air as a fish is to
." This is an example of what type of testing?
A. Calculation
B. Analogies
C. Judgment
D. Mood and feelings
B. Analogies
An analogy is a comparison of two things based on their being alike in some way. Analogies
are used to investigate cognitive abilities.
An inability to describe similarities or differences between common objects such as carrots
and green beans is suggestive of which problem?
A. A left cerebral hemisphere lesion
B. Depression
C. An eating disorder
D. Aphasia
,A. A left cerebral hemisphere lesion
Patients with average intelligence should be able to describe the similarities and differences
between common objects. An inability to describe similarities or differences may indicate a
lesion of the left or dominant cerebral hemisphere.
A 65-year-old woman is brought to the clinic by her family, who report that they have noticed
a change in her mental abilities over the past 2 weeks. Normally she is independent,
intelligent, and socially oriented. Her medical history is unremarkable except for congestive
heart failure, which is controlled with digoxin. She has had no major changes in her health.
What question would be the most important for the examiner to ask the family?
A. "Is there a family history of Alzheimer's disease?"
B. "How much alcohol does she drink in an average week?"
C. "When was her digoxin blood level last checked?"
D. "Did you know that mental function begins to decline after the age of 60?"
C. "When was her digoxin blood level last checked?"
Digoxin may cause disorientation and confusion. Responses to questions regarding
medication use are important for evaluating present illness.
Anger or rage reactions, impulsive behavior, and hyperarousal persisting for more than a
month are characteristic signs of which problem?
A. Schizophrenia
B. Attention-deficit/hyperactivity disorder
C. Posttraumatic stress disorder
D. Vascular dementia
C. Posttraumatic stress disorder
Anger or rage reactions, impulsive behavior, hyperarousal, condition persists for more than 4
weeks are objective data of posttraumatic stress disorder.
,Mrs. Gerrard is a 72-year-old patient who presents to your office. After your examination, you
suspect she is depressed. Which of the following findings could indicate depression in an adult
patient?
A. Unable to demonstrate abstract reasoning
B. Unable to correctly write his or her name
C. Unable to comb his or her hair
D. Demonstrates impaired math skills
D. Demonstrates impaired math skills
Impairment of arithmetic skills may be associated with depression and diffuse brain disease.
The patient's inability to demonstrate abstract reasoning, correctly write his or her name, or
comb his or her hair are associated with other impaired cognitive abilities.
Mrs. Bates is a 56-year-old patient who presents to your office with her son. He states she has
had a change in mental status. On examination, you note that her judgment is poor. With
which problem is poor judgment most closely associated?
A. Drug toxicity
B. Dementia
C. Temporal lobe injury
D. Limbic system dysfunction
B. Dementia
Impaired judgment may indicate intellectual disability, emotional disturbance, frontal lobe
injury, dementia, or psychosis.
A patient who has difficulty writing or drawing is most likely to have which condition?
A. Temporal lobe damage
B. Peripheral neuropathy
, C. Wernicke paralysis
D. Psychiatric hallucinations
B. Peripheral neuropathy
