2026 UPDATE | SCORED A+.
Cycle of violence (Abuser vs Victim) - ANS.... -What are these steps a part
of...
1) Tension Building
2) Acute Battering
3) Honeymoon Stage
Shaken Baby Syndrome - ANS.... -What do these observations indicate?
*Intracranial hemorrhage
*Bulging fontanels
*Increase in head circumference
*Retinal hemorrhage
*Any bruising in infant less than 6 months of age
Mental health - ANS.... -A state of well-being in which each individual is
able to realize his/her own potential, cope with the normal stresses of life,
work, productivity, and fruitfully contribute to the community.
Mental illness - ANS.... -A clinically significant behavioral or psychological
syndrome marked by the client's distress, disability, or risk of suffering
disability or loss of freedom.
,American nurses association, American Psychiatric Nursing Association -
ANS.... -Mental health standards are set by the ______________
________________ ____________________(ANA) and
______________________ ______________________
______________________ _____________ (APNA) to ensure a holistic
approach to the nursing process is being implemented (biological,
psychological, social, spiritual, environmental).
CAGE test - ANS.... -A test to determine if someone has a problem with
alcohol abuse. Asks four simple questions:
1) Have you ever felt you should Cut down on drinking?
2) Have people ever Annoyed you by criticizing your drinking?
3) Have you ever felt Guilty about drinking?
4) Have you ever felt the need to have a drink first thing in the morning to
"calm the nerves"?
(Eye opener)
Components of mental status exam - ANS.... -*Appearance/Behavior
*Motor activity (hyperactive or stuporous)
*Speech
*Mood/Affect
*Thought process/content
*Perceptual disturbances
*Cognition
*Abstract thinking
*Insight
*Judgement
, Mini mental exam - ANS.... -The ______________ ________________
____________ is used objectively to assess a client's cognitive status by
evaluating:
*Orientation to person, time, place
*Attention span/Concentration ability
*Ability to calculate (count backwards from 7)
*Registration and recall of objects
*Language/Writing
Wong baker faces - ANS.... -A pain rating scale asks children to compare
their pain to a series of faces ranging from a broad smile to a tearful
grimace
-Adults and children >3 in all patient care settings
Glasglow coma scale - ANS.... -Neurological scale that measures eye,
motor , and verbal response to evaluate a client's consciousness.
*Highest value is 15
*A score of <7 indicates the client is in a coma
D (The American Psychiatric Association) - ANS.... -Who published the
DSM-5 ("bible of diagnostic disorders") book?
A) SNA
B) ANA
C) APNA
D) APA