ADVANCED HEALTH ASSESSMENT - COMPREHENSIVE FINAL UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

ADVANCED HEALTH ASSESSMENT -
COMPREHENSIVE FINAL
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
COMPONENTSmOFmMENTALmSTATUSmEXAMmINCLUDE:m-mCORRECTmANSWERmA-B-C-T

APPEARANCE;mposture,mbodymmovements,mdress,mgroomingmandmhygiene

BEHAVIOR;mLOC,mFacialmexpression,mspeech,mmoodmandmaffect

COGNITION;maddress,mphone#,metc.mdate?,mattentionmspan,mrecentmandmremotemmemory,mnewmle
arning

THOUGHTmPROCESS;mperceptions,mshouldmbemlogicalmandmconsistentmthismpersonmmakemsense?

howmdompeoplemtreatmyou?,mdomyoumfeelmyoumarembeingmwatched,mfollowedmormcontrolled?mhavem
youmheardmyourmnamemwhenmalone?



___________________mscreensmformAnxietym-mCORRECTmANSWERmGAD-m7



questionsmtomaskmformdepressionmormsuicidalmideations:m-mCORRECTmANSWERmDepression:m

Overmthempastmtwomweeks,mhavemyoumfellmdown,mdepressedmormhopeless?

Overmthempastm2mweeks,mhavemyoumfeltmlittleminterestmormpleasureminmdoingmthings?

Suicidal:

Havemyoumevermfeltmsombluemyoumthoughtmofmhurtingmyourself?

Domyoumhavemamplanmtomhurtmyourself?

Howmwouldmyoumdomit?

***Mustmnotmignoremanymtalkmofmsuicide***

,Whenmismamfullmmentalmstatusmexammnecessary?m-
mCORRECTmANSWERm*mPatientsmwhoseminitialmscreeningmsuggestsmanmanxietymdisordermormdepres


sion

*mBehavioralmchanges:msuchmasmmemorymloss,minappropriatemsocialminteraction

*mBrainmlesions:mtrauma,mtumor,mcerebrovascularmaccidentmormstroke

*mAphasia:mimpairmentmofmlanguagemabilitymsecondarymtombrainmdamage

*mSymptoms-mofmpsychiatricmmentalmillnessmespeciallymwithmacutemonset



________________mScreensmformAlcoholism.m-
mCORRECTmANSWERmCAGE:mScorem2mormgreatermhighlymsignificant



*mHavemyoumevermfeltmyoumshouldmCUTmdownmonmyourmdrinking?

*mHavempeoplemANNOYEDmyoumbymcriticizingmyourmdrinking?

*mHavemyoumevermfeltmbadmormGUILTYmaboutmyourmdrinking?

*mHavemyoumevermhadmamdrinkmfirstmthingminmthemmorningmtomsteadymyourmnervesmormgetmridmofmam
hangover?m(EYEmOPENER)



ThingsmtomConsidermWhenmAssessingmOldermAdultsmmentalmstatusminclude:m-
mCORRECTmANSWERmAskmaboutmchronicmillnessmandmhowmtheymaremmanaging?



Sensorymimpairments?

Polypharmacym(medmlistmagain!)

Socialmisolation

Physiologicalmissue

-mDeliriummvs.mDementia

-mUTI

-mSundowners

,DeliriummVSmDementiamVSmDepression:



Onset

course

duration

consciousness

attention

psychomotormchanges

reversibilitym-mCORRECTmANSWERmDeliriumm**mDementiam**mDepression:

==========================================

O:mAcuteminsidiousmAcutemorminsidious

C:mFluctuatingmProgressivemMaymbemchronic

D:mHrsmtomwksmMosmtomyrsmMosmtomyrs

C:mAlteredmUsuallymclearmclear

A:mImpairedmNormalmunlessmMaymbemdecreased

m severemdementia

P:mincreasedmoftenmnormalmmaymbemslowedminmdecreasedmseveremcasesm

R:musuallymirreversiblemusually



DeliriummCauses:m-mCORRECTmANSWERmD-mDementia

E-mElectrolytemdisorders

Lm-mLung,mliver,mheart,mkidney,mbrainmdysfunction

I-mInfection

R-mRxmDrugs

I-mInjury,mpain,mstress

U-mUnfamiliarmenvironment

, M-mMetabolic



Adolescent:mheeadsssmpsychosocialminterview:m-mCORRECTmANSWERm-mHome

-mEducationm&mEmployment

-mEating

-mActivities

-mDrugs

-mSexuality

-mSuicidem&mDepression

-mSafetym(injury/violence)



Whenmassessingmchildrenmformmentalmheathmdisorders,mthingsmtomconsider:m-
mCORRECTmANSWERmDoesmthemchildmseemmsad,mtired,mrestless?



Doesmthemchildmspendmamlotmofmtimemalone?

Frequentmoutburstsmofmshouting,mcomplaining,mormcrying?

Lostminterestminmhobbiesmlikemmusic/sports?

Talksmaboutmdeathmormsuicide?

Sleepmtoommuchmormnotmenough?

Othermquestions...



____________________mismthemtestmformProprioception.m-mCORRECTmANSWERmRomberg'smTest:

-mStandmwithmfeetmtogether

-mArmsmoutmwithmpalmsmup

-mShutmeyes

-mIfmptmswaysmormloosesmbalancem=mPositivemRomberg's