GUIDE
◉ Aphasia is best described as
a. a disturbance in executive functioning (planning, organizing,
sequencing, abstracting).
b. a language disturbance in speaking, writing, or understanding.
c. the impaired ability to recognize or identify objects despite intact
sensory function.
d. the impaired ability to carry out motor activities despite intact
motor function. Answer: b. a language disturbance in speaking,
writing, or understanding.
Aphasia is a language disturbance. Apraxia is an impaired ability to
carry out motor activities despite intact motor function. Agnosia is
an impaired ability to identify objects correctly despite intact
sensory function. A disturbance in executive functioning is a
cognitive disturbance. Dementia is the development of multiple
cognitive deficits with both memory impairment and a cognitive
disturbance.
,◉ A patient in whom a seizure disorder was recently diagnosed
plans to continue a career as a pilot. At this time in the interview, the
nurse begins to question the patient's
a. thought process.
b. intellect.
c. judgment.
d. perception. Answer: c. judgment.
To assess judgment in the interview, the nurse should notice what
the person 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 health situation. Thought
processes should be consistent, coherent, relevant, and logical.
Perceptions should be congruent; the person should be consistently
aware of reality. Intellectual functioning is measured by problem-
solving and reasoning abilities.
◉ A major characteristic of dementia is
a. hallucinations.
b. sudden onset of symptoms.
c. cognitive deficits that are substance-induced.
,d. impaired short-term and long-term memory. Answer: d. impaired
short-term and long-term memory.
Dementia is the presence of cognitive deficits; the deficits include
memory impairment (impaired ability to learn new information or
to recall previously learned information). Hallucinations are a form
of delirium. Delirium is a disturbance that develops over a short
period of time. Delirium may be substance-induced.
◉ Mental status assessment documents
a. schizophrenia and other mental health disorders.
b. artistic or writing ability in the mentally ill person.
c. emotional and cognitive functioning.
d. intelligence and educational level. Answer: c. emotional and
cognitive functioning.
Mental status assessment is a systematic check of emotional and
cognitive functioning. Intelligence testing measures problem-solving
and reasoning abilities; results of intelligence testing should be
assessed considering 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 required for
every patient, the health care provider must address the four main
components during a health history and physical examination. The
four components are
a. language, orientation, attention, and abstract reasoning.
b. mood, affect, consciousness, and orientation.
c. appearance, behavior, cognition, and thought processes.
d. memory, attention, thought content, and perceptions. Answer: c.
appearance, behavior, cognition, and thought processes.
The four main components of a full mental status examination are
appearance, behavior, cognition, and thought processes. Select
behaviors that are assessed with a mental status examination
include memory, attention, thought content, and perceptions. Select
behaviors that are assessed with a mental status examination
include language, orientation, attention, and abstract reasoning.
Select behaviors that are assessed with a mental status examination
include mood, affect, consciousness, and orientation.
◉ An older adult
a. has a slower response time.
b. has diminished recent and remote memory recall.