HEALTH ASSESSMENT 5 QUESTIONS AND ANSWERS A GRADED

During an examination the nurse can assess mental status by which activity? A. examining the patients electroencephalogram B. observing the patient as he or she performs an intelligence quotient (IQ) test C. observing the patient and inferring health or dysfunction D. examining the patients response to a specific set of questions C. observing the patient and inferring health or dysfunction the nurse is assessing the mental status of a child. which statement about children and mental status is true? A. all aspects of mental status in children are interdependent B. children are highly labile and unstable until the age of 2 years C. childrens mental status is largely a function of their parents level of functioning until the age of 7 yrs D. a childs mental status is impossible to assess until the child develops the ability to concentrate A. all aspects of mental status in children are interdependent the nurse is assessing a 75 yo. as the nurse begins the mental status portion of the assessment, the nurse expects that this patient A. will have no decrease in any of his abilities including response time B. will have difficulty on test of remote memory because this ability typically should not have declined C. May take a litle longer to respond but his general knowledge and abilities should not have declined D. will exhibit had a decrease in his response time because of the loss of language and a decrease in general knowledge C. May take a litle longer to respond but his general knowledge and abilities should not have declined when assessing aging adults the nurse knows that one of the first things that should be assessed before making judgements about their mental status is: A. presence of phobias B. general intelligence C. presence of irrational thinking patterns D. sensory-perceptive abilities D. sensory-perceptive abilities the nurse is preparing to conduct a mental status examination. which statement is true regarding the mental status examination? A. a patients family is the best resource for information about the patients coping skills B. gathering mental status information during the health history interview is usually sufficient C. integrating the mental status examination into the health history interview takes an enormous amount of extra time D. to get a good idea of the patients level of functioning, performing a complete mental status examination is usually necessary B. gathering mental status information during the health history interview is usually sufficient a woman brings her husband to the clinic for an examination. she is particularly worried because after a recent fall he seems to have lost a great deal of his memory of recent events. which statement reflects the nurses best course of action? A. perform a complete mental status examination B. refer him to a psychometrician C. plan to integrate the mental status examination into the history and physical examinaiton D. reassure his wife that memory loss after a physical shock is normal and will soon subside A. perform a complete mental status examination the nurse is conducting a patient interview. which statement made by the patient should the nurse more fully explore during the interview? A. i sleep like a baby B. I have no health problems C. I never did too good in school D. I am not currently taking any medications C. I never did too good in school a patient is admitted to the unit after an automobile accident. the nurse begins the mental status examination and finds that the patient has dysarthric speech and is lethargic. the nurses best approach regarding this examination is to: A. plan to defer the rest of the mental status examination B. skip the language portion of the examination and proceed onto assessing mood and affect C. conduct an indepth speech evaluation and defer the mental status examination to another time D. proceed with the examination and assess the patient for suicidal thoughts bc dysarthria is often accompanied by severe depression A. plan to defer the rest of the mental status examination a 19yo comes into the clinic at the insistence of her brother. she is wearing black combat boots and a black lace nightgown over the top of her clothes. her hair is dyed pink with black streaks throughout. she has several pierced holes in her nares and ears and is wearing an earring through her eyebrow and heavy black makeup. the nurse concludes that A. she probably does not have any problems B. she is only trying to shock people and that her dress should be ignored C. she has a manic syndrome because of her abnormal dress and grooming D. more information should be gathered to decide whether her dress is appropriate D. more information should be gathered to decide whether her dress is appropriate a patient has been in the intensive care unit for 10 days. he has just been moved to the med-surg unit and the admitting nurse is planning to perform a mental status examination. during the test of cognitive funciton, the nurse would expect that he A. may display some disruption in thought content B. will state I am so relived to be out of intensive care C. will be oriented to place and person but the patient may not be certain of the date D. may show evidence of some clouding of his level of conciousness C. will be oriented to place and person but the patient may not be certain of the date During a mental status examination, the nurse wants to assess a patients affect. The nurse should ask the patient which question? a. How do you feel today? b. Would you please repeat the following words? c. Have these medications had any effect on your pain? d. Has this pain affected your ability to get dressed by yourself? a. How do you feel today? the nurse is planning to assess new memory with a patient. the best way for the nurse to do this would be to A. administer the FACT test B. ask him to describe his first job C. give him the four unrelated words test D. ask him to describe what television show he was watching before coming to the clinic C. give him the four unrelated words test a 45yo is at the clinic for a mental status assessment. in giving her the four unrelated words test the nurse would be concerned if she could not ______ four unrelated words ____ A. invent; within 5 min B. invent; within 30 sec C. recall; after a 30 min delay D. recall; after a 60 min delay C. recall; after a 30 min delay During a mental status assessment, which question by the nurse would best assess a persons judgment? a. Do you feel that you are being watched, followed, or controlled? b. Tell me what you plan to do once you are discharged from the hospital. c. What does the statement, People in glass houses shouldn't throw stones, mean to you? d. What would you do if you found a stamped, addressed envelope lying on the sidewalk? b. Tell me what you plan to do once you are discharged from the hospital. which of these individuals would the nurse consider at highest risk for a suicide attempt A. man who jokes about death B. woman who, during a past episode of major depression attempted suicide C. adolescent who just broke up with her boyfriend and states that she would like to kill herself D. older adult man who tells the nurse that he is going to join his wife in heaven tomorrow and plans to use a gun D. older adult man who tells the nurse that he is going to join his wife in heaven tomorrow and plans to use a gun the nurse is performing a mental status assessment on a 5 yo. her parents are undergoing a bitter divorce and are worried about the effect it is having on her. which action or statement might lead the nurse to be concerned about the girls mental status A. she clings to her mother whenever the nurse is in the room B. she appears angry and will not make eye contact with the nurse C. her mother states that she has begun to ride a tricycle around their yard D. her mother states that her daughter prefers to play with toddlers instead of kids her own age while in daycare. D. her mother states that her daughter prefers to play with toddlers instead of kids her own age while in daycare. the nurse is assessing orientation in a 79yo. which of these responses would lead the nurse to conclude that this patient is oriented A. I know my name is john. i couldnt tell you where i am. i think it is 2010 though B. i know my name is john. but to tell you the truth i get kind of confused about the date C. I know my name is john. i guess im at the hospital in spokane. no i dont know the date D. I know my name is johnn. I am at the hospital in spokane. I couldnt tell you what date it is but I know that it is february of a new year 2010. D. I know my name is johnn. I am at the hospital in spokane. I couldnt tell you what date it is but I know that it is february of a new year 2010.