r r r
sical Examinatio r
n andHealth Asse
r r r
ssment, 8thEditi r r
on, Carolyn Jarvi
r r
s, ISBN: 9780323
r r
510806
, PHYSICALrEXAMINATIONrANDrHEALTHrASSESSMENTr8THrEDITIONrJARVISrTESTrBANK
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Chapter 05: Mental Status Assessment
r r r r
MULTIPLEr CHOICE
1. Duringr anr examination,r ther nurser canr assessr mentalr statusr byr whichr activity?
a. Examiningr ther patientsr electroencephalogram
b. Observingr ther patientr asr her orr sher performsr anr intelligencer quotientr (IQ)r test
c. Observingr ther patientr andr inferringr healthr orr dysfunction
d. Examiningr ther patientsr responser tor ar specificr setr ofr questionsrA
NS:rC
Mentalrstatusrcannotrberdirectlyrscrutinizedrlikerthercharacteristicsrofrskinrorrheartrsounds.rItsrfunctioningrisrinfe
rredrthroughranrassessmentrofranrindividualsrbehaviors,rsuchrasrconsciousness,rlanguage,rmoodrandraffect,randrothe
rraspects.
PTS:r 1r DIF:r Cognitiver Level:r Understandingr (Comprehension)
2. Ther nurser isr assessingr ther mentalr statusr ofr ar child.r Whichr statementr aboutr childrenr andr mentalr statusr istrue?
a. Allr aspectsr ofr mentalr statusr inr childrenr arer interdependent.
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b. Childrenr arer highlyr labiler andr unstabler untilr ther ager ofr 2r years.
c. Childrensr mentalr statusr isr largelyr ar functionr ofr theirr parentsr levelr ofr functioningr untilr ther ager ofr 7ryea
rs.
d. Ar childsr mentalr statusr isr impossibler tor assessr untilr ther childr developsr ther abilityr tor concentrate.
ANS:rA
Separatingrandrtracingrtherdevelopmentrofronlyroneraspectrofrmentalrstatusrisrdifficult.rAllraspectsrarerinterdepend
ent.rForrexample,rconsciousnessrisrrudimentaryratrbirthrbecauserthercerebralrcortexrisrnotryetrdeveloped.r Ther infantr
cannotr distinguishr ther selfr fromr ther mothersr body.r Ther otherr statementsr arer notr true.
PTS:r 1r DIF:r Cognitiver Level:r Understandingr (Comprehension)
3. Ther nurser isr assessingr ar 75-year-
oldr man.r Asr ther nurser beginsr ther mentalr statusr portionr ofr ther assessment,rthernurserexpectsrthatrthisrpatient:
a. Willr haver nor decreaser inr anyr ofr hisr abilities,r includingr responser time.
b. Willr haver difficultyr onr testsr ofr remoter memoryr becauser thisr abilityr typicallyr decreasesr withr age.
c. Mayr taker ar littler longerr tor respond,r butr hisr generalr knowledger andr abilitiesr shouldr notr have
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