NSG 302 HEALTH ASSESSMENT ADAPTIVE QUESTION AND ANSWER

NSG 302 HEALTH ASSESSMENT ADAPTIVE QUESTION
AND ANSWER
Which characteristic would the nurse expect to find in a patient with Anorexia Nervosa?

a.) Uses food for comfort
b.) Has low body mass index
c.) Eats to relieve stress
d.) Intensely fears losing weight

b.) Has low body mass index

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Which speech disorder is the patient exhibiting when they have distorted speech that sounds slurred
and unintelligible?

a.) Echolalia
b.) Dysarthria
c.) Dysphonia
d.) Neologism
b.) Dysarthria

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Which mental health disorder is characterized by intrusive thoughts and ritualistic behavior?

a.) Social Anxiety Disorder
b.) Generalized Anxiety Disorder
c.) Post-traumatic Stress Disorder
d.) Obsessive Compulsive Disorder
d.) Obsessive Compulsive Disorder

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Which Mental health disorder is classified as an organic disorder? Select all that apply.

a.) Anxiety
b.) Delirium
c.) Schizophrenia
d.) Alchohol intoxication
e.) Dementia
b.) Delirium
d.) Alchohol intoxication
e.) Dementia

p. 59
Which mental health disorder causes gradual deterioration in the patient's cognitive functioning?

a.) Delirium

,b.) Dementia
c.) Depression
d.) Anxiety
b.) Dementia

p. 69
What would be the maximum score that can be given to a patient when using the Mini-Mental State
Examination (MMSE)?

a.) 5
b.) 20
c.) 25
d.) 30
d.) 30

p.68
Which question would the nurse ask when using the Patients Health Questionnaire-2 (PHQ-2)?

a.) "Over the past 2 weeks, have you felt little interest or pleasure in doing things?"
b.) "Have you been moving or speaking so slowly that other people could have noticed?"
c.) "Over the past two weeks, have you been feeling nervous, anxious or on edge?"
d.) "Have you felt as if you are being watched, followed or controlled?"
a.) "Over the past 2 weeks, have you felt little interest or pleasure in doing things?"

p. 65
Which level of consciousness is the patient displaying if they are responding only to touch with
persistent and vigorous shaking and they withdraw both hands when pressure is applied to the nail
bed?

a.) Coma
b.) Lethargy
c.) Semi-Coma
d.) Delirium
c.) Semi-Coma

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Which additional finding would the nurse monitor for in a child with attention deficit/hyperactivity
disorder who presents excessive talking?

a.) Deliberate Fasting
b.) Self-Induced Vomiting
c.) Repetitive Speech
d.) Inability to Complete Tasks
d.) Inability to Complete Tasks

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Which speech disorder causes a patient to have difficulty understanding language?

a.) Dysphonia

, b.) Dysarthria
c.) Receptive Aphasia
d.) Expressive Aphasia
c.) Receptive Aphasia

p. 73
The nurse would use the Patient Health Questionnaire -9 (PHQ-9) to screen a patient for which
condition?

a.) Depression
b.) Anxiety
c.) Developmental Delays
d.) Cognitive Impairment
a.) Depression

p.66
Which age would the nurse test an infant's language development and ability to use a one-word
sentence?

a.) 1 year
b.) 2 year
c.) 4 weeks
d.) 6 weeks
a.) 1 year

p.60
Which cognitive function is the nurse assessing during a mental status assessment, when the nurse
asks about the patients first job?

a.) Orientation
b.) Attention
c.) Recent Memory
d.) Remote Memory
d.) Remote Memory

p.64
Which finding would the nurse monitor for in a preschooler with autism spectrum disorder who
demonstrates strict adherence to routines? Select all that apply

a.) Resistance to change
b.) Poor Eye Contact
c.) Repetitive Speech
d.) Aggression Behavior
e.) Short Attention Span
a.) Resistance to Change
b.) Poor Eye Contact
c.) Repetitive Speech

p. 79