Nur 230 Exam 4 Questions and Answers
Graded A+
How is an assessment of mental status accomplished? - Correct answer-By
interviewing the client and observing their behaviors
If depression is suspected in an older adult, what screening tool is used to confirm
this diagnosis? - Correct answer-Geriatric depression scale
What is the Glasgow Coma Scale used for? - Correct answer-Rating one's response
to stimuli
What does the score for the Glasgow Coma Scale tell you? - Correct answer-
Whoever has a scores 10 or lower needs emergency attention
whoever scores a 7 means that they are in a coma
How is the Glasgow Coma Scale calculated? - Correct answer-Subtracting pupil
reactivity score from Glasgow coma scale number
What is the depression questionnaire used for? - Correct answer-To better assess if
a client is depressed
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,What is the SAD PERSONNA assessment tool for? - Correct answer-To assess the
likelihood of a suicide attempt
What is the MMSE assessment tool used for? - Correct answer-To assess adults,
quickly and easily
What is the Saint Louis University Mental Status (SLUMS) assessment tool used
for? - Correct answer-Similar to MMSE; to assess adults quickly and easily
What is the Confusion Assessment Method (CAM) used for? - Correct answer-To
identify delirium
What is the Mini-Cog? - Correct answer-A quick screening test
What are the steps of Mini-Cog? - Correct answer-1. tell client 3 easy words
2. draw a clock
3. have client repeat the 3 words
What is the Denver II test used for? - Correct answer-To assess development in
children up to age 6
When assessing level of consciousness, always begin the assessment with what? -
Correct answer-Least noxious stimulus: verbal, tactile, to painful
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, What do you look at during a physical assessment with level of consciousness and
mental status? - Correct answer-1. LOC
2. Posture, gait, body movements
3. behavior & affect
4. dress and grooming
5. hygiene
5. facial expressions
6. speech
7. mood, feelings, expressions
8. thought processes and perceptions
How long do people have delirium versus Dementia? - Correct answer-Hours to
weeks versus chronic condition that does not resolve over time
How is the onset for delirium versus dementia? - Correct answer-Acute onset
versus chronic onset
How is the attention span for delirium vs. dementia? - Correct answer-
Impaired/fluctuating attention VS. generally normal
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Graded A+
How is an assessment of mental status accomplished? - Correct answer-By
interviewing the client and observing their behaviors
If depression is suspected in an older adult, what screening tool is used to confirm
this diagnosis? - Correct answer-Geriatric depression scale
What is the Glasgow Coma Scale used for? - Correct answer-Rating one's response
to stimuli
What does the score for the Glasgow Coma Scale tell you? - Correct answer-
Whoever has a scores 10 or lower needs emergency attention
whoever scores a 7 means that they are in a coma
How is the Glasgow Coma Scale calculated? - Correct answer-Subtracting pupil
reactivity score from Glasgow coma scale number
What is the depression questionnaire used for? - Correct answer-To better assess if
a client is depressed
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,What is the SAD PERSONNA assessment tool for? - Correct answer-To assess the
likelihood of a suicide attempt
What is the MMSE assessment tool used for? - Correct answer-To assess adults,
quickly and easily
What is the Saint Louis University Mental Status (SLUMS) assessment tool used
for? - Correct answer-Similar to MMSE; to assess adults quickly and easily
What is the Confusion Assessment Method (CAM) used for? - Correct answer-To
identify delirium
What is the Mini-Cog? - Correct answer-A quick screening test
What are the steps of Mini-Cog? - Correct answer-1. tell client 3 easy words
2. draw a clock
3. have client repeat the 3 words
What is the Denver II test used for? - Correct answer-To assess development in
children up to age 6
When assessing level of consciousness, always begin the assessment with what? -
Correct answer-Least noxious stimulus: verbal, tactile, to painful
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, What do you look at during a physical assessment with level of consciousness and
mental status? - Correct answer-1. LOC
2. Posture, gait, body movements
3. behavior & affect
4. dress and grooming
5. hygiene
5. facial expressions
6. speech
7. mood, feelings, expressions
8. thought processes and perceptions
How long do people have delirium versus Dementia? - Correct answer-Hours to
weeks versus chronic condition that does not resolve over time
How is the onset for delirium versus dementia? - Correct answer-Acute onset
versus chronic onset
How is the attention span for delirium vs. dementia? - Correct answer-
Impaired/fluctuating attention VS. generally normal
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
