1 for specific request mail
HEALTH ASSESSMENT EXAM 2 Questions and Correct
Answers | Latest Update
During an examination, the nurse can assess mental status by which
activity?
Ans: 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?
Ans: All aspects of mental status in children are interdependent
Assignment Expert
The nurse is assessing a 75-year-old man. As the nurse begins the mental
Guru01 - Stuvia
status portion of the assessment, the nurse expects that this patient:
Ans: May take a little longer to respond, but his general knowledge and
abilities should not have declined.
2026
When assessing aging adults, the nurse knows that one of the first things
that should be assessed before making judgments about their mental
©
status is:
Ans: Sensory-perceptive abilities
The nurse is preparing to conduct a mental status examination. Which
statement is true regarding the mental status examination?
Ans: 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?
Ans: Perform a complete mental status examination.
, 2 for specific request mail
The nurse is conducting a patient interview. Which statement made by
the patient should the nurse more fully explore during the interview?
Ans: 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:
Ans: Plan to defer the rest of the mental status examination.
Assignment Expert
A patient has been in the intensive care unit for 10 days. He has just been
moved to the medical-surgical unit, and the admitting nurse is planning
to perform a mental status examination. During the tests of cognitive
Guru01 - Stuvia
function, the nurse would expect that he
Ans: Will be oriented to place and person, but the patient may not be
certain of the date.
2026
During a mental status examination, the nurse wants to assess a patients
©
affect. The nurse should ask the patient which question?
Ans: 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:
Ans: Give him the Four Unrelated Words Test
A 45-year-old woman 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 ____.
Ans: Recall; after a 30-minute delay
14. During a mental status assessment, which question by the nurse
would best assess a persons judgment?
, 3 for specific request mail
Ans: 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?
Ans: 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-year-old girl.
Her parents are undergoing a bitter divorce and are worried about the
effect it is having on their daughter. Which action or statement might
Assignment Expert
lead the nurse to be concerned about the girls mental status?
Ans: Her mother states that her daughter prefers to play with toddlers
Guru01 - Stuvia
instead of kids her own age while in daycare.
The nurse is assessing orientation in a 79-year-old patient. Which of
these responses would lead the nurse to conclude that this patient is
2026
oriented?
©
Ans: I know my name is John. 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 year2010.
The nurse is performing the Denver II screening test on a 12-month-old
infant during a routine well-child visit. The nurse should tell the infants
parents that the Denver II:
Ans: Is a screening instrument designed to detect children who are slow
in development.
A patient drifts off to sleep when she is not being stimulated. The nurse
can easily arouse her by calling her name, but the patient remains drowsy
during the conversation. The best description of this patients level of
consciousness would be:
Ans: lethargic
, 4 for specific request mail
A patient has had a cerebrovascular accident (stroke). He is trying very
hard to communicate. He seems driven to speak and says, I buy obie get
spirding and take my train. What is the best description of this patients
problem?
Ans: Wernickes aphasia
A patient repeatedly seems to have difficulty coming up with a word. He
says, I was on my way to work, and when I got there, the thing that you
step into that goes up in the air was so full that I decided to take the
stairs. The nurse will note on his chart that he is using or experiencing:
Assignment Expert
Ans: Circumlocution
During an examination, the nurse notes that a patient is exhibiting flight
Guru01 - Stuvia
of ideas. Which statement by the patient is an example of flight of ideas?
Ans: Take this pill? The pill is red. I see red. Red velvet is soft, soft as a
babys bottom.
2026
A patient describes feeling an unreasonable, irrational fear of snakes. His
©
fear is so persistent that he can no longer comfortably look at even
pictures of snakes and has made an effort to identify all the places he
might encounter a snake and avoids them. The nurse recognizes that he:
Ans: Has a snake phobia.
A patient has been diagnosed with schizophrenia. During a recent
interview, he shows the nurse a picture of a man holding a decapitated
head. He describes this picture as horrifying but then laughs loudly at
the content. This behavior is a display of:
Ans: Inappropriate affect
During reporting, the nurse hears that a patient is experiencing
hallucinations. Which is an example of a hallucination?
Ans: Man believes that his dead wife is talking to him.
HEALTH ASSESSMENT EXAM 2 Questions and Correct
Answers | Latest Update
During an examination, the nurse can assess mental status by which
activity?
Ans: 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?
Ans: All aspects of mental status in children are interdependent
Assignment Expert
The nurse is assessing a 75-year-old man. As the nurse begins the mental
Guru01 - Stuvia
status portion of the assessment, the nurse expects that this patient:
Ans: May take a little longer to respond, but his general knowledge and
abilities should not have declined.
2026
When assessing aging adults, the nurse knows that one of the first things
that should be assessed before making judgments about their mental
©
status is:
Ans: Sensory-perceptive abilities
The nurse is preparing to conduct a mental status examination. Which
statement is true regarding the mental status examination?
Ans: 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?
Ans: Perform a complete mental status examination.
, 2 for specific request mail
The nurse is conducting a patient interview. Which statement made by
the patient should the nurse more fully explore during the interview?
Ans: 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:
Ans: Plan to defer the rest of the mental status examination.
Assignment Expert
A patient has been in the intensive care unit for 10 days. He has just been
moved to the medical-surgical unit, and the admitting nurse is planning
to perform a mental status examination. During the tests of cognitive
Guru01 - Stuvia
function, the nurse would expect that he
Ans: Will be oriented to place and person, but the patient may not be
certain of the date.
2026
During a mental status examination, the nurse wants to assess a patients
©
affect. The nurse should ask the patient which question?
Ans: 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:
Ans: Give him the Four Unrelated Words Test
A 45-year-old woman 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 ____.
Ans: Recall; after a 30-minute delay
14. During a mental status assessment, which question by the nurse
would best assess a persons judgment?
, 3 for specific request mail
Ans: 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?
Ans: 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-year-old girl.
Her parents are undergoing a bitter divorce and are worried about the
effect it is having on their daughter. Which action or statement might
Assignment Expert
lead the nurse to be concerned about the girls mental status?
Ans: Her mother states that her daughter prefers to play with toddlers
Guru01 - Stuvia
instead of kids her own age while in daycare.
The nurse is assessing orientation in a 79-year-old patient. Which of
these responses would lead the nurse to conclude that this patient is
2026
oriented?
©
Ans: I know my name is John. 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 year2010.
The nurse is performing the Denver II screening test on a 12-month-old
infant during a routine well-child visit. The nurse should tell the infants
parents that the Denver II:
Ans: Is a screening instrument designed to detect children who are slow
in development.
A patient drifts off to sleep when she is not being stimulated. The nurse
can easily arouse her by calling her name, but the patient remains drowsy
during the conversation. The best description of this patients level of
consciousness would be:
Ans: lethargic
, 4 for specific request mail
A patient has had a cerebrovascular accident (stroke). He is trying very
hard to communicate. He seems driven to speak and says, I buy obie get
spirding and take my train. What is the best description of this patients
problem?
Ans: Wernickes aphasia
A patient repeatedly seems to have difficulty coming up with a word. He
says, I was on my way to work, and when I got there, the thing that you
step into that goes up in the air was so full that I decided to take the
stairs. The nurse will note on his chart that he is using or experiencing:
Assignment Expert
Ans: Circumlocution
During an examination, the nurse notes that a patient is exhibiting flight
Guru01 - Stuvia
of ideas. Which statement by the patient is an example of flight of ideas?
Ans: Take this pill? The pill is red. I see red. Red velvet is soft, soft as a
babys bottom.
2026
A patient describes feeling an unreasonable, irrational fear of snakes. His
©
fear is so persistent that he can no longer comfortably look at even
pictures of snakes and has made an effort to identify all the places he
might encounter a snake and avoids them. The nurse recognizes that he:
Ans: Has a snake phobia.
A patient has been diagnosed with schizophrenia. During a recent
interview, he shows the nurse a picture of a man holding a decapitated
head. He describes this picture as horrifying but then laughs loudly at
the content. This behavior is a display of:
Ans: Inappropriate affect
During reporting, the nurse hears that a patient is experiencing
hallucinations. Which is an example of a hallucination?
Ans: Man believes that his dead wife is talking to him.
