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Solutions | Grade A
The nurse notices that a patient has difficulty separating relevant from irrelevant information
during a conversation. This patient is having difficulty with:
Circumstantiality
Neologism
Blocking
Flight of Ideas
Circumstantiality-
Circumstantiality may not always be immediately apparent. Neologism is the use of a word or
term with a meaning known only to the patient. Blocking occurs when the patient has difficulty
articulating a response. Flight of ideas is a disturbance in which thought patterns are vague and
unfocused
The nurse suspects altered thought processes. Which findings might suggest an altered thought
process? Select all that apply:
Dress or appearance
Socioeconomic issues
Cultural differences
Problems articulating words
Tone of voice
Dress or appearance
,Problems articulating words
Tone of voice
Dress, problems with articulation, and tone of voice may indicate changes in mental status.
Socioeconomic issues and cultural differences do not affect mental status
The nurse is assessing the patient's stressors. Which tool can be used to identify the degree of
stressors a patient may be experiencing?
CAGE
Holmes Social Readjustment Inventory Scale
AUDIT
Mini Mental State
Holmes Social Readjustment Inventory Scale-
Holmes Social Readjustment Inventory Scale tool may help to identify a high-risk individual.
CAGE is used to screen alcohol use. AUDIT is used to screen alcohol use. The Mini-Mental State
is used to screen mental status
The nurse is obtaining the mental health history of a new patient. What should the nurse include
in the mental health history? Select all that apply:
A. A patients description of self
B. A past medical history
C. The current medications the patient is taking
D. Cultural beliefs
A., B., C.,
Options A through C are all part of the mental health history. Cultural and spiritual beliefs are
part of the social history and are incorporated into the plan of care but not included into the
mental health history
, The nurse is planning to teach a group of patients stress reduction exercises to reduce the risk of
depression. Which population group is at highest risk for depression?
A. Males
B. School Age Children
C. Adolescents
D. Individuals starting new careers
C. Adolescents-
Peer pressure and independence contribute to their increased risk. Depression occurs in women
twice as often as it does in men. As a group, school-age children are at lower risk than other
groups. Although some members of group D may suffer from depression, this is not considered
a high-risk group
An insufficient amount of the neurotransmitter GABA may result in __.
Depression
Hallucinations
Delusions
Anxiety
Anxiety-
GABA suppresses neurotransmission, which helps to control anxiety. GABA is an inhibitory
neurotransmitter. Hallucinations may result from elevated levels of serotonin. Delusions may
result from elevated levels of serotonin
The nurse is caring for a patient in the mental health facility who has a diagnosis of bipolar
disorder. The nurse knows that this is because mental health is directly affected by the: