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When examining a patient, the nurse can assess mental health by:
a.
examining the patient's electroencephalogram.
b.
observing the patient as he or she performs an IQ test.
c.
observing the patient and inferring health or dysfunction.
d.
examining the patient's response to a specific set of questions. - correct answer ✔✔C
The nurse is assessing mental health in children. Which of the following statements is true?
a.
All aspects of mental health in children are interrelated.
b.
Children are highly labile and unstable until the age of 2 years.
c.
Until the age of 7 years, children's mental health is largely a function of their parents' mental
health.
d.
Children's mental health is impossible to assess until they develop the ability to concentrate. -
correct answer ✔✔a
,The nurse is assessing a 75-year-old male patient. At the beginning of the mental status portion
of the assessment, the nurse expects that this patient:
a.
will have no decrease in any of his abilities, including response time.
b.
will have difficulty on tests of remote memory because this typically decreases with age.
c.
may take a little longer to respond, but his general knowledge and abilities should not have
declined.
d.
will have had a decrease in his response time because of language loss and a decrease in
general knowledge. - correct answer ✔✔C
When assessing older adults, the nurse knows that one of the first things that should be
assessed before drawing conclusions about their mental health is:
a.
the presence of phobias.
b.
their general intelligence.
c.
the presence of irrational thinking patterns.
d.
their sensory-perceptive abilities. - correct answer ✔✔D
Which of the following statements about the mental health examination is true?
a.
A patient's family is the best resource for information about the patient's coping skills.
,b.
It is usually sufficient to gather mental health information during the health history interview.
c.
It takes an enormous amount of extra time to integrate the mental health examination into the
health history interview.
d.
It is usually necessary to perform a complete mental health examination to get a good idea of
the patient's level of functioning. - correct answer ✔✔B
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 of the following statements reflects the nurse's best course of action?
a.
The nurse should plan to perform a complete mental health examination.
b.
It would be most appropriate to refer him to a psychometrician.
c.
The nurse should plan to integrate the mental health examination into history taking and
physical examination.
d.
The nurse should reassure his wife that memory loss after a physical shock is normal, and the
problem will correct itself soon. - correct answer ✔✔A
When interviewing a patient, it is important for the nurse to obtain some basic history. Which of
the following statements should be explored more fully during an interview? The patient states
that he:
a.
"sleeps like a baby."
b.
, has no health problems.
c.
"never did too good in school."
d.
is currently not taking any medication. - correct answer ✔✔C
A patient is admitted after an automobile accident. The nurse begins the mental health
examination and finds that the patient's speech is dysarthric and that she is lethargic. The
nurse's best approach in this situation is to:
a.
defer the rest of the mental health examination.
b.
skip the language portion of the examination, and go on to assess mood and affect.
c.
do an in-depth speech evaluation, and defer the mental health examination to another time.
d.
go ahead and assess for suicidal thoughts because dysarthria is often accompanied by severe
depression. - correct answer ✔✔A
A 19-year-old woman comes to the clinic at the insistence of her brother. She is wearing black
combat boots and a black lace nightgown over her other clothes. Her hair is dyed pink with
black streaks. She has several piercings in her nares and ears and is wearing an earring on her
eyebrow and heavy black makeup. The nurse concludes that:
a.
she probably does not have any problems at all.
b.
she is just trying to shock people, and her appearance should be ignored.
c.