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Question 11 pts

 

During a mental status assessment, which question by the nurse would best assess a person’s judgment?

Group of answer choices

“Do you feel that you are being watched, followed, or controlled?”

 

“Tell me what you plan to do once you are discharged from the hospital.”

 

“What does the statement, ‘People in glass houses shouldn’t throw stones,’ mean to you?”

 

“What would you do if you found a stamped, addressed envelope lying on the sidewalk?”

 

 

Flag question: Question 2Question 21 pts

 

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. What is the best description of this patient’s condition?

Group of answer choices

A snake phobia

 

A hypochondriac

 

An obsession with snakes

 

A delusion that snakes are harmful stemming from an early traumatic incident involving snakes

 

 

Flag question: Question 3Question 31 pts

 

The nurse is conducting a patient interview. Which statement made by the patient should the nurse more fully explore to assess the mental status during the interview?

Group of answer choices

“I sleep like a baby.”

 

“I have no health problems.”

 

“I never did too good in school.”

 

“I am not currently taking any medications.”

 

 

Flag question: Question 4Question 41 pts

 

Which of these individuals would the nurse consider at highest risk for a suicide attempt?

Group of answer choices

Man who jokes about death

 

Woman who, during a past episode of major depression, attempted suicide

 

Adolescent who just broke up with her boyfriend and states that she would like to kill herself

 

Older adult man who tells the nurse that he is going to “join his wife in heaven” tomorrow and plans to use a gun

 

 

Flag question: Question 5Question 51 pts

 

When assessing aging adults, what is one of the first things the nurse should assess before making judgments about the aging person’s mental status?

Group of answer choices

Presence of phobias

 

General intelligence

 

Sensory-perceptive abilities

 

Presence of irrational thinking patterns

 

 

Flag question: Question 6Question 61 pts

 

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. What is the best description of this patient’s level of consciousness?

Group of answer choices

Lethargic

 

Obtunded

 

Stuporous

 

Semi-coma

 

 

Flag question: Question 7Question 71 pts

 

The nurse is administering a Mini-Cog test to an older adult woman. When asked to draw a clock showing the time of 10:45, the patient drew a clock with the numbers out of order and with an incorrect time. This result indicates which finding?

Group of answer choices

Amnesia

 

Delirium

 

Cognitive impairment

 

Attention-deficit disorder

 

 

Flag question: Question 8Question 81 pts

 

A 20-year-old construction worker has been brought into the emergency department with heat stroke. He has delirium as a result of a fluid and electrolyte imbalance. When conducting the mental status examination for this patient, what should the nurse assess first?

Group of answer choices

Affect and mood

 

Memory and affect

 

Cognitive abilities

 

Level of consciousness

 

 

Flag question: Question 9Question 91 pts

 

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. How should the nurse proceed?

Group of answer choices

Defer the rest of the mental status examination.

 

Skip the language portion of the examination and proceed onto assessing mood and affect.

 

Conduct an in-depth speech evaluation and defer the mental status examination to another time.

 

Proceed with the examination and assess the patient for suicidal thoughts because dysarthria is often accompanied by severe depression.

 

 

Flag question: Question 10Question 101 pts

 

The nurse is providing instructions to newly hired graduates for the mini-mental state examination (MMSE). Which statement best describes this examination?

Group of answer choices

Scores below 30 indicate cognitive impairment.

 

The MMSE is a good tool to evaluate mood and thought processes.

 

This examination is a good tool to detect delirium and dementia and to differentiate these from psychiatric mental illness.

 

The MMSE is a useful tool for an initial evaluation of mental status. Additional tools are needed to evaluate cognition changes over time.

 

 

 

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NURS 330