Exam 5: Mental Status Assessment

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:

During an examination,the nurse notes that a patient is exhibiting flight of ideas.Which statement by the patient is an example of flight of ideas?

The nurse is providing instructions to newly hired graduates about the Mini-Mental State Examination.Which statement best describes this examination?

A 45-year-old woman is brought to the emergency department with a head injury after her car hit a tree.A few months after recovering from her injuries,the nurse notes during an examination that she is unable to learn new information or recall previously learned information.This is an example of:

The nurse is conducting a patient interview.Which statement made by the patient should the nurse explore more fully during the interview? The patient states that he:

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 infant's parents that the Denver II:

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 nurse's best course of action? The nurse should:

The nurse is assessing mental status of a child.Which of these statements about children and mental status is true?

The nurse is performing a mental status examination.Which statement is true regarding the assessment of mental status?

A patient seems to repeatedly 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:

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 on him.During the tests of cognitive function the nurse would expect that he:

A patient is admitted to the unit after an automobile accident.The nurse begins the mental status examination and finds that the patient's speech is dysarthric and that she is lethargic.The nurse's best approach regarding this examination is to:

A patient has had a cerebrovascular accident,or 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 patient's problem?

The nurse is planning to assess new memory with a patient.The best way for the nurse to do this would be to:

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 and laughs loudly at the content.This behavior is a display of:

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 oriented?

During morning rounds,the nurse asks a patient,"How are you today?" The patient responds,"You today,you today,you today!" and mumbles the words.This speech pattern is an example of:

A patient describes feeling an unreasonable,irrational fear of snakes.It is so persistent that he can no longer comfortably even look at 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:

A patient drifts off to sleep when she is not being stimulated.The nurse can arouse her easily when calling her name,but she remains drowsy during the conversation.The best description of this patient's level of consciousness would be:

The nurse is preparing to do a mental status examination.Which statement is true regarding the mental status examination?