Exam 6: Mental Status Assessment

The nurse has decided to administer the Set Test to Mr.C. ,70.To administer this test the nurse needs to:

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:

A 30-year-old female patient is describing feelings of hopelessness and depression.She has attempted self-mutilation and has a history of prior suicide attempts.She describes difficulty sleeping at night and has lost 10 pounds in the past month.Which of the following is the nurse's best response in this situation?

A patient states,"I feel so sad all of the time.I can't feel happy even doing things I used to like to do." He also states that he is tired,sleeps poorly,and has no energy.To differentiate between dysthymic disorder and a major depressive disorder,the nurse should ask which question?

Which of the following are manifestations of delirium? Select all that apply.

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?

In an interview with a patient,it will be important for the nurse to ascertain some basic history information.Which of the following statements should be explored more fully during an interview? The patient states that he:

Which of the following questions would best assess a person's judgment?

When examining a patient,the nurse can assess mental status by:

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 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,she is unable to learn new information or recall previously learned information.This is an example of:

Which of the following statements is true regarding the assessment of mental status?

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:

Which of the following statements is true regarding the mental status examination?

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:

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:

The nurse is planning health teaching for a 65-year-old woman who has had a cerebrovascular accident,or stroke,and is aphasic.Which of the following is most important to use when assessing mental status in this situation?

Which type of aphasia is the most common and severe form-spontaneous speech is absent or it is reduced to a few stereotyped words or sounds?

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

The nurse is assessing orientation in a 79-year-old patient.Which of the following responses would lead the nurse to conclude that this patient is oriented?