Question 1

A 45-year-old woman is at the clinic for a mental status assessment.In giving her the Four Unrelated Words Test,the nurse would be concerned if:

Accepted Answer

A) she could not invent four unrelated words within 5 minutes. 
B) she could not invent four unrelated words within 30 seconds. 
C) she could not recall four unrelated words after a 30-minute delay. 
D) she could not recall four unrelated words after a 60-minute delay. 
A) she could not invent four unrelated words within 5 minutes. 
B) she could not invent four unrelated words within 30 seconds. 
C) she could not recall four unrelated words after a 30-minute delay. 
D) she could not recall four unrelated words after a 60-minute delay.

Question 2

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

Accepted Answer

A) A man who jokes about death 
B) A woman who,during a past episode of major depression,attempted suicide 
C) An adolescent who has just broken up with her boyfriend and states that she would like to kill herself 
D) An elderly man who tells the nurse that he is going to "join his wife in heaven" tomorrow and plans to use a gun 
A) A man who jokes about death 
B) A woman who,during a past episode of major depression,attempted suicide 
C) An adolescent who has just broken up with her boyfriend and states that she would like to kill herself 
D) An elderly man who tells the nurse that he is going to "join his wife in heaven" tomorrow and plans to use a gun

Question 3

Which of the following examples would be a hallucination?

Accepted Answer

A) A man believes that his dead wife is talking to him. 
B) A woman hears the doorbell ring and goes to answer it,but no one is there. 
C) A child sees a man standing in his closet.When the lights are turned on it is only a dry cleaning bag. 
D) A man believes that the dog has curled up on the bed,but when he gets closer he sees that it is a blanket. 
A) A man believes that his dead wife is talking to him. 
B) A woman hears the doorbell ring and goes to answer it,but no one is there. 
C) A child sees a man standing in his closet.When the lights are turned on it is only a dry cleaning bag. 
D) A man believes that the dog has curled up on the bed,but when he gets closer he sees that it is a blanket.

Question 4

Which of the following statements best describes the Mini-Mental State Examination?

Accepted Answer

A) Scores below 30 indicate cognitive impairment. 
B) It is a good tool to evaluate mood and thought processes. 
C) It is a good tool to detect delirium and dementia and to differentiate these from psychiatric mental illness. 
D) It is useful for an initial evaluation of mental status.Additional tools are needed to evaluate cognition changes over time. 
A) Scores below 30 indicate cognitive impairment. 
B) It is a good tool to evaluate mood and thought processes. 
C) It is a good tool to detect delirium and dementia and to differentiate these from psychiatric mental illness. 
D) It is useful for an initial evaluation of mental status.Additional tools are needed to evaluate cognition changes over time.

Question 5

To assess affect,the nurse should ask the patient:

Accepted Answer

A) "How do you feel today?" 
B) "Would you please repeat the following words?" 
C) "Have these medications had any effect on your pain?" 
D) "Has this pain affected your ability to get dressed by yourself?" 
A) "How do you feel today?" 
B) "Would you please repeat the following words?" 
C) "Have these medications had any effect on your pain?" 
D) "Has this pain affected your ability to get dressed by yourself?"

Question 6

A woman has come to the clinic to seek help with a substance abuse problem.She admits to using cocaine just before arrival.Which of the following describes what the nurse would expect to find when examining this woman?

Accepted Answer

A) Dilated pupils,pacing,psychomotor agitation 
B) Dilated pupils,unsteady gait,aggressiveness 
C) Pupil constriction,lethargy,apathy,dysphoria 
D) Constricted pupils,euphoria,decreased temperature 
A) Dilated pupils,pacing,psychomotor agitation 
B) Dilated pupils,unsteady gait,aggressiveness 
C) Pupil constriction,lethargy,apathy,dysphoria 
D) Constricted pupils,euphoria,decreased temperature

Question 7

A 26-year-old woman was robbed and beaten a month ago.She is returning to the clinic today for a follow-up assessment.The nurse would want to be certain to ask her:

Accepted Answer

A) "How are things going with the trial?" 
B) "How are things going with your job?" 
C) "Tell me about your recent engagement!" 
D) "Are you having any disturbing dreams?" 
A) "How are things going with the trial?" 
B) "How are things going with your job?" 
C) "Tell me about your recent engagement!" 
D) "Are you having any disturbing dreams?"

Question 8

A patient repeats,"I feel hot.Hot,cot,rot,tot,got.I'm a spot." This is an illustration of:

Accepted Answer

A) blocking. 
B) clanging. 
C) echolalia. 
D) neologism. 
A) blocking. 
B) clanging. 
C) echolalia. 
D) neologism.

Question 9

During an interview,the nurse notes that the patient gets up several times to wash her hands even though they are not dirty.This is an example of:

Accepted Answer

A) social phobia. 
B) compulsive disorder. 
C) generalized anxiety disorder. 
D) posttraumatic stress disorder. 
A) social phobia. 
B) compulsive disorder. 
C) generalized anxiety disorder. 
D) posttraumatic stress disorder.

A 45-year-old woman is at the clinic for a mental status assessment.In giving her the Four Unrelated Words Test,the nurse would be concerned if:

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

Which of the following examples would be a hallucination?

Which of the following statements best describes the Mini-Mental State Examination?

To assess affect,the nurse should ask the patient:

A woman has come to the clinic to seek help with a substance abuse problem.She admits to using cocaine just before arrival.Which of the following describes what the nurse would expect to find when examining this woman?

A 26-year-old woman was robbed and beaten a month ago.She is returning to the clinic today for a follow-up assessment.The nurse would want to be certain to ask her:

A patient repeats,"I feel hot.Hot,cot,rot,tot,got.I'm a spot." This is an illustration of:

During an interview,the nurse notes that the patient gets up several times to wash her hands even though they are not dirty.This is an example of:

Critical Thinking in Health Assessment

Developmental Tasks and Health Promotion Across the Life Cycle

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Domestic Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, vital Signs

Pain Assessment: the Fifth Vital Sign

Nutritional Assessment

Skin, hair, and Nails

Head, face, and Neck, including Regional Lymphatics

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus,rectum,and Prostate

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Reassessment of the Hospitalized Adult

The Pregnant Female

Functional Assessment of the Older Adult

Filters

Exam 6: Mental Status Assessment

A 45-year-old woman is at the clinic for a mental status assessment.In giving her the Four Unrelated Words Test,the nurse would be concerned if:

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

Which of the following examples would be a hallucination?

Which of the following statements best describes the Mini-Mental State Examination?

To assess affect,the nurse should ask the patient:

A woman has come to the clinic to seek help with a substance abuse problem.She admits to using cocaine just before arrival.Which of the following describes what the nurse would expect to find when examining this woman?

A 26-year-old woman was robbed and beaten a month ago.She is returning to the clinic today for a follow-up assessment.The nurse would want to be certain to ask her:

A patient repeats,"I feel hot.Hot,cot,rot,tot,got.I'm a spot." This is an illustration of:

During an interview,the nurse notes that the patient gets up several times to wash her hands even though they are not dirty.This is an example of:

Critical Thinking in Health Assessment

Developmental Tasks and Health Promotion Across the Life Cycle

Cultural Competence: Cultural Care

The Interview

The Complete Health History

Domestic Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, vital Signs

Pain Assessment: the Fifth Vital Sign

Nutritional Assessment

Skin, hair, and Nails

Head, face, and Neck, including Regional Lymphatics

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatics

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Musculoskeletal System

Neurologic System

Male Genitourinary System

Anus,rectum,and Prostate

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Reassessment of the Hospitalized Adult

The Pregnant Female

Functional Assessment of the Older Adult

Filters