Quiz

Mental status
1.
A patient has had a cerebrovascular accident (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?
a. Global aphasia
b. Broca's aphasia
c. Echolalia
d. Wernicke's aphasia
2.
The following are factors affecting mental health select all that apply
a. Personality and spirituality
b. Lack of affection
c. Socioeconomic factors
d. Exposure to Violence
e. Domestic quarrel
f. Feeling sleepy in the classroom
3.
Nurse A assesses her patient and found out that her patient is
lethargic
a. Awakens to painful stimuli and then goes back to sleep
b. Unresponsive to all stimuli
c. Awake and oriented
d. Opens eyes and answers questions but falls back to sleep
4.
Nurse Leila assess her client using GCS. Which of the following
indicators will be used to determine the score, select all that apply.
a. Eye opening
b. Pupillary response
c. Verbal response
d. Motor response
5.
During a mental status examination, the nurse wants to assess a patient's
affect. The nurse should ask the patient which question?
a. "How do you feel today?“
b. "Would you please repeat the following words?“
c. "Has this pain affected your ability to get dressed by yourself?“
d. "Have these medications had any effect on your pain?"
 6.
The nurse is preparing to conduct a mental status examination. Which statement is true
regarding the mental status examination?
a. A patient's family is the best resource for information about the patient's coping skills.
b. Gathering mental status information during the health history interview is usually
sufficient.
c. Integrating the mental status examination into the health history interview takes an
enormous amount of extra time.
d. To get a good idea of the patient's level of functioning, performing a complete mental
status examination is usually necessary.
7.
The nurse is conducting a patient interview. Which statement
made by the patient should the nurse more fully explore during
the interview?
a. "I sleep like a baby.“
b. "I have no health problems.“
c. "I never did too good in school.“
d. "I am not currently taking any medications.“
8.
The nurse is assessing a patient who is admitted with possible
delirium. Which of these are manifestations of delirium? Select
all that apply.
a. Develops over a short period.
b. Rapid acute onset
c. Etiology: chronic disease
d. Duration: 2-20 years
 9.
During reporting, the nurse hears that a patient is experiencing hallucinations.
Which is an example of a hallucination?
a. Man believes that his dead wife is talking to him.
b. Woman hears the doorbell ring and goes to answer it, but no one is there.
c. Man believes that the dog has curled up on the bed, but when he gets closer,
he sees that it is a blanket.
d. Child sees a man standing in his closet. When the lights are turned on, it is
only a dry cleaning bag.
 10.
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 a dysthymic disorder and a major
depressive disorder, the nurse should ask which question?
a. "Have you had any weight changes?“
b. "Are you having any thoughts of suicide?“
c. "How long have you been feeling this way?“
d. "Are you having feelings of worthlessness?"
11.
During an interview, the nurse notes that the patient gets up
several times to wash her hands even though they are not dirty.
This behavior is an example of:
a. Social phobia
b. Compulsive disorder
c. Generalized anxiety disorder
d. Posttraumatic stress disorder
12.
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?
a. Cognitive impairment
b. Amnesia
c. Delirium
d. Attention-deficit disorder
13.
A major characteristic of dementia is:
a. impaired short-term and long-term memory
b. hallucinations
c. sudden onset of symptoms
d. cognitive deficits that are substance-induced
14.
Although a full mental status examination may not be required for every
patient, the health care provider must address the four main components
during a health history and physical examination. The four components
are:
a. memory, attention, thought content, and perceptions
b. language, orientation, attention, and abstract reasoning
c. appearance, behavior, cognition, and thought process
d. mood, affect, consciousness, and orientation
15.
A full mental status examination should be completed if the patient:
a. has a change in behavior and the family is concerned
b. develops dysphagia
c. has a new diagnosis of type 2 diabetes mellitus
d. complains of insomnia
16.
Vitamin B1
a. Ascorbic acid
b. Thiamine
c. Riboflavin
d. Niacin
17.
Korsakoff Syndrome
a. Alcohol
b. MJ
c. Cocaine
d. All of the above
18.
Stupor
a. Eyes stays closed
b. Clients awakens to vigorous shake
c. Client opens eyes to loud voice
d. Client answer questions
19.
You check the GCS of your patient who have been suffering
from head injury. You ask your patient to raise his upper
extremity and he obeys your command. What is your score?
a. 6
b. 4
c. 3
d. 2
20.
The score for your patient GCS is 3. How will you describe
your findings?
a. Comatose
b. Stuporous
c. Lethargic
d. None of the above
21.
“when did you get your first job?” is an example of questions
assessing
a. Remote memory
b. Recent memory
c. Judgment
d. concentration
22.
Nurse Charles is assessing his patient who he observed is having
irregular and severe mood swings. Nurse Charles documented
that his patient is having
a. Flat affect
b. Blunted affect
c. Euthymic affect
d. Labile affect
23.
Nurse lily is identifying the cause of confusion of her patient presenting
dementia. Which statement is correct?
a. The patient with dementia is generally in normal alertness state
b. The patient with dementia is often abrupt onset
c. The patient with dementia can last weeks to months or years
d. The patient with dementia’s thinking is intact
24.
Which is not a statement about the S/S of Alzheimer's Disease?
a. There is a change in the mood or personality
b. Patient withdraw from work or social activities
c. Patient is confused with time or place
d. Patient is nauseated all the time
25.
You will be assessing the level of consciousness of your
patient. What is the best way to begin your assessment?
a. Head to toe assessment
b. Cephalocaudal assessment
c. Begin from least noxious stimuli
d. All of the above
26.
Manifest itself in a cluster of behavior, cognitive and
physiologic phenomena that develop after repeated substance
abuse
a. Dependence syndrome
b. Substance abuse
c. Use of psychoactive substances
d. All of the above
27.

Which is not a long-term effects of marijuana

a. Impaired visual abilities
b. Thinking memory
c. Learning impairment
d. Feeling of elation
28.
Which of the following represents the nurse’s documentation of a
patient with normal mood?
A. Pleasant or appropriate to situation
B. Grandiose or strongly confident
C. Fearful but mildly humble and meek
D. Sad and tearful during conversation
29.
A nurse is working with a new patient, doing a standard assessment. To
establish rapport, the nurse would use which of the following statements?
A. “These are questions that I ask all my patients.”
B. “Don’t worry because we are used to working with patients.”
C. “We’re here because we want to help people with mental health
issues.”
D. “These questions are silly, but I have to ask them.”
30.
Normal speech is audible. This is a normal finding describing
which quality of speech?
A. Fluency
B. Quality
C. Loudness
D. Articulation