NURS 327 ACTUAL TEST PAPER 2026
COMPLETE QUESTIONS AND SOLUTIONS
◉Behaviour part of MSA. Answer: - Describe how the client related
to the nurse during the interview (engaged? eye contact?)
- describe your data and observations
- motor activity (their posture, rate of movements ?pacing? and
coordination/gait)
◉Speech part of MSA. Answer: Rate, rhythm, amount, articulation,
volume
◉Emotional state of MSA. Answer: 1. MOOD: what the patient says.
How they feel rather than your interpretation. Scale of 1-10
2. AFFECT: what the nurse sees. What you see to make a judgement
of if the person is happy, sad etc.
◉Some types of affect. Answer: 1. Blunted: emotional response is in
the right direction but its a small response (correct but diminished)
2. Flat: no emotinal repsonse (dont show it)
3. Labile: affect or emotional state shifts at different times- very
quick shifts
,4. Bright: very good spirits/happy
5. Exaggerated: very intense and almost over the top expression
throughout interview
◉Perception part of MSA. Answer: * how the client perceives and
experiences the world
- hallucinations (responding to internal clues with no external
stimuli present) =can involve all sense
-illusions (external stimuli is present but its misinterpreted)
- feelings of unreality (depersonalization or derealization)
◉How could you ask a question about hallucinations . Whats
important to check?. Answer: 1. Sometimes people hear or see
things that no one else can. Has this ever happened to you?
2. Do you ever hear voices when no one else is in the room?
Be sur to assess safety: if patient experiences command
hallucinations ask if the feel compelled to listen to them
◉common clues to observe for hallucinations. Answer: - mumbling
to self
- looking away at times/distracted
- sudden pauses in converstation
- launding or smiling out of the blue
,- touching air
- scratching
◉Thought content part of MSA. Answer: - what the client thinks (any
phobias or obsessions)
- ex: delusions (fixed false beliefs) : dont argue just change the
subject
- ex: SI or HI
◉Thought process part of MSA. Answer: Refers to how they think
- how are their ideas or thoughts expressed
- assess for goal oriented thinking
- stream or form of thoughts (are they vague, repeating, telling
obvious lies)
- organization of ideas
◉Examples of disrupted thought processes. Answer: 1. Flight of
ideas: shifting from one topic to another
2. Tangential: discusses other topics and doesnt answer the question
asked
3. Word salad: mixture of seemingly random words and phrases
4. Neologism: new or made up words created by the individual
, 5. Clang assositations: Words said together based on sound rather
than concepts ex: hall, ball and call
◉Sensorium and cognition part of the MSA. Answer: - patients
insight (awarness of illness?)
- judgment and abstration (future thinking)
- ask what they would do in a situation or what a common proverb
means
- LOC
- memory
- serial 7s (back from 100 by 7s)
-comprehension and fund of knowledge
◉Form 3. Answer: Order to return a formal patient to a facility.
Filled out by any representative of the board. Filled when formal
patient goes AWOL or does not return after a pass is given.
Authorized peace officersn to return them back. Form 3 DOES NOT
expire
◉Form 4. Answer: Certificate of transfer into alberta. Minister of
health. If person meets criteria after being brought in will be issued
a form 1
COMPLETE QUESTIONS AND SOLUTIONS
◉Behaviour part of MSA. Answer: - Describe how the client related
to the nurse during the interview (engaged? eye contact?)
- describe your data and observations
- motor activity (their posture, rate of movements ?pacing? and
coordination/gait)
◉Speech part of MSA. Answer: Rate, rhythm, amount, articulation,
volume
◉Emotional state of MSA. Answer: 1. MOOD: what the patient says.
How they feel rather than your interpretation. Scale of 1-10
2. AFFECT: what the nurse sees. What you see to make a judgement
of if the person is happy, sad etc.
◉Some types of affect. Answer: 1. Blunted: emotional response is in
the right direction but its a small response (correct but diminished)
2. Flat: no emotinal repsonse (dont show it)
3. Labile: affect or emotional state shifts at different times- very
quick shifts
,4. Bright: very good spirits/happy
5. Exaggerated: very intense and almost over the top expression
throughout interview
◉Perception part of MSA. Answer: * how the client perceives and
experiences the world
- hallucinations (responding to internal clues with no external
stimuli present) =can involve all sense
-illusions (external stimuli is present but its misinterpreted)
- feelings of unreality (depersonalization or derealization)
◉How could you ask a question about hallucinations . Whats
important to check?. Answer: 1. Sometimes people hear or see
things that no one else can. Has this ever happened to you?
2. Do you ever hear voices when no one else is in the room?
Be sur to assess safety: if patient experiences command
hallucinations ask if the feel compelled to listen to them
◉common clues to observe for hallucinations. Answer: - mumbling
to self
- looking away at times/distracted
- sudden pauses in converstation
- launding or smiling out of the blue
,- touching air
- scratching
◉Thought content part of MSA. Answer: - what the client thinks (any
phobias or obsessions)
- ex: delusions (fixed false beliefs) : dont argue just change the
subject
- ex: SI or HI
◉Thought process part of MSA. Answer: Refers to how they think
- how are their ideas or thoughts expressed
- assess for goal oriented thinking
- stream or form of thoughts (are they vague, repeating, telling
obvious lies)
- organization of ideas
◉Examples of disrupted thought processes. Answer: 1. Flight of
ideas: shifting from one topic to another
2. Tangential: discusses other topics and doesnt answer the question
asked
3. Word salad: mixture of seemingly random words and phrases
4. Neologism: new or made up words created by the individual
, 5. Clang assositations: Words said together based on sound rather
than concepts ex: hall, ball and call
◉Sensorium and cognition part of the MSA. Answer: - patients
insight (awarness of illness?)
- judgment and abstration (future thinking)
- ask what they would do in a situation or what a common proverb
means
- LOC
- memory
- serial 7s (back from 100 by 7s)
-comprehension and fund of knowledge
◉Form 3. Answer: Order to return a formal patient to a facility.
Filled out by any representative of the board. Filled when formal
patient goes AWOL or does not return after a pass is given.
Authorized peace officersn to return them back. Form 3 DOES NOT
expire
◉Form 4. Answer: Certificate of transfer into alberta. Minister of
health. If person meets criteria after being brought in will be issued
a form 1
