MARYVILLE NURS 612 FINAL EXAM UPDATED
EXAM SCRIPT WITH COMPLETE ANSWERS
◉ A patient scores a 3 on a mini-cog assessment instrument for
dementia, What does this score indicate?
A. Advanced dementia
B. Early dementia
C. Need for further evaluation
D. Negative screen for dementia.
Answer: D. Negative screen for dementia
◉ The examiner asks the patient to complete this statement: "A bird
is to air as a fish is to _________." This is an example of what type of
testing?
A Calculation
B Analogies
C Judgment
D Mood and feelings.
Answer: B. Analogies
,◉ Assume that the patients response to the examiner in question 3
is scales. What does this response likely reflect?
A. Left cerebral hemisphere lesion
B. Depression
C. eating disorder
D. Aphasia.
Answer: A. Left cerebral hemisphere lesion
◉ Which type of assessment should be used to evaluate the mental
status of a patient with head trauma?
A. PHQ
B. Perceptual distortion assessment
C. Glasgow Coma Scale
D. Functional Assessment.
Answer: C. Glasgow Coma Scale
◉ Which of the following indicates possible cognitive impairment?
A. ability to complete personal care without assistance
B. Suspiciousness or inappropriate affect
C. Articulate communication
D. Prudent behavior and calm demeanor.
Answer: B. Suspiciousness or inappropriate affect
,◉ A 65-year old woman is brought to the clinic by family. They
report thieve have noticed a change in her mental abilities over the
past 2 weeks. Normally they say she is independent, intelligent and
very socially oriented. Medical history is unremarkable except for
congestive heart failure, for which she takes digoxin. She has had no
major changes in her health. What questions would be most
important for the examiner to ask the woman's family?
A. Is there a family hx of Alzheimers?
B. How much alcohol does she drink in an average week?
C. When was her digoxin level last checked?
D. Did you know that the mental function begins to decline after the
age of 60 ?.
Answer: C. When was her digoxin level last checked?
◉ A patient who has difficulty writing or drawing is most likely to
have what condition?
A. Temporal lobe damage
B. Peripheral neuropathy
C. Organic brain syndrome
D. Psyciatric hallucinations.
Answer: B. Peripheral Neuropathy
, ◉ A mother brings her 18 month old to the clinic. The child rarely
talks or smiles or makes eye contact. She has also notice he does not
like to be held. She says his motor development seems to be normal.
What are these symptoms consistent with?
A. Dementia
B. Autistic disorder
C. ADHD
D. Delirium.
Answer: B. Autistic disorder
◉ A patient with Alzheimers disease classically displays which of the
following?
A. alternating periods of mania and stupor
B. Hallucinations and decorticate posturing
C. Disintegration of personality
D. Rapid onset of symptoms.
Answer: C. Disintegration of personality
◉ While examining a newborn male infant, the examiner palpates a
testicle in the inguinal canal that cannot be pushed into the scrotum.
this finding is consistent with what?
A. A retractile testi
B. Ambiguous genitalia
EXAM SCRIPT WITH COMPLETE ANSWERS
◉ A patient scores a 3 on a mini-cog assessment instrument for
dementia, What does this score indicate?
A. Advanced dementia
B. Early dementia
C. Need for further evaluation
D. Negative screen for dementia.
Answer: D. Negative screen for dementia
◉ The examiner asks the patient to complete this statement: "A bird
is to air as a fish is to _________." This is an example of what type of
testing?
A Calculation
B Analogies
C Judgment
D Mood and feelings.
Answer: B. Analogies
,◉ Assume that the patients response to the examiner in question 3
is scales. What does this response likely reflect?
A. Left cerebral hemisphere lesion
B. Depression
C. eating disorder
D. Aphasia.
Answer: A. Left cerebral hemisphere lesion
◉ Which type of assessment should be used to evaluate the mental
status of a patient with head trauma?
A. PHQ
B. Perceptual distortion assessment
C. Glasgow Coma Scale
D. Functional Assessment.
Answer: C. Glasgow Coma Scale
◉ Which of the following indicates possible cognitive impairment?
A. ability to complete personal care without assistance
B. Suspiciousness or inappropriate affect
C. Articulate communication
D. Prudent behavior and calm demeanor.
Answer: B. Suspiciousness or inappropriate affect
,◉ A 65-year old woman is brought to the clinic by family. They
report thieve have noticed a change in her mental abilities over the
past 2 weeks. Normally they say she is independent, intelligent and
very socially oriented. Medical history is unremarkable except for
congestive heart failure, for which she takes digoxin. She has had no
major changes in her health. What questions would be most
important for the examiner to ask the woman's family?
A. Is there a family hx of Alzheimers?
B. How much alcohol does she drink in an average week?
C. When was her digoxin level last checked?
D. Did you know that the mental function begins to decline after the
age of 60 ?.
Answer: C. When was her digoxin level last checked?
◉ A patient who has difficulty writing or drawing is most likely to
have what condition?
A. Temporal lobe damage
B. Peripheral neuropathy
C. Organic brain syndrome
D. Psyciatric hallucinations.
Answer: B. Peripheral Neuropathy
, ◉ A mother brings her 18 month old to the clinic. The child rarely
talks or smiles or makes eye contact. She has also notice he does not
like to be held. She says his motor development seems to be normal.
What are these symptoms consistent with?
A. Dementia
B. Autistic disorder
C. ADHD
D. Delirium.
Answer: B. Autistic disorder
◉ A patient with Alzheimers disease classically displays which of the
following?
A. alternating periods of mania and stupor
B. Hallucinations and decorticate posturing
C. Disintegration of personality
D. Rapid onset of symptoms.
Answer: C. Disintegration of personality
◉ While examining a newborn male infant, the examiner palpates a
testicle in the inguinal canal that cannot be pushed into the scrotum.
this finding is consistent with what?
A. A retractile testi
B. Ambiguous genitalia
