MARYVILLE NURS 612 EXAM 4 LATEST VERSION WITH VERIFIED SOLUTIONS/A+ GRADE

A patients inability to follow simple instructions could indicate with of the following findings? A. Dysphonia B. Amnesia C. Aphasia D. Depression 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 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 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 Which type of assessment should be used to evaluate the mental status of a patient with head trauma? A. PHQ MARYVILLE NURS 612 EXAM 4 LATEST VERSION WITH VERIFIED SOLUTIONS/A+ GRADE B. Perceptual distortion assessment C. Glasgow Coma Scale D. Functional Assessment 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 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? 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 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 A patient with Alzheimers disease classically displays which of the following? MARYVILLE NURS 612 EXAM 4 LATEST VERSION WITH VERIFIED SOLUTIONS/A+ GRADE A. alternating periods of mania and stupor B. Hallucinations and decorticate posturing C. Disintegration of personality D. Rapid onset of symptoms 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 C. Inguinal hernia D. undescended testicle Genital self examination should be taught to patients who are at risk for? A. testicular cancer B. Peyronie disease C. STD D. prostate enlargement On exam of a patients scrotum you note the it is unusually thickened and it pits. What is one type of problem suggested by these findings? A. STD B. Squamous cellskin cancer C. Liver disease D. Autoimmune disease While examining the genitalia of a 2 yr old boy the examiner should be aware. A. scrotum has edema until age 4 B. Foreskin of uncircumcised penis is not fully retractable until age 3-4yrs C. testicles typically do not descend into the scrotum until age 5 D. Cremasteric reflex does not become evident until age 6-7. Which item in the patient history is considered a risk factor for cancer of the penis? A. circumcised at birth B. history of condyloma acuminatum infections C. Had congenital hydrocele MARYVILLE NURS 612 EXAM 4 LATEST VERSION WITH VERIFIED SOLUTIONS/A+ GRADE D. History of untreated epispadius In which of the following situations is transillumination of the scrotum indicated? A. presence of syphillis chancre is noted B. indirect hernia is palpated C. the examiner suspects a mass D. the examiners palpates the testes. The patient is asked to bear down while the examiner palpates the inguinal ring. The examiner feels a soft swelling sensation on the fingertip. The patient complains of pain while straining. These findings are consistent with which of the following? A. Indirect hernia B. Direct hernia C. Femoral hernia D. Rectal hernia The examiner inspects the scrotum of 43 yr old man. Which of the following requires further evaluation? A. left teticle hangs lower than the right B. Scrotum is darker than general skin color C. Skin on scrotum is shiny and smooth D. Scrotum has a midline raphe. Which finding may indicate diabetes? A. the vas deferens feels lumpy or beaded B. The testicle feels hard with a lump C. Sebaceous cysts are present on the scrotal skin D. The urethra has a slit like orifice During an examination for a hernia and adult male should: A. Be asked to stand B. be in a supine position C. sit on the table with heels together D. Assume a knee-chest position on the exam table.