HEALTH ASSESSMENT CHAPTER 5 MENTAL STATUS
ASSESSMENT, JARVIS: PHYSICAL EXAMINATION AND
HEALTH ASSESSMENT CHAPTER 1 to 5. ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
4 - Answer-What is the maximum score given to a patient in the Mini-Mental State
Examination (MMSE)?
1. 5
2. 20
3. 25
4. 30
1 - Answer-The nurse is caring for a child with posttraumatic stress disorder (PTSD).
Which other condition is the patient susceptible to develop as a result of the PTSD?
1Anxiety
2. Delirium
3. Dementia
4. Alzheimer disease
3 - Answer-A patient asks, "Where is that thing I use to read the newspaper?" and the
nurse figures out that the patient wants glasses. Which thought process abnormality is
this an example of?
1.Perseveration
2. Confabulation
3. Circumlocution
4. Circumstantiality
1 - Answer-When should an infant be tested for language development skills using a
one-word sentence?
1. 1 year
2. 2 years
3. 4 weeks
4. 6 weeks
, HEALTH ASSESSMENT CHAPTER 5 MENTAL STATUS
ASSESSMENT, JARVIS: PHYSICAL EXAMINATION AND
HEALTH ASSESSMENT CHAPTER 1 to 5. ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
3 - Answer-While assessing a patient in the intensive care unit, the nurse observes that
the patient is responding to touch only on persistent and vigorous shaking. The nurse
also notices that the patient withdraws both hands when pressure is applied to the nail
beds. What does the nurse conclude from these findings?
1.The patient is in a coma.
2. The patient is lethargic.
3. The patient is in a semi-coma.
4. The patient is in an acute confusional state.
3, 4, 5 - Answer-Which findings of a mental status examination of an adolescent
patient are considered normal? Select all that apply.
1. The patient has darting, watchful eyes.
2. The patient has a flat, masklike facial expression.
3. The patient has a moderate pace of conversation.
4. The patient has tattoos and piercings on the body.
5. The patient has worn jeans that are torn at the knees.
3 - Answer-Which mental disorder is associated with agnosia?
1. Anxiety
2. Hallucinations
3. Dementia
4. Depression
3 - Answer-The nurse is assessing a patient with anxiety and depression using the
Generalized Anxiety Disorder (GAD) scale. After assessment, the nurse concludes
that the patient has moderate levels of anxiety. What was the patient's score on the
GAD scale?
1. 0
2. 5
3. 10
, HEALTH ASSESSMENT CHAPTER 5 MENTAL STATUS
ASSESSMENT, JARVIS: PHYSICAL EXAMINATION AND
HEALTH ASSESSMENT CHAPTER 1 to 5. ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
4. 15
1, 5 - Answer-Which emotional characteristics are common in a patient with clinical
depression? Select all that apply.
1. Irritability
2. Aggression
3. Rapid mood swings
4. Hallucinations
5. Extreme sadness
4 - Answer-The nurse is performing a mental status assessment using the Mini-Cog
tests in an older adult patient. The nurse observes that the patient is able to recall all
three words that were stated to the patient as a part of the test. The patient, however,
draws an abnormal clock with misplaced numbers, and presents the hour hand and
minute hand in the wrong position. What does the nurse conclude from these
findings?
1. The patient has dementia.
2. The patient has depression.
3. The patient has confusion.
4. The patient has cognitive impairment.
4 - Answer-What characteristic abnormality can be observed in a child with
oppositional defiant disorder (ODD)?
1.Elation
2. Lability
3. Euphoria
4. Irritability
1 - Answer-Which disability will be seen in a patient with organic dementia?
1. The patient recalls events only from his or her childhood.
, HEALTH ASSESSMENT CHAPTER 5 MENTAL STATUS
ASSESSMENT, JARVIS: PHYSICAL EXAMINATION AND
HEALTH ASSESSMENT CHAPTER 1 to 5. ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
2. The patient remembers only most recent events.
3. The patient demonstrates unilateral neglect.
4. The patient has expressive and receptive aphasia.
4 - Answer-The patient visits the hospital for a routine health checkup, claims to be
extremely sick, and expresses the desire to be admitted to the hospital. The test results
of the patient are all normal. Which mental disorder does the nurse expect to find in
the patient?
1. Hallucination
2. Perseveration
3. Circumlocution
4. Hypochondriasis
1 - Answer-During a conversation, the nurse finds that a 9-year-old child has
incomprehensible and jumbled language. The nurse also observes that the child uses
new words that have no real meaning. Which thought process abnormality does the
child exhibit?
1. Word salad
2. Confabulation
3. Circumstantiality
4. Loosening associations
1 - Answer-What does the nurse infer if a patient scores a 12 on the Patient Health
Questionnaire-9 (PHQ-9)?
1. Minor depression
2. Chronic depression
3. Major depression, severe
4. Major depression, moderately severe
ASSESSMENT, JARVIS: PHYSICAL EXAMINATION AND
HEALTH ASSESSMENT CHAPTER 1 to 5. ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
4 - Answer-What is the maximum score given to a patient in the Mini-Mental State
Examination (MMSE)?
1. 5
2. 20
3. 25
4. 30
1 - Answer-The nurse is caring for a child with posttraumatic stress disorder (PTSD).
Which other condition is the patient susceptible to develop as a result of the PTSD?
1Anxiety
2. Delirium
3. Dementia
4. Alzheimer disease
3 - Answer-A patient asks, "Where is that thing I use to read the newspaper?" and the
nurse figures out that the patient wants glasses. Which thought process abnormality is
this an example of?
1.Perseveration
2. Confabulation
3. Circumlocution
4. Circumstantiality
1 - Answer-When should an infant be tested for language development skills using a
one-word sentence?
1. 1 year
2. 2 years
3. 4 weeks
4. 6 weeks
, HEALTH ASSESSMENT CHAPTER 5 MENTAL STATUS
ASSESSMENT, JARVIS: PHYSICAL EXAMINATION AND
HEALTH ASSESSMENT CHAPTER 1 to 5. ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
3 - Answer-While assessing a patient in the intensive care unit, the nurse observes that
the patient is responding to touch only on persistent and vigorous shaking. The nurse
also notices that the patient withdraws both hands when pressure is applied to the nail
beds. What does the nurse conclude from these findings?
1.The patient is in a coma.
2. The patient is lethargic.
3. The patient is in a semi-coma.
4. The patient is in an acute confusional state.
3, 4, 5 - Answer-Which findings of a mental status examination of an adolescent
patient are considered normal? Select all that apply.
1. The patient has darting, watchful eyes.
2. The patient has a flat, masklike facial expression.
3. The patient has a moderate pace of conversation.
4. The patient has tattoos and piercings on the body.
5. The patient has worn jeans that are torn at the knees.
3 - Answer-Which mental disorder is associated with agnosia?
1. Anxiety
2. Hallucinations
3. Dementia
4. Depression
3 - Answer-The nurse is assessing a patient with anxiety and depression using the
Generalized Anxiety Disorder (GAD) scale. After assessment, the nurse concludes
that the patient has moderate levels of anxiety. What was the patient's score on the
GAD scale?
1. 0
2. 5
3. 10
, HEALTH ASSESSMENT CHAPTER 5 MENTAL STATUS
ASSESSMENT, JARVIS: PHYSICAL EXAMINATION AND
HEALTH ASSESSMENT CHAPTER 1 to 5. ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
4. 15
1, 5 - Answer-Which emotional characteristics are common in a patient with clinical
depression? Select all that apply.
1. Irritability
2. Aggression
3. Rapid mood swings
4. Hallucinations
5. Extreme sadness
4 - Answer-The nurse is performing a mental status assessment using the Mini-Cog
tests in an older adult patient. The nurse observes that the patient is able to recall all
three words that were stated to the patient as a part of the test. The patient, however,
draws an abnormal clock with misplaced numbers, and presents the hour hand and
minute hand in the wrong position. What does the nurse conclude from these
findings?
1. The patient has dementia.
2. The patient has depression.
3. The patient has confusion.
4. The patient has cognitive impairment.
4 - Answer-What characteristic abnormality can be observed in a child with
oppositional defiant disorder (ODD)?
1.Elation
2. Lability
3. Euphoria
4. Irritability
1 - Answer-Which disability will be seen in a patient with organic dementia?
1. The patient recalls events only from his or her childhood.
, HEALTH ASSESSMENT CHAPTER 5 MENTAL STATUS
ASSESSMENT, JARVIS: PHYSICAL EXAMINATION AND
HEALTH ASSESSMENT CHAPTER 1 to 5. ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
2. The patient remembers only most recent events.
3. The patient demonstrates unilateral neglect.
4. The patient has expressive and receptive aphasia.
4 - Answer-The patient visits the hospital for a routine health checkup, claims to be
extremely sick, and expresses the desire to be admitted to the hospital. The test results
of the patient are all normal. Which mental disorder does the nurse expect to find in
the patient?
1. Hallucination
2. Perseveration
3. Circumlocution
4. Hypochondriasis
1 - Answer-During a conversation, the nurse finds that a 9-year-old child has
incomprehensible and jumbled language. The nurse also observes that the child uses
new words that have no real meaning. Which thought process abnormality does the
child exhibit?
1. Word salad
2. Confabulation
3. Circumstantiality
4. Loosening associations
1 - Answer-What does the nurse infer if a patient scores a 12 on the Patient Health
Questionnaire-9 (PHQ-9)?
1. Minor depression
2. Chronic depression
3. Major depression, severe
4. Major depression, moderately severe
