Mental Health Nursing ATI Questions with correct answers

Mental Status Examination (MSE) includes: Correct Answer - - Level of Consciousness - Physical Appearance - Behavior - Cognitive and Intellectual abilities Level of Consciousness Correct Answer - - Alert - Lethargy - Stuporous - Comatose Alert Correct Answer - The client is responsive and able to fully respond by opening her eyes and attending to a normal tone of voice and speech. She answers questions spontaneously and appropriately. Lethargic Correct Answer - The client is able to open her eyes and respond but is drowsy and falls asleep readily. Stuporous Correct Answer - The client requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit a brief response. She may not be able to respond verbally. Comatose Correct Answer - the client is unconscious and does not respond to painful stimuli Abnormal posturing in the client who is comatose: - Decorticate Rigidity