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NIH Stroke Scale – All Test Groups A-F (patients 1-6) Answer key Updated

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NIH Stroke Scale – All Test Groups A-F (patients 1-6) Answer key Updated

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Uploaded on
August 24, 2024
Number of pages
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Written in
2024/2025
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Practice questions for this set


Learn 1 /7 Study with Learn




A) "Are you using any substances to help manage your panic attacks?"
B) "Could your anxiety be a result of the verbal abuse you are experiencing?"
C) "Would you say that your diabetes has contributed to making you depressed?"
D) "You seem very angry today; are you particularly anxious about something?"



Choose matching term




Which questions asked by the nurse demonstrate an understanding of the various coexisting
conditions that contribute to the mental status of a client? Select all that apply.
A) "Are you using any substances to help manage your panic attacks?"
1 B) "Could your anxiety be a result of the verbal abuse you are experiencing?" C) "Would you say that
your diabetes has contributed to making you depressed?"
D) "You seem very angry today; are you particularly anxious about something?"
E) "Are you worried about how you will pay for this hospital stay?"




When discussing issues related to sexual health with the older adult client, which would be the best
approach by the nurse?
A) asking the client direct questions
2
B) being broad when offering suggestions
C) providing only limited information about sexual health treatments
D) avoiding psychosocial interventions




Which assessment notation describes a client's level of consciousness?
A) "Client was inattentive to the questions being asked."
3 B) "Client answered questions both logically and coherently."


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,8/24/24, 12:04 PM Final Exam Stuvia Flashcards | Quizlet
C) "Client was alert and cooperative during the assessment."
D) "Client demonstrated difficulty with recalling events occurring this morning."


What information should the nurse include when documenting the data associated with the physical
examination of a patient's eyes? (Select all that apply.)
A) Presence of double vision
4 B) Trauma to the eye
C) Diagnosis of diabetes
D) Shape and size of the pupils
E) Appearance of the optic disc



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Terms in this set (76)

The nurse is preparing to conduct a mental A) Level of consciousness
status examination with a patient. Which B) Posture
areas will the nurse include when assessing D) Facial expressions
the patient's appearance and behavior?
(Select all that apply.)
A) Level of consciousness
B) Posture
C) Articulation of words
D) Facial expressions
E) Orientation

What tools will the nurse use to assess a A) Number list
patient's for normal attention? (Select all that C) Serial 7s
apply.) E) Spelling backward
A) Number list
B) Calculations
C) Serial 7s
D) Proverbs
E) Spelling backward

During a health history, a patient tells the B) Conduct a mental health screening.
nurse about having pain that has lasted for
longer than 6 weeks. What action should the
nurse make at this time?
A) Begin high-yield screening questions.
B) Conduct a mental health screening.
C) Document the information.
D) Ask what medication is used for relief.

A patient tells the nurse not to bother with D) High-yield screening
an assessment since, "my condition is
"hopeless"." This response should cause the
nurse to perform which type of assessment?
A) Mental health screening
B) Appearance and behavior
C) Thought and perceptions
D) High-yield screening




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, 8/24/24, 12:04 PM Final Exam Stuvia Flashcards | Quizlet

While conducting a mental status history, the D) Speech and language
nurse notes that the patient is articulate,
makes spontaneous comments, and speaks
at a normal rate. For which section of the
history is this information important?
A) Appearance and behavior
B) Mood
C) Thoughts and perceptions
D) Speech and language

An older patient is demonstrating mental A) "What is today's date?"
status changes. Which question would the
nurse ask when conducting a mini-mental
state examination of this patient?
A) "What is today's date?"
B) "What are the parts of a watch?"
C) "Do you think that life is not worth living?"
D) "What do you think is wrong?"

A patient is concerned that the spouse is D) "Firearms in the home and substance abuse are risk factors."
planning to commit suicide. What can the
nurse respond to this patient?
A) "People who commit suicide do not
regularly see a physician."
B) "Two-thirds of attempted suicides are
unsuccessful."
C) "A chronic illness is the most reliable
indicator for a suicide attempt."
D) "Firearms in the home and substance
abuse are risk factors."

The nurse is documenting the findings from a C) Articulates needs verbally
mental status examination. After stating the
patient's appearance and behavior, what
should the nurse document next?
A) Loss of short-term memory
B) Appears sad
C) Articulates needs verbally
D) Feeling that doctors are drug pushers

Which characteristic observed in a recently A) Insomnia
widowed patient should prompt the nurse to B) Impaired decision making
assess the patient for possible early C) Anhedonia
depression? (Select all that apply.)
A) Insomnia
B) Impaired decision making
C) Anhedonia
D) Tearfulness
E) Reminiscing about their spouse




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