Mental Health Assessment (Holistic Exam 3) Questions With
Complete Solutions
2010 definition of the World Health Organization (WHO),
which states that mental health requires which of the following
components? (Select all) Correct Answer - A state of well-
being
- Ability to cope with the normal stresses of life
- Ability to work productively
- Ability to make a contribution to one's community
A nurse begins the mental status exam of an older adult. Before
assessing the client's though processes and perceptions, the
nurse should first obtain the results of what other assessment?
Correct Answer Vision and hearing before assuming the client
has a mental problem
A nurse is working with a client who appears to have some form
of cognitive impairment. He has a high fever, the nurse suspects
delirium. Which assessment tool should the nurse use? Correct
Answer CAM (Confusion Assessment Method)
A nurse just assessed a client using the St. Louis University
Mental Status (SLUMS exam). From his health record, the nurse
sees that the client graduated from high school. Which of the
following scores would indicate mild cognitive impairment in
this client? Correct Answer 25
- For clients w/ a high school education a score of 20-27 on the
SLUMS exam indicates mild cognitive impairment
, A nurse performs an admission assessment and notices that a
client's speech is slow and the client has difficulty answering
some of the questions. How can the nurse differentiate the cause
of the client's slow speech? Correct Answer Have the client
read a few sentences out loud
A nurse reviews the documentation of the nurse on the previous
shift and finds that the client was obtunded. The nurse
anticipates that the client will respond to stimulation in what
matter? Correct Answer Opens eyes to a loud voice and
answers with confusion
A nurse uses the Glasgow Coma Scale to assess a client's
response to stimuli. The client receives a score of 10. Which of
the following is the client's status? Correct Answer In need of
emergency attention; client with a score of 7 or lower is
generally considered to be in a coma
A nurse wants to assess a client's orientation. The nurse
recognizes that which orientation is usually lost first when the
client is confused? Correct Answer Time is lost first,
orientation to person is last
A older adult client is brought to the clinic by the client's
daughter who voices concerns about changes in her parent's
mental status. What behavior would the nurse look for to
formulate a plan of care for dementia? Correct Answer Defers
to a family member to answer question directed to the client
- Other signs are unintentionally failing to follow instructions,
having difficulty finding the right words or using inappropriate
Complete Solutions
2010 definition of the World Health Organization (WHO),
which states that mental health requires which of the following
components? (Select all) Correct Answer - A state of well-
being
- Ability to cope with the normal stresses of life
- Ability to work productively
- Ability to make a contribution to one's community
A nurse begins the mental status exam of an older adult. Before
assessing the client's though processes and perceptions, the
nurse should first obtain the results of what other assessment?
Correct Answer Vision and hearing before assuming the client
has a mental problem
A nurse is working with a client who appears to have some form
of cognitive impairment. He has a high fever, the nurse suspects
delirium. Which assessment tool should the nurse use? Correct
Answer CAM (Confusion Assessment Method)
A nurse just assessed a client using the St. Louis University
Mental Status (SLUMS exam). From his health record, the nurse
sees that the client graduated from high school. Which of the
following scores would indicate mild cognitive impairment in
this client? Correct Answer 25
- For clients w/ a high school education a score of 20-27 on the
SLUMS exam indicates mild cognitive impairment
, A nurse performs an admission assessment and notices that a
client's speech is slow and the client has difficulty answering
some of the questions. How can the nurse differentiate the cause
of the client's slow speech? Correct Answer Have the client
read a few sentences out loud
A nurse reviews the documentation of the nurse on the previous
shift and finds that the client was obtunded. The nurse
anticipates that the client will respond to stimulation in what
matter? Correct Answer Opens eyes to a loud voice and
answers with confusion
A nurse uses the Glasgow Coma Scale to assess a client's
response to stimuli. The client receives a score of 10. Which of
the following is the client's status? Correct Answer In need of
emergency attention; client with a score of 7 or lower is
generally considered to be in a coma
A nurse wants to assess a client's orientation. The nurse
recognizes that which orientation is usually lost first when the
client is confused? Correct Answer Time is lost first,
orientation to person is last
A older adult client is brought to the clinic by the client's
daughter who voices concerns about changes in her parent's
mental status. What behavior would the nurse look for to
formulate a plan of care for dementia? Correct Answer Defers
to a family member to answer question directed to the client
- Other signs are unintentionally failing to follow instructions,
having difficulty finding the right words or using inappropriate
