fully explore
during the
interview?
1. During an examination, the nurse can assess mental 8. A patient is
status by which activity? admitted to
the unit after
an automo-
bile
2. The nurse is assessing the mental status of a child.
accident. The
Which statement about children and mental status is
nurse begins
true?
the mental
status ex-
3. The nurse is assessing a 75-year-old man. As the amination
nurse begins the mental status portion of the assess- and finds
ment, the nurse expects that this patient: that the
patient has
dysarthric
4. When assessing aging adults, the nurse knows that
one of the first things that should be assessed before
making judgments about their mental status is:
5. The nurse is preparing to conduct a mental status
examination. Which statement is true regarding the
mental status examination?
6. A woman brings her husband to the clinic for an ex-
amination. She is particularly worried because after a
recent fall, he seems to have lost a great deal of his
memory of recent events. Which statement reflects
the nurses best course of action?
7. The nurse is conducting a patient interview. Which
statement made by the patient should the nurse more
,Observing the pa- tient and inferring health or dysfunc- tion
All aspects of mental status in children are inter- dependent
May take a little longer to respond, but his gener-
al knowledge and abilities should not have declined.
Sensory-percep- tive abilities
Gathering mental status information during the health history
interview is usually sufficient.
Perform a com- plete mental sta- tus examination.
I never did too good in school.
Plan to defer the rest of the men-
, speech and is lethargic. The nurses best approach tal status exami-
regarding this examination is to: nation.
9. A patient has been in the intensive care unit for 10 Will be oriented
days. He has just been moved to the medical-surgical to place and per-
unit, and the admitting nurse is planning to perform son, but the pa-
a mental status examination. During the tests of cog- tient may not be
nitive function, the nurse would expect that he certain of the date.
10. During a mental status examination, the nurse wants How do you feel
to assess a patients affect. The nurse should ask the today?
patient which question?
11. The nurse is planning to assess new memory with a Give him the Four
patient. The best way for the nurse to do this would Unrelated Words
be to: Test
12. A 45-year-old woman is at the clinic for a mental Recall; after a
status assessment. In giving her the Four Unrelated 30-minute delay
Words Test, the nurse would be concerned if she
could not four unrelated words .
13. 14. During a mental status assessment, which ques- Tell me what
tion by the nurse would best assess a persons judg- you plan to do
ment? once you are dis-
charged from the
hospital.
14. Which of these individuals would the nurse consider Older adult man
at highest risk for a suicide attempt? who tells the nurse
that he is going
to join his wife in
heaven tomorrow
and plans to use a
gun
15. The nurse is performing a mental status assessment Her mother states
on a 5-year-old girl. Her parents are undergoing a bitter divorce
, and are worried about the effect it is having on their that her daughter
daughter. Which action or statement prefers to play with
toddlers instead of
4 B/ B55
during the
interview?
1. During an examination, the nurse can assess mental 8. A patient is
status by which activity? admitted to
the unit after
an automo-
bile
2. The nurse is assessing the mental status of a child.
accident. The
Which statement about children and mental status is
nurse begins
true?
the mental
status ex-
3. The nurse is assessing a 75-year-old man. As the amination
nurse begins the mental status portion of the assess- and finds
ment, the nurse expects that this patient: that the
patient has
dysarthric
4. When assessing aging adults, the nurse knows that
one of the first things that should be assessed before
making judgments about their mental status is:
5. The nurse is preparing to conduct a mental status
examination. Which statement is true regarding the
mental status examination?
6. A woman brings her husband to the clinic for an ex-
amination. She is particularly worried because after a
recent fall, he seems to have lost a great deal of his
memory of recent events. Which statement reflects
the nurses best course of action?
7. The nurse is conducting a patient interview. Which
statement made by the patient should the nurse more
,Observing the pa- tient and inferring health or dysfunc- tion
All aspects of mental status in children are inter- dependent
May take a little longer to respond, but his gener-
al knowledge and abilities should not have declined.
Sensory-percep- tive abilities
Gathering mental status information during the health history
interview is usually sufficient.
Perform a com- plete mental sta- tus examination.
I never did too good in school.
Plan to defer the rest of the men-
, speech and is lethargic. The nurses best approach tal status exami-
regarding this examination is to: nation.
9. A patient has been in the intensive care unit for 10 Will be oriented
days. He has just been moved to the medical-surgical to place and per-
unit, and the admitting nurse is planning to perform son, but the pa-
a mental status examination. During the tests of cog- tient may not be
nitive function, the nurse would expect that he certain of the date.
10. During a mental status examination, the nurse wants How do you feel
to assess a patients affect. The nurse should ask the today?
patient which question?
11. The nurse is planning to assess new memory with a Give him the Four
patient. The best way for the nurse to do this would Unrelated Words
be to: Test
12. A 45-year-old woman is at the clinic for a mental Recall; after a
status assessment. In giving her the Four Unrelated 30-minute delay
Words Test, the nurse would be concerned if she
could not four unrelated words .
13. 14. During a mental status assessment, which ques- Tell me what
tion by the nurse would best assess a persons judg- you plan to do
ment? once you are dis-
charged from the
hospital.
14. Which of these individuals would the nurse consider Older adult man
at highest risk for a suicide attempt? who tells the nurse
that he is going
to join his wife in
heaven tomorrow
and plans to use a
gun
15. The nurse is performing a mental status assessment Her mother states
on a 5-year-old girl. Her parents are undergoing a bitter divorce
, and are worried about the effect it is having on their that her daughter
daughter. Which action or statement prefers to play with
toddlers instead of
4 B/ B55
