NSG 3160 / NSG3160 EXAM 2: (NEW 2025/
2026 UPDATE) HEALTH ASSESSMENT REVIEW |
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
1. Define the term "Mental Disorder".
Pg. 63: A clinically significant behavioral, emotional, or cognitive
syndrome that is associated with distress or disability involving
social, occupational, or key activities.
2. Differentiate organic brain disorder from psychiatric
mental disorder.
Pg. 63: Organic Brain Disorder: Caused by brain disease of
known specific origin cause (delirium, dementia, alcohol & drug
intoxication, and withdrawal).
Psychiatric Mental Disorder: An organic etiology has not been
established (anxiety disorder or schizophrenia).
3. Describe the patient response level of consciousness that
would be graded as: Lethargic or Somnolent
Pg. 75: 2) Lethargic (Somnolent)
-Not fully alert
-Inattentive
-Drifts to sleep when not stimulated
-Loses train of thought
-Can be aroused to name when called in normal voice, but looks
drowsy
,-Spontaneous movements are decreased
-Responds appropriately to questions or commands, but thinking
seems slow or fuzzy
4. Describe the patient response level of consciousness that
would be graded as: Obtunded
Pg. 75: 3) Obtunded: Transitional state between lethargy or
stupor
-Sleeps most of the time
-Difficult to arouse- needs loud shout or vigorous shakes
-Acts confused when aroused
-Converses in monosyllables
-Speech may be mumbled & incoherent
-Requires constant stimulation for even marginal cooperation
5. Describe the patient response level of consciousness that
would be graded as: Stupor or semi-coma
Pg. 75: 4) Stupor or semi-coma
-Spontaneously unconsciousness
-Responds only to persistent & vigorous shakes or pain
-Has appropriate motor response (Ex: Withdraws hand to avoid
pain).
-Can only groan, mumble, or move restlessly
-Reflex activity persists
6. Describe the patient response level of consciousness that
would be graded as: Coma
Pg. 75: 5) Coma
-Completely unconscious
-No response to pain or internal stimuli
-Light coma has some reflex activity but no purposeful movement
-Deep coma has no motor response
, 7. Describe the patient response level of consciousness that
would be graded as: Delirium
Pg. 75: Delirium (Acute Confusional State)
-Clouding of Consciousness (Dulled cognition, impaired
alertness) -Inattentive
-Incoherent Conversation
-Impaired recent memory and confabulatory for recent events
-Often agitated and having visual hallucinations
-Disoriented with confusion worse at night when environmental
stimuli are decreased
8. During an examination, the nurse can assess mental status
by which activity?
A) Examining the patients' electroencephalogram.
B) Observing the patient as he or she performs an
intelligence quotient (IQ) test.
C) Observing the patient and inferring health or dysfunction.
D) Examining the patients' response to a specific set of
questions.: C) Oberving the patient and inferring health
dysfunction
Explanation: Mental status cannot be directly scrutinized, like the
characteristics of skin or heart sounds. Its functioning is inferred
through an assessment of an individual's behaviors, such as
consciousness, language, mood and affect, and other aspects.
9. The nurse is assessing a 75-year-old man. As the nurse
begins the mental status portion of the assessment. The
nurse expects that this patient:
A) Will have no decrease in any of his abilities, including
response time.
B) Will have difficulty on tests of remote memory because
this ability techni-cally decreases with age.
2026 UPDATE) HEALTH ASSESSMENT REVIEW |
QUESTIONS & ANSWERS| GRADE A| 100%
CORRECT (VERIFIED SOLUTIONS)- GALEN
1. Define the term "Mental Disorder".
Pg. 63: A clinically significant behavioral, emotional, or cognitive
syndrome that is associated with distress or disability involving
social, occupational, or key activities.
2. Differentiate organic brain disorder from psychiatric
mental disorder.
Pg. 63: Organic Brain Disorder: Caused by brain disease of
known specific origin cause (delirium, dementia, alcohol & drug
intoxication, and withdrawal).
Psychiatric Mental Disorder: An organic etiology has not been
established (anxiety disorder or schizophrenia).
3. Describe the patient response level of consciousness that
would be graded as: Lethargic or Somnolent
Pg. 75: 2) Lethargic (Somnolent)
-Not fully alert
-Inattentive
-Drifts to sleep when not stimulated
-Loses train of thought
-Can be aroused to name when called in normal voice, but looks
drowsy
,-Spontaneous movements are decreased
-Responds appropriately to questions or commands, but thinking
seems slow or fuzzy
4. Describe the patient response level of consciousness that
would be graded as: Obtunded
Pg. 75: 3) Obtunded: Transitional state between lethargy or
stupor
-Sleeps most of the time
-Difficult to arouse- needs loud shout or vigorous shakes
-Acts confused when aroused
-Converses in monosyllables
-Speech may be mumbled & incoherent
-Requires constant stimulation for even marginal cooperation
5. Describe the patient response level of consciousness that
would be graded as: Stupor or semi-coma
Pg. 75: 4) Stupor or semi-coma
-Spontaneously unconsciousness
-Responds only to persistent & vigorous shakes or pain
-Has appropriate motor response (Ex: Withdraws hand to avoid
pain).
-Can only groan, mumble, or move restlessly
-Reflex activity persists
6. Describe the patient response level of consciousness that
would be graded as: Coma
Pg. 75: 5) Coma
-Completely unconscious
-No response to pain or internal stimuli
-Light coma has some reflex activity but no purposeful movement
-Deep coma has no motor response
, 7. Describe the patient response level of consciousness that
would be graded as: Delirium
Pg. 75: Delirium (Acute Confusional State)
-Clouding of Consciousness (Dulled cognition, impaired
alertness) -Inattentive
-Incoherent Conversation
-Impaired recent memory and confabulatory for recent events
-Often agitated and having visual hallucinations
-Disoriented with confusion worse at night when environmental
stimuli are decreased
8. During an examination, the nurse can assess mental status
by which activity?
A) Examining the patients' electroencephalogram.
B) Observing the patient as he or she performs an
intelligence quotient (IQ) test.
C) Observing the patient and inferring health or dysfunction.
D) Examining the patients' response to a specific set of
questions.: C) Oberving the patient and inferring health
dysfunction
Explanation: Mental status cannot be directly scrutinized, like the
characteristics of skin or heart sounds. Its functioning is inferred
through an assessment of an individual's behaviors, such as
consciousness, language, mood and affect, and other aspects.
9. The nurse is assessing a 75-year-old man. As the nurse
begins the mental status portion of the assessment. The
nurse expects that this patient:
A) Will have no decrease in any of his abilities, including
response time.
B) Will have difficulty on tests of remote memory because
this ability techni-cally decreases with age.
