Transitions exam 1 questions with
correct answers graded A+
mental status assessment - correct answer ✔✔ appearance, behavior, cognition, thought
process
appearance - correct answer ✔✔ Grooming, facial expression, tremors, dress, skin condition,
identifying characteristics (e.g. tattoos, piercings), scars, age, body build, position, alertness,
affect
Psychomotor: gait, pacing, crying, threatening, withdrawn, angry, suspicious, attention to
events, eye contact, agitation, tremor, grimace
Behavior - correct answer ✔✔ Physical: pacing, crying, threatening, withdrawn, angry,
suspicious, attention to events, eye contact, agitation, tremor, grimace
Speech: loud, quiet, slow, rapid, over-talkative, pressured, mute, slurred, incoherent, stuttering,
long pauses, mute
Self-care: sleep insufficient or excessive, appetite poor or excessive
cognition - correct answer ✔✔ Orientation (time, place, person)
State of consciousness: lethargic, drowsy, hyper-vigilant
Mood: depressed, euphoric, labile
Memory: impaired (past/present) intact
Concentration: poor/good
Judgement: impaired/good
,Insight: none/limited/goodThoughts
thought process - correct answer ✔✔ Content: suicidal, homicidal, guilt, worthlessness,
hopelessness, obsessions, ruminations, phobias, paranoia, hallucinations, delusions
Process: coherence, logical, perseveration, flight of ideas, blocking, tangential, attention
(distractible, concentration)
Psychological Obstacles to Productive Work Habits - correct answer ✔✔ 1. Unclear goals and
priorities: lack clarity about purpose and expected work outcomes
2. Conquistador of chaos: constantly overburdened with tasks, events, urgent requests, and last-
minute cancellations
3. Fear of downtime: feel guilty with "timeouts" or time off
4. Need to be a caretaker: need to be a caretaker is unbalanced
5. Fear of failure: avoid making the effort because you may fail
6. Fear of success: sometime in life you've received the message that you do not deserve
success
7. Fear of disrupting the status quo: not pursuing your goals for fear of the reactions of those
around you
8. Fear of completion: afraid of completing projects for various reasons
9. Need for perfection: demand extremely high standards for every single task
10. Fear of losing creativity: feel that creating an organized time management structure harms
creative tendencies
Carefully consider how these obstacles may affect your personal ability to develop productive,
energetic work habits
,1. A nurse is very interested in hospice care and is considering a position that has become open
in that department. The nurse's spouse and family are not in favor of the move. The nurse
withdraws the application based on the obstacle of:
A.fear of failure
B.fear of success
C.fear of disrupting the status quo
D.fear of completion - correct answer ✔✔ ANS: C
Rationale:
C is correct because fear of disrupting the status quo prevents one from pursing goals because
of worrying about the reactions of others such as family and friends. A is incorrect because fear
of failure is an obstacle that is based on concern that one will not be able to meet personal
goals or successfully complete an important project or task. B is incorrect because fear of
success is the planted idea that one does not deserve to succeed. D is incorrect because fear of
completion is a concern that a fun creative project may not be offered again.
Energy Management - correct answer ✔✔ Four Sources of Energy
Required to Perform Our Best
Physical - Requires attention to proper eating, adequate sleep, rest, exercise, and hydration in
order to pay attention to mental, spiritual, and emotional capacities
Mental- Being optimistic while working toward optimal solutions to problems. Ability to
maintain sustained concentration to focus on a task. Mental preparation to visualize success.
Positive self-talk.
Spiritual- Take time to think about what's important in your life. What direction do you see
yourself taking in life? Taking time to grow patience and looking at issues/challenges objectively
, Emotional- Physical, mental, and spiritual energies to manage emotions to improve: self-
confidence, self-control, self-regulation, social skills, interpersonal effectiveness, empathy,
patience, openness, trust to enjoy life.
External Time and Energy Distractions - correct answer ✔✔ Interruptions
Socializing or visitors
Meetings
Excessive paperwork
Understaffing
Lack of information
Ineffective communication
Lack of feedback
Travel
Inadequate policies and procedures
Incompetent or uncooperative coworkers
Poor filing systems
Personnel or coworkers with problems
Lack of teamwork
Duplicating efforts
Confusing lines of authority, responsibility, and communication
Bureaucratic red tape
Junk mail
Waiting, meeting delays
Internal Time and Energy Distractions - correct answer ✔✔ Procrastination
Inadequate planning
Ineffective delegation
correct answers graded A+
mental status assessment - correct answer ✔✔ appearance, behavior, cognition, thought
process
appearance - correct answer ✔✔ Grooming, facial expression, tremors, dress, skin condition,
identifying characteristics (e.g. tattoos, piercings), scars, age, body build, position, alertness,
affect
Psychomotor: gait, pacing, crying, threatening, withdrawn, angry, suspicious, attention to
events, eye contact, agitation, tremor, grimace
Behavior - correct answer ✔✔ Physical: pacing, crying, threatening, withdrawn, angry,
suspicious, attention to events, eye contact, agitation, tremor, grimace
Speech: loud, quiet, slow, rapid, over-talkative, pressured, mute, slurred, incoherent, stuttering,
long pauses, mute
Self-care: sleep insufficient or excessive, appetite poor or excessive
cognition - correct answer ✔✔ Orientation (time, place, person)
State of consciousness: lethargic, drowsy, hyper-vigilant
Mood: depressed, euphoric, labile
Memory: impaired (past/present) intact
Concentration: poor/good
Judgement: impaired/good
,Insight: none/limited/goodThoughts
thought process - correct answer ✔✔ Content: suicidal, homicidal, guilt, worthlessness,
hopelessness, obsessions, ruminations, phobias, paranoia, hallucinations, delusions
Process: coherence, logical, perseveration, flight of ideas, blocking, tangential, attention
(distractible, concentration)
Psychological Obstacles to Productive Work Habits - correct answer ✔✔ 1. Unclear goals and
priorities: lack clarity about purpose and expected work outcomes
2. Conquistador of chaos: constantly overburdened with tasks, events, urgent requests, and last-
minute cancellations
3. Fear of downtime: feel guilty with "timeouts" or time off
4. Need to be a caretaker: need to be a caretaker is unbalanced
5. Fear of failure: avoid making the effort because you may fail
6. Fear of success: sometime in life you've received the message that you do not deserve
success
7. Fear of disrupting the status quo: not pursuing your goals for fear of the reactions of those
around you
8. Fear of completion: afraid of completing projects for various reasons
9. Need for perfection: demand extremely high standards for every single task
10. Fear of losing creativity: feel that creating an organized time management structure harms
creative tendencies
Carefully consider how these obstacles may affect your personal ability to develop productive,
energetic work habits
,1. A nurse is very interested in hospice care and is considering a position that has become open
in that department. The nurse's spouse and family are not in favor of the move. The nurse
withdraws the application based on the obstacle of:
A.fear of failure
B.fear of success
C.fear of disrupting the status quo
D.fear of completion - correct answer ✔✔ ANS: C
Rationale:
C is correct because fear of disrupting the status quo prevents one from pursing goals because
of worrying about the reactions of others such as family and friends. A is incorrect because fear
of failure is an obstacle that is based on concern that one will not be able to meet personal
goals or successfully complete an important project or task. B is incorrect because fear of
success is the planted idea that one does not deserve to succeed. D is incorrect because fear of
completion is a concern that a fun creative project may not be offered again.
Energy Management - correct answer ✔✔ Four Sources of Energy
Required to Perform Our Best
Physical - Requires attention to proper eating, adequate sleep, rest, exercise, and hydration in
order to pay attention to mental, spiritual, and emotional capacities
Mental- Being optimistic while working toward optimal solutions to problems. Ability to
maintain sustained concentration to focus on a task. Mental preparation to visualize success.
Positive self-talk.
Spiritual- Take time to think about what's important in your life. What direction do you see
yourself taking in life? Taking time to grow patience and looking at issues/challenges objectively
, Emotional- Physical, mental, and spiritual energies to manage emotions to improve: self-
confidence, self-control, self-regulation, social skills, interpersonal effectiveness, empathy,
patience, openness, trust to enjoy life.
External Time and Energy Distractions - correct answer ✔✔ Interruptions
Socializing or visitors
Meetings
Excessive paperwork
Understaffing
Lack of information
Ineffective communication
Lack of feedback
Travel
Inadequate policies and procedures
Incompetent or uncooperative coworkers
Poor filing systems
Personnel or coworkers with problems
Lack of teamwork
Duplicating efforts
Confusing lines of authority, responsibility, and communication
Bureaucratic red tape
Junk mail
Waiting, meeting delays
Internal Time and Energy Distractions - correct answer ✔✔ Procrastination
Inadequate planning
Ineffective delegation
