Advanced Health Assessment - Comprehensive Final Exam Questions with Correct Answers 2025/2026

Advanced Health Assessment - Comprehensive Final
Exam Questions with Correct Answers 2025/2026

COMPONENTS OF MENTAL STATUS EXAM INCLUDE: - CORRECT ANSWER -A-B-C-T

APPEARANCE; posture, body movements, dress, grooming and hygiene

BEHAVIOR; LOC, Facial expression, speech, mood and affect

COGNITION; address, phone#, etc. date?, attention span, recent and remote memory, new
learning

THOUGHT PROCESS; perceptions, should be logical and consistent this person make sense?

how do people treat you?, do you feel you are being watched, followed or controlled? have you
heard your name when alone?



___________________ screens for Anxiety - CORRECT ANSWER -GAD- 7



questions to ask for depression or suicidal ideations: - CORRECT ANSWER -Depression:

Over the past two weeks, have you fell down, depressed or hopeless?

Over the past 2 weeks, have you felt little interest or pleasure in doing things?

Suicidal:

Have you ever felt so blue you thought of hurting yourself?

Do you have a plan to hurt yourself?

How would you do it?

***Must not ignore any talk of suicide***



When is a full mental status exam necessary? - CORRECT ANSWER -* Patients whose initial
screening suggests an anxiety disorder or depression

* Behavioral changes: such as memory loss, inappropriate social interaction

* Brain lesions: trauma, tumor, cerebrovascular accident or stroke

* Aphasia: impairment of language ability secondary to brain damage

,* Symptoms- of psychiatric mental illness especially with acute onset



________________ Screens for Alcoholism. - CORRECT ANSWER -CAGE: Score 2 or greater
highly significant

* Have you ever felt you should CUT down on your drinking?

* Have people ANNOYED you by criticizing your drinking?

* Have you ever felt bad or GUILTY about your drinking?

* Have you ever had a drink first thing in the morning to steady your nerves or get rid of a
hangover? (EYE OPENER)



Things to Consider When Assessing Older Adults mental status include: - CORRECT ANSWER -
Ask about chronic illness and how they are managing?

Sensory impairments?

Polypharmacy (med list again!)

Social isolation

Physiological issue

- Delirium vs. Dementia

- UTI

- Sundowners



Delirium VS Dementia VS Depression:



Onset

course

duration

consciousness

attention

,psychomotor changes

reversibility - CORRECT ANSWER -Delirium ** Dementia ** Depression:

==========================================

O: Acute insidious Acute or insidious

C: Fluctuating Progressive May be chronic

D: Hrs to wks Mos to yrs Mos to yrs

C: Altered Usually clear clear

A: Impaired Normal unless May be decreased

severe dementia

P: increased often normal may be slowed in decreased severe cases

R: usually irreversible usually



Delirium Causes: - CORRECT ANSWER -D- Dementia

E- Electrolyte disorders

L - Lung, liver, heart, kidney, brain dysfunction

I- Infection

R- Rx Drugs

I- Injury, pain, stress

U- Unfamiliar environment

M- Metabolic



Adolescent: heeadsss psychosocial interview: - CORRECT ANSWER -- Home

- Education & Employment

- Eating

- Activities

- Drugs

, - Sexuality

- Suicide & Depression

- Safety (injury/violence)



When assessing children for mental heath disorders, things to consider: - CORRECT ANSWER -
Does the child seem sad, tired, restless?

Does the child spend a lot of time alone?

Frequent outbursts of shouting, complaining, or crying?

Lost interest in hobbies like music/sports?

Talks about death or suicide?

Sleep too much or not enough?

Other questions...



____________________ is the test for Proprioception. - CORRECT ANSWER -Romberg's Test:

- Stand with feet together

- Arms out with palms up

- Shut eyes

- If pt sways or looses balance = Positive Romberg's



Risks Related to Undiagnosed Ear Disorders: - CORRECT ANSWER -- Poor language development

- Delayed learning

- Social isolation

- Hearing loss

- Risk for falls

- Missed diagnoses of respiratory and oral infections