LATEST NR 509 EXAM 1 QUESTIONS AND
VERIFIED ANSWERS
Most Tested NR 509 Exam 1 Questions And Answers
THIS EXAM CONTAINS:
➢ QUESTIONS AND ANSWERS
➢ VERIFIED ANSWERS
➢ GUARANTEED PASSING SCORE
,QUESTIONS AND ANSWERS
FIFE Model . ANSWER - Feelings: ask about concerns/fears
Ideas: explore thoughts
Function: investigate how illness affects ADLs
Expectations: clarify treatment & expectations
Reflection . ANSWER - echoing patient's words to validate feelings
summarization . ANSWER - goal: confirm understanding and ensure all key issues are covered
organizes information and shows attentiveness
empathy . ANSWER - goal: show understanding and emotional support
"that sounds upsetting"
open-ended questions . ANSWER - "what brings you in today"
Mental Status Exam . ANSWER - consists of 6 components:
appearance and behavior
speech and language
mood
thoughts and perceptions
insight and judgment
cognitive function
Appearance and behavior . ANSWER - LOC, posture and motor behavior (look for tense posture,
restlessness, anxious fidgeting, crying, pacing, hand-wringing , agitated depression/anxiety; hopeless
slumped posture and slowed movements of depression; poor eye contact and closed off body posture of
psychosis; agitated and expansive movements of mania); dress, grooming, personal hygiene, facial
expression, manner, affect, relationship to people/things
LOC alertness . ANSWER - eyes open, looks at you when spoken in a normal voice; responds fully and
appropriately to stimuli
LOC Lethargy . ANSWER - appears drowsy, but opens eyes when spoken to in loud voice and looks at
you, responds to questions, falls asleep
LOC obtundation . ANSWER - opens eyes when tactile stimulus is applied and looks at you, but
responds slowly and is somewhat confused
LOC stupor . ANSWER - arouses only after painful stimuli; verbal responses are slow or absent; lapses
into unresponsive state when stimulus ceases
LOC coma . ANSWER - unarousable with eyes closed; no evident response to inner need or external
stimuli
, Speech and language . ANSWER - assess quantity, rate and volume (slow depression; accelerated
louder for mania), articulation of words, fluency
dysarthria . ANSWER - defective articulation
aphasia . ANSWER - disorder of language
dysphonia . ANSWER - impaired volume, quality, pitch of voice
circumlocutions . ANSWER - phrases or sentences are substituted for a word the person cannot think
of
"what you write with" for "pen"
paraphasias . ANSWER - words are malformed ("i write with a den")
words are incorrect (i write with a bar)
words are invented (i write with a dar)
testing for aphasia . ANSWER - word comprehension (follow one-stage command ex. point to your
nose)
repetition (repeat phrase of one-syllable words)
naming (ask patient to name parts of a watch
reading comprehension (read paragraph aloud)
writing (write a sentence)
Broca aphasia . ANSWER - expressive with preserved comprehension with slow, nonfluent speech
Wernicke aphasia . ANSWER - receptive; impaired comprehension with fluent speech
Mood . ANSWER - alexithymia (struggling with naming emotions)
thought processes- blocking . ANSWER - Sudden interruption of speech in midsentence or before the
idea is completed, attributed to "losing the thought." Blocking occurs in normal people. may be striking
in schizophrenia
thought processes- circumstantiality . ANSWER - The mildest thought disorder, consisting of speech
with unnecessary detail, indirection, and delay in reaching the point. Some topics may have a
meaningful connection. Many people without mental disorders have circumstantial speech. occurs in
people with obsessions
thought processes- clanging . ANSWER - Speech with choice of words based on sound, rather than
meaning, as in rhyming and punning. For example, "Look at my eyes and nose, wise eyes and rosy
nose. Two to one, the ayes have it!" occurs in schizophrenia and manic episodes
thought processes- confabulation . ANSWER - Fabrication of facts or events in response to questions,
to fill in the gaps from impaired memory; seen in Korsakoff syndrome from alcoholism
VERIFIED ANSWERS
Most Tested NR 509 Exam 1 Questions And Answers
THIS EXAM CONTAINS:
➢ QUESTIONS AND ANSWERS
➢ VERIFIED ANSWERS
➢ GUARANTEED PASSING SCORE
,QUESTIONS AND ANSWERS
FIFE Model . ANSWER - Feelings: ask about concerns/fears
Ideas: explore thoughts
Function: investigate how illness affects ADLs
Expectations: clarify treatment & expectations
Reflection . ANSWER - echoing patient's words to validate feelings
summarization . ANSWER - goal: confirm understanding and ensure all key issues are covered
organizes information and shows attentiveness
empathy . ANSWER - goal: show understanding and emotional support
"that sounds upsetting"
open-ended questions . ANSWER - "what brings you in today"
Mental Status Exam . ANSWER - consists of 6 components:
appearance and behavior
speech and language
mood
thoughts and perceptions
insight and judgment
cognitive function
Appearance and behavior . ANSWER - LOC, posture and motor behavior (look for tense posture,
restlessness, anxious fidgeting, crying, pacing, hand-wringing , agitated depression/anxiety; hopeless
slumped posture and slowed movements of depression; poor eye contact and closed off body posture of
psychosis; agitated and expansive movements of mania); dress, grooming, personal hygiene, facial
expression, manner, affect, relationship to people/things
LOC alertness . ANSWER - eyes open, looks at you when spoken in a normal voice; responds fully and
appropriately to stimuli
LOC Lethargy . ANSWER - appears drowsy, but opens eyes when spoken to in loud voice and looks at
you, responds to questions, falls asleep
LOC obtundation . ANSWER - opens eyes when tactile stimulus is applied and looks at you, but
responds slowly and is somewhat confused
LOC stupor . ANSWER - arouses only after painful stimuli; verbal responses are slow or absent; lapses
into unresponsive state when stimulus ceases
LOC coma . ANSWER - unarousable with eyes closed; no evident response to inner need or external
stimuli
, Speech and language . ANSWER - assess quantity, rate and volume (slow depression; accelerated
louder for mania), articulation of words, fluency
dysarthria . ANSWER - defective articulation
aphasia . ANSWER - disorder of language
dysphonia . ANSWER - impaired volume, quality, pitch of voice
circumlocutions . ANSWER - phrases or sentences are substituted for a word the person cannot think
of
"what you write with" for "pen"
paraphasias . ANSWER - words are malformed ("i write with a den")
words are incorrect (i write with a bar)
words are invented (i write with a dar)
testing for aphasia . ANSWER - word comprehension (follow one-stage command ex. point to your
nose)
repetition (repeat phrase of one-syllable words)
naming (ask patient to name parts of a watch
reading comprehension (read paragraph aloud)
writing (write a sentence)
Broca aphasia . ANSWER - expressive with preserved comprehension with slow, nonfluent speech
Wernicke aphasia . ANSWER - receptive; impaired comprehension with fluent speech
Mood . ANSWER - alexithymia (struggling with naming emotions)
thought processes- blocking . ANSWER - Sudden interruption of speech in midsentence or before the
idea is completed, attributed to "losing the thought." Blocking occurs in normal people. may be striking
in schizophrenia
thought processes- circumstantiality . ANSWER - The mildest thought disorder, consisting of speech
with unnecessary detail, indirection, and delay in reaching the point. Some topics may have a
meaningful connection. Many people without mental disorders have circumstantial speech. occurs in
people with obsessions
thought processes- clanging . ANSWER - Speech with choice of words based on sound, rather than
meaning, as in rhyming and punning. For example, "Look at my eyes and nose, wise eyes and rosy
nose. Two to one, the ayes have it!" occurs in schizophrenia and manic episodes
thought processes- confabulation . ANSWER - Fabrication of facts or events in response to questions,
to fill in the gaps from impaired memory; seen in Korsakoff syndrome from alcoholism
