NURS 612 EVOLVE Questions for AHA Exam 3

NURS 612 EVOLVE Questions for AHA Exam 3 EVOLVE Questions for AHA Exam #3 Chapter 5 Questions 1. 1.ID: At what age should an infant recognize the face of the primary caregiver? A. 1 month B. 2 months Correct C. 6 months D. 9 months An infant should recognize the face of the primary caregiver at 2 months of age. At 1 month of age, the infant is just beginning to see faces. By 6 months to 9 months of age, infants also recognize other familiar people. Awarded 1.0 points out of 1.0 possible points. 2. 2.ID: What is the initial step in performing a mental status examination? A. Observe the ability to maintain eye contact. B. Ask the patient the current date, including the year. C. Ask the patient to state his or her full name and address. D. Observe the patient’s physical appearance and behavior. Correct The nurse first observes the patient’s appearance and behavior as a baseline. Comparison continues throughout the evaluation. Maintaining eye contact and orientation to person and time are addressed later. Awarded 1.0 points out of 1.0 possible points. 3. 3.ID: Select the question that tests the patient’s capacity for abstract reasoning. A. “What is today’s date, including the year?” B. “What did you eat for breakfast this morning?” C. “What is similar between a carrot and lettuce?” D. “What is the meaning of ‘a stitch in time save nine’?” Correct Abstract reasoning, the ability to use logical reasoning, is tested by asking the patient to explain a proverb. Asking the date tests the patient’s orientation to time. Asking about a recent event tests recent memory. Asking a patient to explain an analogy, how things are similar, tests cognitive reasoning. Awarded 1.0 points out of 1.0 possible points. 4. 4.ID: Which behavior is an example of apraxia? A. Inability to unbutton a shirt Correct B. Inability to recall his or her mother’s maiden name C. Inability to relate similarities of two objects D. Inability to repeat simple arithmetic calculations Apraxia is the inability to do an action not caused by paralysis or lack of cognition. It occurs with some types of brain abnormalities. Recalling the past involves remote memory. Analogy is the ability to reason similarities between objects. Performing calculations tests cognitive ability and attention span. Awarded 1.0 points out of 1.0 possible points. 5. 5.ID: How does the nurse test for recent memory in an adult? A. Ask the patient to recall the name of his or her elementary school. B. Ask the patient to repeat a series of numbers just told to him or her. C. Ask the patient to perform simple repeated arithmetic calculations. D. The patient views several objects and is asked recall the objects 10 minutes later. Correct Recent memory is tested by giving the patient objects to remember and then testing recall 10 minutes later. Asking about past facts is testing remote memory. Asking the patient to recall facts just presented is immediate recall or new learning. Awarded 1.0 points out of 1.0 possible points. 6. 6.ID: A patient tells the nurse that he is careful about what he eats at home in case someone might want to poison him. What is this behavior? A. Echolalia B. Paranoid delusion Correct C. Grandeur delusion D. Auditory hallucination Paranoid delusion is a false belief that others are trying to harm the patient. Echolalia is repetition of another person’s words. Grandeur delusion is a false belief that the patient is more powerful or important than what is in reality. An auditory hallucination is the patient hearing voices or sounds not in reality. Awarded 1.0 points out of 1.0 possible points.