NSG 3160 / NSG3160 Exam 2 – Health
Assessment (2026 Update)
Mental status is defined as
A.) A pt's emotional & cognitive function
B.) The pt's conscious, mood, and affect
C.) General Intelligence
D.) Pt's perception - Answer--A.) A pt's emotional & cognitive function
A mental disorder is best defined as
A.) Presence of phobia
B.) A lack of rational thought and abstract researching
C.) Extreme behavior that is usually associated with stress
D.) Remote memory from years ago may be impacted - Answer--C.) Extreme
behavior that is usually associated with stress
The A, B, C, and T of the mental health assessment is
A.) Attitude, behavior, cleanliness, talk/speech
B.) Appearance, behavior, cognition, and thought
C.) Airway, breathing, circulation
D.) Ability, beliefs, culture, traditions - Answer--B.) Appearance, behavior, cognition,
and thought
Which of the following best describes a pt's appearance?
A.) Posture is erect and body movement is voluntary
B.) Pt is oriented x3
C.) Pt is awake, alert, and aware and responds appropriately
D.) GAD score > 3 - Answer--A.) Posture is erect and body movement is voluntary
One method a nurse can use to assess recent memory
A.) Assess a pt's ability to complete a thought without wandering
B.) Ask pt for a 24 hour diet recall
C.) Ask about pt's first job
D.) Perform 4 unrelated words test - Answer--B.) Ask pt for a 24 hour diet recall
,Recent memory deficit can occur with delirium and dementia
A.) True
B.) False - Answer--A.) True
A nurse can assess a pt's attention span by giving a series of directions to follow and
note correct sequence performed
A.) True
B.) False - Answer--A.) True
To assess for new learning using 4 unrelated words, after 5 minutes, ask for the
recall of
A.) 5 words
B.) 10 words
C.) 4 words
D.) 8 words - Answer--C.) 4 words
To test the duration of memory using the new learning 4 unrelated words test, ask for
a recall at
A.) 10 and 30 minutes
B.) 5 and 10 minutes
C.) 15 and 60 minutes
D.) 1 and 2 hours - Answer--A.) 10 and 30 minutes
Which of the following is not one of the 4 most common anxiety disorders?
A.) Panic disorder
B.) Posttraumatic stress disorder
C.) Social anxiety disorder
D.) Depression - Answer--D.) Depression
The PH-Q depression screening tool defines minimal symptoms in what score
range?
A.) > 20
B.) 10-14
C.) 1-5
D.) 5-9 - Answer--D.) 5-9
Obtunded means
, A.) Drifts off to sleep when not stimulated
B.) Responds only to persistent shaking or pain
C.) Will wake with loud shouting or vigorous shake
D.) No response to pain or any external stimuli - Answer--C.) Will wake with loud
shouting or vigorous shake
Expressive aphasia is also known as
A.) Broca aphasia
B.) Global aphasia
C.) Wernicke aphasia
D.) Receptive aphasia - Answer--A.) Broca aphasia
Delirium is a chronic progressive loss of cognitive and intellectual functions
A.) True
B.) False - Answer--B.) False
Hypochondriasis means
A.) Person believes they are God
B.) Person feels "They are out to get me"
C.) Morbid fear of their lack of health or a fear of having cancer
D.) Irrational fear of an object - Answer--C.) Morbid fear of their lack of health or a
fear of having cancer
Which substance displays signs of intoxication of reddened eyes, relaxation,
suspicious
A.) Cocaine
B.) Nicotine
C.) Cannabis
D.) Opiates - Answer--C.) Cannabis
Which substance displays signs of intoxication of pinpoint pupils, decreased pulse,
and BP
A.) Cocaine
B.) Nicotine
C.) Cannabis
D.) Opitaes - Answer--D.) Opitaes
Assessment (2026 Update)
Mental status is defined as
A.) A pt's emotional & cognitive function
B.) The pt's conscious, mood, and affect
C.) General Intelligence
D.) Pt's perception - Answer--A.) A pt's emotional & cognitive function
A mental disorder is best defined as
A.) Presence of phobia
B.) A lack of rational thought and abstract researching
C.) Extreme behavior that is usually associated with stress
D.) Remote memory from years ago may be impacted - Answer--C.) Extreme
behavior that is usually associated with stress
The A, B, C, and T of the mental health assessment is
A.) Attitude, behavior, cleanliness, talk/speech
B.) Appearance, behavior, cognition, and thought
C.) Airway, breathing, circulation
D.) Ability, beliefs, culture, traditions - Answer--B.) Appearance, behavior, cognition,
and thought
Which of the following best describes a pt's appearance?
A.) Posture is erect and body movement is voluntary
B.) Pt is oriented x3
C.) Pt is awake, alert, and aware and responds appropriately
D.) GAD score > 3 - Answer--A.) Posture is erect and body movement is voluntary
One method a nurse can use to assess recent memory
A.) Assess a pt's ability to complete a thought without wandering
B.) Ask pt for a 24 hour diet recall
C.) Ask about pt's first job
D.) Perform 4 unrelated words test - Answer--B.) Ask pt for a 24 hour diet recall
,Recent memory deficit can occur with delirium and dementia
A.) True
B.) False - Answer--A.) True
A nurse can assess a pt's attention span by giving a series of directions to follow and
note correct sequence performed
A.) True
B.) False - Answer--A.) True
To assess for new learning using 4 unrelated words, after 5 minutes, ask for the
recall of
A.) 5 words
B.) 10 words
C.) 4 words
D.) 8 words - Answer--C.) 4 words
To test the duration of memory using the new learning 4 unrelated words test, ask for
a recall at
A.) 10 and 30 minutes
B.) 5 and 10 minutes
C.) 15 and 60 minutes
D.) 1 and 2 hours - Answer--A.) 10 and 30 minutes
Which of the following is not one of the 4 most common anxiety disorders?
A.) Panic disorder
B.) Posttraumatic stress disorder
C.) Social anxiety disorder
D.) Depression - Answer--D.) Depression
The PH-Q depression screening tool defines minimal symptoms in what score
range?
A.) > 20
B.) 10-14
C.) 1-5
D.) 5-9 - Answer--D.) 5-9
Obtunded means
, A.) Drifts off to sleep when not stimulated
B.) Responds only to persistent shaking or pain
C.) Will wake with loud shouting or vigorous shake
D.) No response to pain or any external stimuli - Answer--C.) Will wake with loud
shouting or vigorous shake
Expressive aphasia is also known as
A.) Broca aphasia
B.) Global aphasia
C.) Wernicke aphasia
D.) Receptive aphasia - Answer--A.) Broca aphasia
Delirium is a chronic progressive loss of cognitive and intellectual functions
A.) True
B.) False - Answer--B.) False
Hypochondriasis means
A.) Person believes they are God
B.) Person feels "They are out to get me"
C.) Morbid fear of their lack of health or a fear of having cancer
D.) Irrational fear of an object - Answer--C.) Morbid fear of their lack of health or a
fear of having cancer
Which substance displays signs of intoxication of reddened eyes, relaxation,
suspicious
A.) Cocaine
B.) Nicotine
C.) Cannabis
D.) Opiates - Answer--C.) Cannabis
Which substance displays signs of intoxication of pinpoint pupils, decreased pulse,
and BP
A.) Cocaine
B.) Nicotine
C.) Cannabis
D.) Opitaes - Answer--D.) Opitaes
