Multidimensional Care II
MDC II Exam 2
Rasmussen College
passing score of 90% or higher
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,1. A nurse is conducting a Mental Status Examination (MSE). Which of the
following is included in this assessment?
A. Income level
B. Mood and affect
C. Medication adherence
D. Nutritional intake
B. Mood and affect
2. Which question is best to assess suicidal ideation in a psychiatric client?
A. "Why do you feel so sad?"
B. "Have you thought about harming yourself?"
C. "Can you tell me more about your mood swings?"
D. "Do you have a family history of depression?"
B. "Have you thought about harming yourself?"
3. Which of the following are components of a psychosocial assessment? (Select
all that apply.)
A. Substance use
B. Intelligence quotient
C. Social support systems
D. Employment history
E. Reflex testing
A. Substance use
C. Social support systems
D. Employment history
4. A client states, "I feel off." Which is the most appropriate nursing response?A.
"What do you mean by 'off'?"
B. "You're probably just tired."
C. "There's nothing wrong with you."
D. "Let's not worry about that right now."
, A. "What do you mean by 'off'?"
5. Which behavior most clearly suggests delirium rather than dementia?
A. Gradual memory loss over the past year
B. Acute disorientation following infection
C. Difficulty recalling recent conversations
D. Wandering during nighttime hours
B. Acute disorientation following infection
6. A nurse is providing validation therapy for a client with Alzheimer's disease.
Which action demonstrates this technique?
A. Correcting the client about a deceased family member
B. Explaining that their beliefs are inaccurate
C. Accepting the client's reality and feelings
D. Using memory games to improve cognition
C. Accepting the client's reality and feelings
7. Which of the following medications is a cholinesterase inhibitor used for
Alzheimer's disease?
A. Haloperidol
B. Memantine
C. Donepezil
D. Sertraline
C. Donepezil
8. Which therapy encourages clients with dementia to discuss past experiences?
A. Cognitive behavioral therapy
B. Reminiscence therapy