NURS 612 Maryville Exam 4 MC QUESTIONS AND ASWERS A+ GRADED

NURS 612 Maryville Exam 4 MC QUESTIONS AND ASWERS A+ GRADED A patients inability to follow simple instructions could indicate with of the following findings? A. Dysphonia B. Amnesia C. Aphasia D. Depression - ANS D. Depression A patient scores a 3 on a mini-cog assessment instrument for dementia, What does this score indicate? A. Advanced dementia B. Early dementia C. Need for further evaluation D. Negative screen for dementia - ANS D. Negative screen for dementia The examiner asks the patient to complete this statement: "A bird is to air as a fish is to _________." This is an example of what type of testing? A Calculation B Analogies C Judgment D Mood and feelings - ANS B. Analogies Assume that the patients response to the examiner in question 3 is scales. What does this response likely reflect? A. Left cerebral hemisphere lesion B. Depression C. eating disorder D. Aphasia - ANS A. Left cerebral hemisphere lesion Which type of assessment should be used to evaluate the mental status of a patient with head trauma? A. PHQ B. Perceptual distortion assessment C. Glasgow Coma Scale D. Functional Assessment - ANS C. Glasgow Coma Scale Which of the following indicates possible cognitive impairment? A. ability to complete personal care without assistance B. Suspiciousness or inappropriate affect C. Articulate communication D. Prudent behavior and calm demeanor - ANS B. Suspiciousness or inappropriate affect A 65-year old woman is brought to the clinic by family. They report thieve have noticed a change in her mental abilities over the past 2 weeks. Normally they say she is independent, intelligent and very socially oriented. Medical history is unremarkable except for congestive heart failure, for which she takes digoxin. She has had no major changes in her health. What questions would be most important for the examiner to ask the woman's family? A. Is there a family hx of Alzheimers? B. How much alcohol does she drink in an average week? C. When was her digoxin level last checked? D. Did you know that the mental function begins to decline after the age of 60 ? - ANS C. When was her digoxin level last checked? A patient who has difficulty writing or drawing is most likely to have what condition? A. Temporal lobe damage B. Peripheral neuropathy C. Organic brain syndrome D. Psyciatric hallucinations - ANS B. Peripheral Neuropathy