NURS 612 Maryville Exam 4 MC Questions
With Complete Solutions
A patients inability to follow simple instructions could indicate
with of the following findings?
A. Dysphonia
B. Amnesia
C. Aphasia
D. Depression correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 ? correct answer: 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 correct answer: B. Peripheral
Neuropathy
A mother brings her 18 month old to the clinic. The child rarely
talks or smiles or makes eye contact. She has also notice he does
not like to be held. She says his motor development seems to be
normal. What are these symptoms consistent with?
A. Dementia
B. Autistic disorder
C. ADHD
D. Delirium correct answer: B. Autistic disorder
A patient with Alzheimers disease classically displays which of
the following?
A. alternating periods of mania and stupor
B. Hallucinations and decorticate posturing
C. Disintegration of personality
D. Rapid onset of symptoms correct answer: C. Disintegration
of personality
With Complete Solutions
A patients inability to follow simple instructions could indicate
with of the following findings?
A. Dysphonia
B. Amnesia
C. Aphasia
D. Depression correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 correct answer: 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 ? correct answer: 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 correct answer: B. Peripheral
Neuropathy
A mother brings her 18 month old to the clinic. The child rarely
talks or smiles or makes eye contact. She has also notice he does
not like to be held. She says his motor development seems to be
normal. What are these symptoms consistent with?
A. Dementia
B. Autistic disorder
C. ADHD
D. Delirium correct answer: B. Autistic disorder
A patient with Alzheimers disease classically displays which of
the following?
A. alternating periods of mania and stupor
B. Hallucinations and decorticate posturing
C. Disintegration of personality
D. Rapid onset of symptoms correct answer: C. Disintegration
of personality
