Nursing UPDATED ACTUAL Exam
Questions and CORECT Answers
Appearance (observed) - CORRECT ANSWER Gait, posture, clothes, grooming
Behavior (observed) - CORRECT ANSWER Mannerisms, gestures, psychomotor activity,
expression, eye contact, ability to follow commands/requests, compulsions
Attitude (observed) - CORRECT ANSWER Cooperative, hostile, open, secretive, evasive,
suspicious, apathetic, easily distracted, focused, defensive
Level of Consciousness (observed) - CORRECT ANSWER Vigilant, alert, drowsy, lethargic,
stuporous, asleep, comatose, confused, fluctuating
orientation (inquired) - CORRECT ANSWER What is your full name?
Where are we at (floor, building, city, county, and state)?
What is the full date today (date, month, year, day of the week, and season of year)?
How would you describe the situation we are in?
Speech and Language (observed) - CORRECT ANSWER Quantity-talkative, spontaneous,
expansive, paucity, poverty
Rate-fast, slow, normal, pressured
Volume (tone)-loud, soft, monotone, weak, strong
Fluency and Rhythm-slurred speech, with appropriately placed inflections, hesitant, with good
articulation, aphasic
Mood (inquired)
A sustained state of inner feeling - CORRECT ANSWER How are your spirits?
, How are you feeling?
Have you been discouraged/depressed/low/blue lately?
Have you been energized/elated/high/out of control lately?
Have you been angry/irritable/edgy lately?
Affect (observed)
An observed expression of inner feeling - CORRECT ANSWER Appropriateness to situation,
consistency with mood, congruency with thought content.
Fluctuations-labile, even
Range-Broad, restricted
Intensity-Blunted, flat, normal intensity
Quality-sad, angry, hostile, indifferent, euthymic, dysohoric, detached, elated, euphoric, anxious,
animated , irritable.
Thought Processes or Thought Form (inquired/observed)-logical, relevance, organization, flow,
and coherence of thought in response to general questions during the interview - CORRECT
ANSWER Linear, goal-directed, circumstantial, tangential , loose associations, incoherent,
invasive, racing, blocking, perseveration, neologisms
Thought Content (Inquired/observed)- - CORRECT ANSWER What do you think about when
you are sad/angry?
What's been on your mind lately?
Do you find yourself ruminating about things?
Are there thoughts or images that you have a really difficult time getting out of your bed?
Are you worried/scared/ frightened about something or other?
Do you have personal beliefs that are not shared by others?
Do you ever feel detached/removed/changed/different from others around you?
Do things seem unnatural or unreal to you?
What do you think about the reports in papers such as the National enquirer?
Do you think someone or some group intend to harm you in some way?