NSG 351 EXAM 2 TEST BANK
QUESTIONS WITH COMPLETE
ANSWERS
Which of these individuals would the nurse consider at highest risk for a suicide
attempt?
a. Man who jokes about death
b. Woman who, during a past episode of major depression, attempted suicide
c. Adolescent who just broke up with her boyfriend and states that she would like to
kill herself
d. Older adult man who tells the nurse that he is going to join his wife in heaven
tomorrow and plans to use a gun - Answer-Older adult man who tells the nurse that
he is going to join his wife in heaven tomorrow and plans to use a gun
The nurse is performing a mental status assessment on a 5-year-old girl. Her
parents are undergoing a bitter divorce and are worried about the effect it is having
on their daughter. Which action or statement might lead the nurse to be concerned
about the girls mental status?
a. She clings to her mother whenever the nurse is in the room.
b. She appears angry and will not make eye contact with the nurse.
c. Her mother states that she has begun to ride a tricycle around their yard.
d. Her mother states that her daughter prefers to play with toddlers instead of kids
her own age while in daycare. - Answer-Her mother states that her daughter prefers
to play with toddlers instead of kids her own age while in daycare
The nurse is assessing orientation in a 79-year-old patient. Which of these
responses would lead the nurse to conclude that this patient is oriented?
a. I know my name is John. I couldnt tell you where I am. I think it is 2010, though.
b. I know my name is John, but to tell you the truth, I get kind of confused about the
date.
c. I know my name is John; I guess Im at the hospital in Spokane. No, I dont know
the date.
d. I know my name is John. I am at the hospital in Spokane. I couldnt tell you what
date it is, but I know that it is February of a new year 2010. - Answer-I know my
name is John. I am at the hospital in Spokane. I couldnt tell you what date it is, but I
know that it is February of a new year 2010`
The nurse is performing the Denver II screening test on a 12-month-old infant during
a routine well-child visit. The nurse should tell the infants parents that the Denver II:
a. Tests three areas of development: cognitive, physical, and psychological
b. Will indicate whether the child has a speech disorder so that treatment can begin.
c. Is a screening instrument designed to detect children who are slow in
development.
d. Is a test to determine intellectual ability and may indicate whether problems will
develop later in school. - Answer-Is a screening instrument designed to detect
children who are slow in development
, A patient drifts off to sleep when she is not being stimulated. The nurse can easily
arouse her by calling her name, but the patient remains drowsy during the
conversation. The best description of this patients level of consciousness would be:
a. Lethargic
b. Obtunded
c. Stuporous
d. Semialert - Answer-Lethargic
A patient has had a cerebrovascular accident (stroke). He is trying very hard to
communicate. He seems driven to speak and says, I buy obie get spirding and take
my train. What is the best description of this patients problem?
a. Global aphasia
b. Brocas aphasia
c. Echolalia
d. Wernickes aphasia - Answer-Wernickes aphasia
A patient repeatedly seems to have difficulty coming up with a word. He says, I was
on my way to work, and when I got there, the thing that you step into that goes up in
the air was so full that I decided to take the stairs. The nurse will note on his chart
that he is using or experiencing:
a. Blocking
b. Neologism
c. Circumlocution
d. Circumstantiality - Answer-Circumlocution
During an examination, the nurse notes that a patient is exhibiting flight of ideas.
Which statement by the patient is an example of flight of ideas?
a. My stomach hurts. Hurts, spurts, burts.
b. Kiss, wood, reading, ducks, onto, maybe.
c. Take this pill? The pill is red. I see red. Red velvet is soft, soft as a babys bottom.
d. I wash my hands, wash them, wash them. I usually go to the sink and wash my
hands. - Answer-Take this pill? The pill is red. I see red. Red velvet is soft, soft as a
baby bottom
A patient is admitted to the unit after an automobile accident. The nurse begins the
mental status examination and finds that the patient has dysarthric speech and is
lethargic. The nurses best approach regarding this examination is to:
a. Plan to defer the rest of the mental status examination.
b. Skip the language portion of the examination, and proceed onto assessing mood
and affect.
c. Conduct an in-depth speech evaluation, and defer the mental status examination
to another time.
d. Proceed with the examination, and assess the patient for suicidal thoughts
because dysarthria is often accompanied by severe depression. - Answer-Plan to
defer the rest of the mental status information
A 19-year-old woman comes to the clinic at the insistence of her brother. She is
wearing black combat boots and a black lace nightgown over the top of her other
clothes. Her hair is dyed pink with black streaks throughout. She has several pierced
QUESTIONS WITH COMPLETE
ANSWERS
Which of these individuals would the nurse consider at highest risk for a suicide
attempt?
a. Man who jokes about death
b. Woman who, during a past episode of major depression, attempted suicide
c. Adolescent who just broke up with her boyfriend and states that she would like to
kill herself
d. Older adult man who tells the nurse that he is going to join his wife in heaven
tomorrow and plans to use a gun - Answer-Older adult man who tells the nurse that
he is going to join his wife in heaven tomorrow and plans to use a gun
The nurse is performing a mental status assessment on a 5-year-old girl. Her
parents are undergoing a bitter divorce and are worried about the effect it is having
on their daughter. Which action or statement might lead the nurse to be concerned
about the girls mental status?
a. She clings to her mother whenever the nurse is in the room.
b. She appears angry and will not make eye contact with the nurse.
c. Her mother states that she has begun to ride a tricycle around their yard.
d. Her mother states that her daughter prefers to play with toddlers instead of kids
her own age while in daycare. - Answer-Her mother states that her daughter prefers
to play with toddlers instead of kids her own age while in daycare
The nurse is assessing orientation in a 79-year-old patient. Which of these
responses would lead the nurse to conclude that this patient is oriented?
a. I know my name is John. I couldnt tell you where I am. I think it is 2010, though.
b. I know my name is John, but to tell you the truth, I get kind of confused about the
date.
c. I know my name is John; I guess Im at the hospital in Spokane. No, I dont know
the date.
d. I know my name is John. I am at the hospital in Spokane. I couldnt tell you what
date it is, but I know that it is February of a new year 2010. - Answer-I know my
name is John. I am at the hospital in Spokane. I couldnt tell you what date it is, but I
know that it is February of a new year 2010`
The nurse is performing the Denver II screening test on a 12-month-old infant during
a routine well-child visit. The nurse should tell the infants parents that the Denver II:
a. Tests three areas of development: cognitive, physical, and psychological
b. Will indicate whether the child has a speech disorder so that treatment can begin.
c. Is a screening instrument designed to detect children who are slow in
development.
d. Is a test to determine intellectual ability and may indicate whether problems will
develop later in school. - Answer-Is a screening instrument designed to detect
children who are slow in development
, A patient drifts off to sleep when she is not being stimulated. The nurse can easily
arouse her by calling her name, but the patient remains drowsy during the
conversation. The best description of this patients level of consciousness would be:
a. Lethargic
b. Obtunded
c. Stuporous
d. Semialert - Answer-Lethargic
A patient has had a cerebrovascular accident (stroke). He is trying very hard to
communicate. He seems driven to speak and says, I buy obie get spirding and take
my train. What is the best description of this patients problem?
a. Global aphasia
b. Brocas aphasia
c. Echolalia
d. Wernickes aphasia - Answer-Wernickes aphasia
A patient repeatedly seems to have difficulty coming up with a word. He says, I was
on my way to work, and when I got there, the thing that you step into that goes up in
the air was so full that I decided to take the stairs. The nurse will note on his chart
that he is using or experiencing:
a. Blocking
b. Neologism
c. Circumlocution
d. Circumstantiality - Answer-Circumlocution
During an examination, the nurse notes that a patient is exhibiting flight of ideas.
Which statement by the patient is an example of flight of ideas?
a. My stomach hurts. Hurts, spurts, burts.
b. Kiss, wood, reading, ducks, onto, maybe.
c. Take this pill? The pill is red. I see red. Red velvet is soft, soft as a babys bottom.
d. I wash my hands, wash them, wash them. I usually go to the sink and wash my
hands. - Answer-Take this pill? The pill is red. I see red. Red velvet is soft, soft as a
baby bottom
A patient is admitted to the unit after an automobile accident. The nurse begins the
mental status examination and finds that the patient has dysarthric speech and is
lethargic. The nurses best approach regarding this examination is to:
a. Plan to defer the rest of the mental status examination.
b. Skip the language portion of the examination, and proceed onto assessing mood
and affect.
c. Conduct an in-depth speech evaluation, and defer the mental status examination
to another time.
d. Proceed with the examination, and assess the patient for suicidal thoughts
because dysarthria is often accompanied by severe depression. - Answer-Plan to
defer the rest of the mental status information
A 19-year-old woman comes to the clinic at the insistence of her brother. She is
wearing black combat boots and a black lace nightgown over the top of her other
clothes. Her hair is dyed pink with black streaks throughout. She has several pierced
