NURS 3320 EXAM 2 QUESTIONS AND ANSWER
Chapter 6: Assessing mental status and substance abuse - CORRECT ANSWER✅✅
Define what mental status is. Mental disorder? - CORRECT ANSWER✅✅-MS: Client level of cognitive
function
-mental disorder: Condition categorized by cognitive and emotional distress, abnormal behavior,
impaired function
Describe some factors affecting mental health - CORRECT ANSWER✅✅-economic, social factors: rapid
changes, stress
-lifestyles choices: drug abuse, sedentary life
-exposure to violence
-personality: poor decision making, low self esteem, poor self control
-spirituality
-cultural
-changes/impairment in neuro system: cerebral abnorm, communication affected, intelligence, emotion
-psychosocial development
Define dementia and Alzheimer's disease. Compare them - CORRECT ANSWER✅✅Dementia: group of
symptoms that causes issues in memory, thinking and behavior
Alz: causes dementia, gradual destruction of the brain nerve cells and shrinking brain
What is the difference between ALZ symptoms and aging symptoms? - CORRECT ANSWER✅✅Alz: Can't
keep a convo, lose complete track of time, inability to manage budget, poor judgement and decision
making, misplacing things and cant retrace steps
,Aging: ocasionally making a bad decision, missing a monthly payment, forgetting day but remembering
later, lose things from time to time
What are some risk factors for Alz dz? - CORRECT ANSWER✅✅Non modifiable:
-over age 65
-genetic predispo
-mild cog impair
-increased vascular dz rates (latino, AA)
-Vazcular dzs: diabetes, high bp, high chol
Modifiable:
-smoking
-head trauma
-ht
-depression
-Hormone therapy: later in life
-wt gain
what pt education would you provide a patient with dementia or alz - CORRECT ANSWER✅✅- challenge
their mind
-have healthy aging behaviors: healthy wt control, healthy diet, no smoking, exercise, social
-avoid head trauma
-hormone therapy at menopause not later
what is substance abuse - CORRECT ANSWER✅✅- comsuming mind alt sub with effects on behaviour
and health
-Addiction: chronic dz: brian altered to affect learning, judgement, stress, memory
-most at risk: teens and military
,What are some screening tools for substance abuse? - CORRECT ANSWER✅✅1. Cage
c: cut back
a: angered annoyed
g: uilt
e: yeopener
-scoring yes on one: possible problem
-more than 1: likely problem exist (further review)
2. AUDIT: alcohol use disorder ID test
*score from 0-4
-ASK: how often pt drinks, howm many alc drinks per day, 6 or more often?, how often pt started and
not wanted to stop
- 8 or more= issue
-
What are some risk factors for drug abuse? - CORRECT ANSWER✅✅-hx of aggression, lack of parental
supervision, drug availability, academic competence, self control, antidrug policy at school, history of
drug abuse
Subjective Data: history of present health concern - CORRECT ANSWER✅✅-Headaches: tension
headaches from stress
-Trouble breathing, palps: anx
-insomia: delirium (reversal of sleep-wake cycle)
-waking up early/less sleep= depression
-hallucinations=
*visual hallucinations= with alc withdrawl
*psychotic dz= olfactory, tactile
-mood swings=
*delirium= rapid mood swings, anx, fear
, *dementia= agitation, flat affect
*depression= sad, apathetic, irritation, anx, fatigue,
Subjective Data: Personal health history - CORRECT ANSWER✅✅-head in, meningitis, strokej= affects
developmental level, mental state, behavior, comms, sleep, physical changes,
Subjective Data: fam hx - CORRECT ANSWER✅✅-hx of= alz, schitzo, anx, bipolar, depression,
Subjective Data: Lifestyle and health practices - CORRECT ANSWER✅✅1. nuero and mental illness can
alter adl completion, energy levels
-EX:
* anxious: restless
*depression: fatigue
*ocd: fatigued
2. diet= poor diet with dep, lose weight with dementia,
3. bowel elim: ibs, pud associated with psychological dz
4. sleep:
*insomnia: dep, anx, bipolar, sub abuse
*hypersomnolence= depression
5. caffine: high amounts results in stress
6. opioids= ppl may be at risk of oud
* hx of drug abuse , increased opioid doses, mental disorders
7. Alc use:
Chapter 6: Assessing mental status and substance abuse - CORRECT ANSWER✅✅
Define what mental status is. Mental disorder? - CORRECT ANSWER✅✅-MS: Client level of cognitive
function
-mental disorder: Condition categorized by cognitive and emotional distress, abnormal behavior,
impaired function
Describe some factors affecting mental health - CORRECT ANSWER✅✅-economic, social factors: rapid
changes, stress
-lifestyles choices: drug abuse, sedentary life
-exposure to violence
-personality: poor decision making, low self esteem, poor self control
-spirituality
-cultural
-changes/impairment in neuro system: cerebral abnorm, communication affected, intelligence, emotion
-psychosocial development
Define dementia and Alzheimer's disease. Compare them - CORRECT ANSWER✅✅Dementia: group of
symptoms that causes issues in memory, thinking and behavior
Alz: causes dementia, gradual destruction of the brain nerve cells and shrinking brain
What is the difference between ALZ symptoms and aging symptoms? - CORRECT ANSWER✅✅Alz: Can't
keep a convo, lose complete track of time, inability to manage budget, poor judgement and decision
making, misplacing things and cant retrace steps
,Aging: ocasionally making a bad decision, missing a monthly payment, forgetting day but remembering
later, lose things from time to time
What are some risk factors for Alz dz? - CORRECT ANSWER✅✅Non modifiable:
-over age 65
-genetic predispo
-mild cog impair
-increased vascular dz rates (latino, AA)
-Vazcular dzs: diabetes, high bp, high chol
Modifiable:
-smoking
-head trauma
-ht
-depression
-Hormone therapy: later in life
-wt gain
what pt education would you provide a patient with dementia or alz - CORRECT ANSWER✅✅- challenge
their mind
-have healthy aging behaviors: healthy wt control, healthy diet, no smoking, exercise, social
-avoid head trauma
-hormone therapy at menopause not later
what is substance abuse - CORRECT ANSWER✅✅- comsuming mind alt sub with effects on behaviour
and health
-Addiction: chronic dz: brian altered to affect learning, judgement, stress, memory
-most at risk: teens and military
,What are some screening tools for substance abuse? - CORRECT ANSWER✅✅1. Cage
c: cut back
a: angered annoyed
g: uilt
e: yeopener
-scoring yes on one: possible problem
-more than 1: likely problem exist (further review)
2. AUDIT: alcohol use disorder ID test
*score from 0-4
-ASK: how often pt drinks, howm many alc drinks per day, 6 or more often?, how often pt started and
not wanted to stop
- 8 or more= issue
-
What are some risk factors for drug abuse? - CORRECT ANSWER✅✅-hx of aggression, lack of parental
supervision, drug availability, academic competence, self control, antidrug policy at school, history of
drug abuse
Subjective Data: history of present health concern - CORRECT ANSWER✅✅-Headaches: tension
headaches from stress
-Trouble breathing, palps: anx
-insomia: delirium (reversal of sleep-wake cycle)
-waking up early/less sleep= depression
-hallucinations=
*visual hallucinations= with alc withdrawl
*psychotic dz= olfactory, tactile
-mood swings=
*delirium= rapid mood swings, anx, fear
, *dementia= agitation, flat affect
*depression= sad, apathetic, irritation, anx, fatigue,
Subjective Data: Personal health history - CORRECT ANSWER✅✅-head in, meningitis, strokej= affects
developmental level, mental state, behavior, comms, sleep, physical changes,
Subjective Data: fam hx - CORRECT ANSWER✅✅-hx of= alz, schitzo, anx, bipolar, depression,
Subjective Data: Lifestyle and health practices - CORRECT ANSWER✅✅1. nuero and mental illness can
alter adl completion, energy levels
-EX:
* anxious: restless
*depression: fatigue
*ocd: fatigued
2. diet= poor diet with dep, lose weight with dementia,
3. bowel elim: ibs, pud associated with psychological dz
4. sleep:
*insomnia: dep, anx, bipolar, sub abuse
*hypersomnolence= depression
5. caffine: high amounts results in stress
6. opioids= ppl may be at risk of oud
* hx of drug abuse , increased opioid doses, mental disorders
7. Alc use:
