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28. A 26-year-old woman was robbed and beaten a month ago. She is returning to the clinic today for
a follow-up assessment. The nurse will want to ask her which one of these questions? ✔Correct
Answer-are you having any disturbing dreams? PTSD
2. The nurse is assessing the mental status of a child. Which statement about children and mental
status is true?
a.
All aspects of mental status in children are interdependent.
b.
Children are highly labile and unstable until the age of 2 years.
c.
Childrens mental status is largely a function of their parents level of functioning until the age of 7
years.
d.
A childs mental status is impossible to assess until the child develops the ability to concentrate.
✔Correct Answer-All aspects of mental status in children are interdependent.
3. The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the
assessment, the nurse expects that this patient:
a.Will have no decrease in any of his abilities, including response time.
b.Will have difficulty on tests of remote memory because this ability typically decreases with age.
c.May take a little longer to respond, but his general knowledge and abilities should not have
declined.
d.Will exhibit had a decrease in his response time because of the loss of language and a decrease in
general knowledge. ✔Correct Answer-May take a little longer to respond, but his general
knowledge and abilities should not have declined.
4. When assessing aging adults, the nurse knows that one of the first things that should be assessed
before making judgments about their mental status is:
a.
, Presence of phobias
b.
General intelligence
c.
Presence of irrational thinking patterns
d.
Sensory-perceptive abilities ✔Correct Answer-sensory-perceptive abilities
Age-related changes in sensory perception can affect mental status. For example, vision loss (as
detailed in Chapter 14) may result in apathy, social isolation, and depression. Hearing changes are
common in older adults, which produces frustration, suspicion, and social isolation and makes the
person appear confused.
5. The nurse is preparing to conduct a mental status examination. Which statement is true regarding
the mental status examination? ✔Correct Answer-Gathering mental status information during the
health history interview is usually sufficient.
6. A woman brings her husband to the clinic for an examination. She is particularly worried because
after a recent fall, he seems to have lost a great deal of his memory of recent events. Which
statement reflects the nurses best course of action? ✔Correct Answer-perform a complete mental
status exam
7. The nurse is conducting a patient interview. Which statement made by the patient should the
nurse more fully explore during the interview?
a.
I sleep like a baby.
b.
I have no health problems.
c.
I never did too good in school.
d.