NSG 316: TOPIC 14 Exam Questions Correct Answers (A Pass) 2025 Update

NSG 316: TOPIC 14 Exam Questions Correct Answers (A Pass) 2025 Update mental status - Answer- a person's emotional and cognitive functioning strikes a balance between good and bad days, allowing person to function socially and occupationally mental disorder - Answer- an illness that affects a person's thoughts, emotions, and behaviors organic disorders - Answer- Due to brain disease of known specific organic cause (e.g., delirium, dementia, alcohol and drug intoxication and withdrawal) psychiatric mental illness - Answer- organic etiology has not yet been established (e.g., anxiety disorder or schizophrenia) when do you perform a full mental status examination - Answer- when any abnormality in affect or behavior is discovered and in certain situations mental status: aging adult - Answer- o Older adulthood contains more potential for losses o Grief and despair surrounding theses losses can affect mental status and can result in disability, disorientation, or depression o Chronic diseases such as heart failure, cancer, diabetes, and osteoporosis include fear of loss of life the four main headings of mental status assessment: - Answer- A-B-C-T -Appearance -Behavior -Cognition -Thought processes aphasia - Answer- impairment of language ability secondary to brain damage brain lesions - Answer- trauma, tumor, cerebrovascular accident or stroke when is a full mental status examination necessary - Answer- -Patients whose initial screening suggests an anxiety disorder or depression -Behavioral changes, such as memory loss, inappropriate social interaction -Brain lesions -Aphasia -Symptoms of psychiatric mental illness, especially with acute onset what things does the nurse ask about when determining the orientation of a client? - Answer- -time(day of the week, date, year, season) -place(where person lives, address, phone number, present location, type of building, name of city and state) -person(own name, age, who examiner is, type of worker) attention span - Answer- ability to concentrate-noting completes a thought without wandering assessing recent memory - Answer- Assess in context of interview by 24-hour diet recall or by asking time person arrived at agency confabulates - Answer- makes up plausible explanation for his actions without intention to deceive, to fill in gaps of memory loss assessing remote memory - Answer- In the context of the interview, ask verifiable past events; describe past health, the first job, birthday and anniversary dates, and historical events that are relevant for that person Remote memory is lost when - Answer- cortical storage area for that memory is damaged, such as in Alzheimer disease, dementia, or any disease that damages cerebral cortex the four unrelated words test - Answer- Pick four words with semantic and phonetic diversity; ask person to remember the four words have him or her repeat the words Ask for the recall of four words at 5, 10, and 30 minutes what is a normal response of the four unrelated words test for a person younger than 60 - Answer- an accurate 3- or 4-word recall after 5, 10, and 30 minutes assessing word comprehension - Answer- ask person to name object in room assessing reading - Answer- ask person to read available print; be aware that reading is related to educational level assessing writing - Answer- ask person to make up and write a sentence; note coherence, spelling, and parts of speech thought processes - Answer- Way person thinks should be logical, goal directed, coherent, and relevant; should complete thoughts thought content - Answer- what person says should be consistent and logical perceptions - Answer- an awareness of objects through the five senses When the person expresses feelings of sadness, hopelessness, despair, or grief, it is important to assess... - Answer- any possible risk of physical harm to himself or herself