MODULE 3 MSN 610 NKU EXAMS
QUESTIONS AND ANSWERS.
5 things to include in HPI of mental status - correct answer
Orientation (x4)
Onset (when, sudden/gradual, persistent/intermittent, specific
event at onset)
Associated health problems (vision changes, hearing loss,
weakness/neurological issues, recent illness/injury, recently
quit drinking alcohol)
Associated symptoms (hearing voices, seeing things, change in
appetite, emotional distress, labile)
Medications (anticholinergics, benzos, opioids, antidepressants,
sedatives, hypnotics, alternative mainly Gingko biloba and St.
John's wort)
About which alternative or complementary therapies should
the nurse ask when taking the mental health history of a
confused patient?
Opioid analgesics
Gingko biloba
St. John's wort
Antipsychotics
Aspirin - correct answer
Gingko biloba
St. John's wort
,When taking the history of present illness of a disoriented
patient, which questions should the nurse ask regarding the
patient's condition?
"When did the symptoms begin?"
"Does disorientation run in your family?"
"What other symptoms are you experiencing?"
"What medications are you currently taking?"
"Do you participate in high-impact sports?" - correct answer
"When did the symptoms begin?"
"What other symptoms are you experiencing?"
"What medications are you currently taking?"
The nurse should inquire about the patient's use of beta-
blockers as part of the mental health history of which condition?
Depression
Mania
Psychosis
Confusion - correct answer
Depression
S/S of depression include; - correct answer
Troubling thoughts/constant worry or feelings of hopelessness
Low energy level
Agitation
Changes in physical health
Suicidal ideation or no plans for the future
, Medications that may worsen depression include; - correct
answer
Antihypertensives
Steroids
Beta-blockers
Calcium channel blockers
Seizure medications
S/S of anxiety include; - correct answer
sudden, intense fear
anxiety or panic for no apparent reason
feeling trapped in current situation
feeling uncomfortable in situations involving other people
associated symptoms like panic attacks, obsessive thoughts,
compulsive behaviors
Important aspects of the medical/surgical history for mental
status include - correct answer
history of neurologic disorders
brain injury or surgery
chronic illness or debilitating conditions (fibromyalgia, multiple
sclerosis, Alzheimer's) and their residual effects
QUESTIONS AND ANSWERS.
5 things to include in HPI of mental status - correct answer
Orientation (x4)
Onset (when, sudden/gradual, persistent/intermittent, specific
event at onset)
Associated health problems (vision changes, hearing loss,
weakness/neurological issues, recent illness/injury, recently
quit drinking alcohol)
Associated symptoms (hearing voices, seeing things, change in
appetite, emotional distress, labile)
Medications (anticholinergics, benzos, opioids, antidepressants,
sedatives, hypnotics, alternative mainly Gingko biloba and St.
John's wort)
About which alternative or complementary therapies should
the nurse ask when taking the mental health history of a
confused patient?
Opioid analgesics
Gingko biloba
St. John's wort
Antipsychotics
Aspirin - correct answer
Gingko biloba
St. John's wort
,When taking the history of present illness of a disoriented
patient, which questions should the nurse ask regarding the
patient's condition?
"When did the symptoms begin?"
"Does disorientation run in your family?"
"What other symptoms are you experiencing?"
"What medications are you currently taking?"
"Do you participate in high-impact sports?" - correct answer
"When did the symptoms begin?"
"What other symptoms are you experiencing?"
"What medications are you currently taking?"
The nurse should inquire about the patient's use of beta-
blockers as part of the mental health history of which condition?
Depression
Mania
Psychosis
Confusion - correct answer
Depression
S/S of depression include; - correct answer
Troubling thoughts/constant worry or feelings of hopelessness
Low energy level
Agitation
Changes in physical health
Suicidal ideation or no plans for the future
, Medications that may worsen depression include; - correct
answer
Antihypertensives
Steroids
Beta-blockers
Calcium channel blockers
Seizure medications
S/S of anxiety include; - correct answer
sudden, intense fear
anxiety or panic for no apparent reason
feeling trapped in current situation
feeling uncomfortable in situations involving other people
associated symptoms like panic attacks, obsessive thoughts,
compulsive behaviors
Important aspects of the medical/surgical history for mental
status include - correct answer
history of neurologic disorders
brain injury or surgery
chronic illness or debilitating conditions (fibromyalgia, multiple
sclerosis, Alzheimer's) and their residual effects
