Question 1

You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of

Accepted Answer

A)  depression.
B)  autistic disorder.
C)  mania.
D)  schizophrenia.
E)  anxiety disorder.

Question 2

A state of impaired cognition, consciousness, mood and behavioral dysfunction of acute onset refers to

Accepted Answer

A)  lethargy.
B)  delirium.
C)  stupor.
D)  coma.
E)  confusion. B

Question 3

You ask the patient to follow a series of short commands to assess

Accepted Answer

A)  judgment.
B)  attention span.
C)  arithmetic calculations.
D)  abstract reasoning.
E)  emotional stability.

Question 4

All of the following are usually associated with a neurochemical imbalance except

Accepted Answer

A)  schizophrenia.
B)  mania.
C)  anxiety disorder.
D)  autism.
E)  depression. D

Question 5

The Mini-Mental State Examination (MMSE)

Accepted Answer

A)  may be used to estimate cognitive changes quantitatively.
B)  may be used to estimate personality disorders qualitatively.
C)  scores do not vary with regard to age or education.
D)  will determine the cause of memory loss.
E)  is a good tool to diagnose neurologic disorders.

Question 6

Assessing orientation to person, place, and time helps determine

Accepted Answer

A)  the ability to understand analogies.
B)  abstract reasoning.
C)  attention span.
D)  state of consciousness.
E)  emotional status.

Question 7

The examiner should be concerned about neurologic competence if a social smile cannot be elicited by the time a child is _____ old.

Accepted Answer

A)  3 days
B)  2 weeks
C)  1 month
D)  3 months
E)  6 months

Question 8

Appropriateness of logic, sequence, cohesion, and relevance to topics are markers for the assessment of

Accepted Answer

A)  mood and feelings.
B)  attention span.
C)  thought process and content.
D)  abstract reasoning.
E)  speech and language skills.

Question 9

Slumped posture and a lack of facial expression may indicate depression or

Accepted Answer

A)  anxiety.
B)  Parkinson disease.
C)  loss of abstract reasoning.
D)  attention-deficit/hyperactivity disorder.
E)  hyperthyroidism.

Question 10

Flight of ideas and loosening of associations are associated with

Accepted Answer

A)  Parkinson disease.
B)  dysphonia.
C)  multiple sclerosis.
D)  psychiatric disorders.
E)  aphasia.

Question 11

Facial muscle or tongue weakness may result in

Accepted Answer

A)  aphasia.
B)  word salad.
C)  neologisms.
D)  echolalia.
E)  impaired comprehension.

Question 12

The Glasgow Coma Scale is used to

Accepted Answer

A)  determine the cause of decreased consciousness.
B)  assess a patient's level of abstract reasoning.
C)  quantify consciousness.
D)  predict response to stimulant medications.
E)  diagnose disorders that alter level of consciousness.

Question 13

Which of the following is usually related to structural diseases of the brain?

Accepted Answer

A)  Delirium
B)  Dementia
C)  Depression
D)  Anxiety
E)  Psychosis

Question 14

Loss of immediate and recent memory with retention of remote memory suggests

Accepted Answer

A)  attention-deficit/hyperactivity disorder (ADH
D)  .
B)  impaired judgment.
C)  stupor.
D)  dementia.
E)  delirium.

Question 15

While interviewing a patient, you ask him to explain "a stitch in time saves nine" to assess

Accepted Answer

A)  reading comprehension.
B)  attention span.
C)  mood and feeling.
D)  reasoning skills.
E)  perceptual distortions. D

Question 16

When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the

Accepted Answer

A)  presence and form of body parts.
B)  gender and race of the person drawn.
C)  approximate age and posture of the person drawn.
D)  length of time needed to draw a stick man.
E)  facial expressions of the child.

Question 17

An aversion to touch or being held, along with delayed or absent language development, is characteristic of

Accepted Answer

A)  attention-deficit/hyperactivity disorder.
B)  autism.
C)  dementia.
D)  mental retardation.
E)  schizophrenia.

Question 18

While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the

Accepted Answer

A)  Denver II.
B)  Mini-Mental State Examination.
C)  Glasgow Coma Scale.
D)  Goodenough-Harris Drawing Test.
E)  CAGE Questionnaire.

Question 19

Which of these observations would be most significant when assessing the condition of a patient who has judgment impairment?

Accepted Answer

A)  Repeated failure to complete work obligations
B)  Inadequate interpretation of a metaphor
C)  Going to church three times a week
D)  Planning for retirement in 20 years
E)  Forgetting family members' birthdays

Question 20

When is the mental status portion of the neurologic system examination performed?

Accepted Answer

A)  During the history-taking process
B)  Immediately after the vital signs are taken
C)  During the time when questions related to memory are asked
D)  Constantly, throughout the entire interaction with a patient
E)  During assessment of cranial nerves and deep tendon reflexes

Exam 5: Mental Status

You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language patterns. The nurse recognizes this behavior pattern as consistent with a diagnosis of

Correct AnswerverifiedShow Answer

A state of impaired cognition, consciousness, mood and behavioral dysfunction of acute onset refers to

Correct AnswerverifiedB

You ask the patient to follow a series of short commands to assess

Correct AnswerverifiedShow Answer

All of the following are usually associated with a neurochemical imbalance except

Correct AnswerverifiedD

The Mini-Mental State Examination (MMSE)

Correct AnswerverifiedShow Answer

Assessing orientation to person, place, and time helps determine

Correct AnswerverifiedShow Answer

The examiner should be concerned about neurologic competence if a social smile cannot be elicited by the time a child is _____ old.

Correct AnswerverifiedShow Answer

Appropriateness of logic, sequence, cohesion, and relevance to topics are markers for the assessment of

Correct AnswerverifiedShow Answer

Slumped posture and a lack of facial expression may indicate depression or

Correct AnswerverifiedShow Answer

Flight of ideas and loosening of associations are associated with

Correct AnswerverifiedShow Answer

Facial muscle or tongue weakness may result in

Correct AnswerverifiedShow Answer

The Glasgow Coma Scale is used to

Correct AnswerverifiedShow Answer

Which of the following is usually related to structural diseases of the brain?

Correct AnswerverifiedShow Answer

Loss of immediate and recent memory with retention of remote memory suggests

Correct AnswerverifiedShow Answer

While interviewing a patient, you ask him to explain "a stitch in time saves nine" to assess

Correct AnswerverifiedD

When the Goodenough-Harris Drawing Test is administered to a child, the evaluator principally observes the

Correct AnswerverifiedShow Answer

An aversion to touch or being held, along with delayed or absent language development, is characteristic of

Correct AnswerverifiedShow Answer

While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the

Correct AnswerverifiedShow Answer

Which of these observations would be most significant when assessing the condition of a patient who has judgment impairment?

Correct AnswerverifiedShow Answer

When is the mental status portion of the neurologic system examination performed?

Correct AnswerverifiedShow Answer

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D

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D

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