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When you ask the patient to tell you the meaning of a proverb or metaphor, you are assessing which of the following?


A) Level of consciousness
B) Abstract reasoning
C) Emotional stability
D) Memory
E) Impaired judgment

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The ability for abstract thinking normally develops


A) in utero.
B) during infancy.
C) during early childhood.
D) during adolescence.
E) during adulthood.

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Under most conditions, adult patients should be able to repeat a series of _____ numbers.


A) two to three
B) five to eight
C) 10 to 15
D) 15 to 20
E) more than 20

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Impairment of arithmetic skills is often caused by


A) impaired execution of motor skills.
B) impaired judgment.
C) peripheral neuropathies.
D) depression.
E) perceptual distortions.

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Peripheral neuropathy is most likely to be manifested by


A) impaired memory.
B) impaired abstract reasoning.
C) impaired writing ability.
D) hallucinations.
E) difficulties with analogies.

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The Mini-Mental State Examination should be administered for a patient who


A) gets lost in her or his neighborhood.
B) sleeps an excessive amount of time.
C) has repetitive ritualistic behaviors.
D) uses illegal hallucinogenic drugs.
E) has a fear of leaving the house.

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A 69-year-old truck driver presents with a sudden loss of the ability to understand spoken language. This indicates a lesion in the


A) temporal lobe.
B) Broca area.
C) frontal cortex.
D) precentral gyrus.
E) occipital lobe.

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Recent memory may be tested by


A) asking the patient to do simple arithmetic.
B) asking the patient to listen to and repeat a series of numbers.
C) showing the patient four items and asking him or her to list the items about 10 minutes later.
D) asking the patient about verifiable past events, such as his or her mother's maiden name.
E) asking the patient to name the past four presidents.

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Which statement is true regarding mental status changes in older adults?


A) There is usually a decline in general intelligence in older adults.
B) Vocabulary and inventories of information show a marked decrease in older adults.
C) Remote memory decline frequently causes problems in processing information.
D) Recent memory is usually more efficient than remote memory.
E) There is an increased risk of delirium with acute illness or metabolic derangement.

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An older adult is administered the Set Test and scores a 14. The nurse interprets this score as indicative of


A) depression.
B) cognitive impairment.
C) delirium.
D) schizophrenia.
E) dementia.

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Which type of hallucination is usually associated with alcohol withdrawal?


A) Olfactory
B) Visual
C) Auditory
D) Tactile
E) Gustatory

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Which statement is true in regard to attention-deficit/hyperactivity disorder (ADHD) ?


A) It occurs before 7 years of age.
B) It is usually related to mental retardation.
C) It is usually related to dementia.
D) It is manifested by prolonged periods of catatonic behavior.
E) It usually first manifests with decorticate posturing.

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Which condition is considered progressive rather than reversible?


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

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The Denver II is a tool used to determine


A) a child's IQ.
B) the child's mood.
C) whether a child is educable.
D) whether a child is developing as expected.
E) whether an adolescent is a suicide risk.

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