Nokea
The nurse is admitting a client into a mental health facility and completing a mental status examination. Which assessment criteria would the nurse document to complete a total score? Select all that apply.
- A. Thought content
- B. Family report
- C. Physical appearance
- D. Attention
- E. History of abuse
- F. Memory
Correct Answer: A,C,D,F
Rationale: A mental status examination is one component of a thorough neurologic examination. It is an array of observations and questions that elicit information about a person's cognitive and mental state. The examination does not document a family report or a past history of physical abuse.
You may also like to solve these questions
The nurse is caring for a client diagnosed with Parkinson disease. The nurse is most correct to correlate the client's uncontrolled tremors as a physical characteristic of a lack of which neurotransmitter?
- A. Serotonin
- B. Norepinephrine
- C. Dopamine
- D. Acetylcholine
Correct Answer: C
Rationale: Parkinson disease is a neurodegenerative disorder and the most common movement disorder. It is characterized by progressive loss of muscle control, which leads to trembling of the limbs and head while at rest, stiffness, slowness, and imbalance. Low levels of the neurotransmitter dopamine have been linked to the uncontrollable tremors. The other neurotransmitters are not related to Parkinson disease.
Impaired balance and uncontrolled tremors of Parkinson disease is correlated with which neurotransmitter?
- A. Glutamate
- B. Acetylcholine
- C. Dopamine
- D. Serotonin
Correct Answer: C
Rationale: The impaired balance and uncontrolled tremors of Parkinson disease have been linked with low levels of dopamine. The other neurotransmitters have not been implicated in Parkinson's disease in this manner.
What is the result of the appropriate use of coping mechanisms?
- A. Maintenance of psychobologic equilibrium
- B. Psychological growth
- C. Altered body functions or symptoms
- D. Restored biologic functions
Correct Answer: B
Rationale: When used appropriately and in moderation, coping mechanisms allow maintenance of psychological equilibrium and lead to psychological growth. Appropriate use of coping mechanisms does not alter body functions or symptoms or restore biologic functions.
The nurse is obtaining a health history from a client with stress-related illnesses. When the nurse asks the client how the client copes with stress, which coping mechanism causes the nurse the most concern?
- A. I play video games for an hour.
- B. I run eight hours per day.
- C. I lift weights after work.
- D. I go out with friends.
Correct Answer: B
Rationale: The nurse is most concerned about the maladaptive coping mechanism of running eight hours per day. Playing video games, exercising or lifting weights, and going out with friends are more positive, beneficial coping mechanisms which, if done appropriately and in moderation, can reduce stress.
The nurse is caring for a client who consistently presents to the emergency department with symptoms of varied illnesses. Family members correlate the symptoms to illnesses seen on television or in other family members. When viewing past documentation of client history, which would the nurse anticipate?
- A. An autoimmune disorder
- B. Hypochondriasis
- C. Paranoid schizophrenia
- D. Physical abuse
Correct Answer: B
Rationale: Hypochondriasis is an abnormal fixation about the status of one's health. Some would propose that the disorder occurs when a person receives excessive attention and concern from others during childhood illnesses, which were unconsciously perceived as rewarding. The other disorders are not related.