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NCLEX - Chapter 5

Terms in this set (10)

A full mental status examination should be completed if the patient
develops

dysphagia.
has a new diagnosis of type 2 diabetes mellitus.
complains of insomnia.
has a change in behavior and the family is concerned.
has a change in behavior and the family is concerned.
Aphasia is best described as

a disturbance in executive functioning (planning, organizing, sequencing, abstracting).
a language disturbance in speaking, writing, or understanding.
the impaired ability to recognize or identify objects despite intact sensory function.
the impaired ability to carry out motor activities despite intact motor function.
a language disturbance in speaking, writing, or understanding.
A patient in whom a seizure disorder was recently diagnosed plans to continue a career as a pilot. At this time in the interview, the nurse begins to question the patient's

thought process.
intellect.
judgment.
perception.
judgment.
A major characteristic of dementia is

hallucinations.
sudden onset of symptoms.
cognitive deficits that are substance-induced.
impaired short-term and long-term memory.
impaired short-term and long-term memory.
Mental status assessment documents

schizophrenia and other mental health disorders.
artistic or writing ability in the mentally ill person.
emotional and cognitive functioning.
intelligence and educational level.
emotional and cognitive functioning.
Although a full mental status examination may not be required for every patient, the health care provider must address the four main components during a health history and physical examination. The four components are

language, orientation, attention, and abstract reasoning.
mood, affect, consciousness, and orientation.
appearance, behavior, cognition, and thought processes.
memory, attention, thought content, and perceptions.
appearance, behavior, cognition, and thought processes.
An older adult

has a slower response time.
has diminished recent and remote memory recall.
experiences a 10-point decrease in intelligence.
has difficulty with problem solving.
has a slower response time.
Which of the following statements about mental status testing of children is correct?

The behavioral checklist is useful to assess children who are 3 to 5 years old.
Input from parents and caregivers is discouraged when assessing psychosocial development.
The results of the Denver II screening test are valid for white, middle-class children only.
Abnormal findings are usually r/t not achieving an expected developmental milestone.
Abnormal findings are usually r/t not achieving an expected developmental milestone.
Which of the following best illustrates an abnormality of thought process?

Lability
Compulsion
Aphasia
Blocking
Blocking
The mental status examination

should be completed at the end of the physical examination.
assesses mental health strengths and coping skills and screens for any dysfunction.
is usually not assessed in children younger than 2 years of age.
will not be affected if the patient has a language impairment.
assesses mental health strengths and coping skills and screens for any dysfunction.
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