Seidel’s Guide To Physical Examination 8th Edition Jane W. Ball – Test bank

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Seidel’s Guide To Physical Examination 8th Edition Jane W. Ball – Test bank

Chapter 05: Mental Status

Test Bank—Nursing

MULTIPLE CHOICE

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

a.	During the history-taking process
b.	During assessment of cranial nerves and deep tendon reflexes
c.	During the time when questions related to memory are asked
d.	Continually, throughout the entire interaction with a patient

ANS: D

A mental status evaluation should be continually performed throughout the patient encounter. Assessing and validating clues to determine the individual’s ability to interact within the environment is a priority of the mental status evaluation.

DIF: Cognitive Level: Remembering (Knowledge) REF: p. 64

OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

2. 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.	cerebellum.

ANS: A

The temporal lobe, specifically in the Wernicke speech area, is responsible for the comprehension of spoken and written language.

DIF: Cognitive Level: Understanding (Comprehension) REF: p. 64

OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

3. Mr. DeLaurentis is a 58-year-old man who presents to your office with slumped posture and a lack of facial expression, which may indicate depression or:

a.	Parkinson disease.
b.	anxiety.
c.	loss of abstract reasoning.
d.	attention-deficit/hyperactivity disorder.

ANS: A

A slumped posture and lack of facial expression may be clues to more than depression; they are also defining characteristics of Parkinson disease.

DIF: Cognitive Level: Applying (Application) REF: p. 64

OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

4. The ability for abstract thinking normally develops during:

a.	infancy.
b.	early childhood.
c.	adolescence.
d.	adulthood.

ANS: C

Abstract thinking is an intellectual maturation that develops during adolescence.

DIF: Cognitive Level: Remembering (Knowledge) REF: pp. 64-65

OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

5. The Mini-Mental State Examination (MMSE) may be used to:

a.	estimate cognitive changes quantitatively.
b.	estimate personality disorders qualitatively.
c.	diagnose neurologic disorders.
d.	determine the cause of memory loss.

ANS: A

The MMSE is a standard tool that functions to estimate cognitive function quantitatively or to document cognitive changes serially.

DIF: Cognitive Level: Remembering (Knowledge) REF: p. 67

OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

6. Assessing orientation to person, place, and time helps determine:

a.	ability to understand analogies.
b.	abstract reasoning.
c.	attention span.
d.	state of consciousness.

ANS: D

Orientation to person, place, and time are measures of states of consciousness and awareness.

DIF: Cognitive Level: Understanding (Comprehension) REF: p. 66

OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation

7. 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

ANS: B

Asking the patient to tell you the meaning of a proverb, metaphor, or fable assesses the patient’s ability to reason abstractly. Asking the patient to tell you the meaning of a proverb or metaphor does not assess level of consciousness, emotional stability, or memory. The Mini-Mental State Examination tests memory.

DIF: Cognitive Level: Understanding (Comprehension) REF: p. 69

OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation