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Seidel's Guide To Physical Examination 8th Edition Jane W. Ball - Test bank

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

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