Assessment of Mental Health

If we were to rank the levels of consciousness from best to worst, which of the following would break the order?

Alert – Confusion - Stupor – Lethargy – Coma

• Alert

• Stupor

• Lethargy

• Coma

What does "lethargy" mean in mental status assessment?

• Fully alert and oriented

• Responds only to noxious stimuli

• Drowsy but can be aroused

• Unconscious, no response to pain

Which tool is commonly used to assess consciousness level?

• Glasgow Coma Scale

• Hamilton Scale

• Beck Inventory

• Mini Mental State Examination

Which component is NOT assessed in the Glasgow Coma Scale (GCS)?

• Eye opening

• Motor response

• Motor function

• Verbal response

When evaluating consciousness with the Glasgow Coma Scale, verbal response cannot be evaluated if the patient has any of the following:

• Aphasia

• Intubation

• Hearing impairment

• All

Which Glasgow Coma Scale score indicates coma?

• ≤8

• 9-12

• 13-14

• 15

“A disorder of consciousness that affects the awareness dimension of consciousness and shows fluctuations during the day.”

• Dementia

• Acute confusional state (delirium)

• Stupor

• Vegetative state

Which of the following is a delirium risk factor?

• Older age

• Environmental factors (constant noise, light, etc.)

• Physiological changes

• All

Which of the following is NOT included in the orientation assessment?

• Situation

• Place

• Person

• Time

Which component is affected first in orientation?

• Place

• Time

• Person