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WorksheetsMental Status Examination
Total questions: 10
Worksheet time: 5mins
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.
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.
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.
Which of the following best illustrates an abnormality of thought process?
Lability
Compulsion
Aphasia
Thought 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.
To assess affect, the nurse should ask the patient:
“How do you feel today?”
“Would you please repeat the following words?”
“Have these medications had any effect on your pain?”
“Has this pain affected your ability to dress yourself?”
The nurse is planning to assess new memory with a patient. The best way to do this would be to:
administer the FACT Test.
ask him to describe his first job to you.
give him the Four Unrelated Words Test.
ask him to describe the last TV show he watched before coming to the clinic.
Nurse Hazel is caring for a male client who experiences false sensory perceptions with no basis in reality. This perception is known as:
Hallucinations
Delusions
Loose associations
Neologisms
Nurse Benjie is communicating with a male client with substance-induced persisting dementia; the client cannot remember facts and fills in the gaps with imaginary information. Nurse Benjie is aware that this is typical of?
Flight of ideas
Associative looseness
Confabulation
Concretism
A 23-year-old client who has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, it’s march, March is a little woman”. That’s literal you know”. These statements illustrate:
Neologisms
Echolalia
Flight of ideas
Loosening of association
