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
8. Impairment of arithmetic skills is often the result of:
|
a. |
impaired execution of motor skills. |
|
b. |
impaired judgment. |
|
c. |
perceptual distortions. |
|
d. |
depression. |
ANS: D
The patient with depression can display difficulty with simple arithmetic calculations.
DIF: Cognitive Level: Applying (Application) REF: p. 70
OBJ: Nursing process—assessment MSC: Physiologic Integrity: Physiologic Adaptation
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