In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Speech and ability to communicate.

Judgement

Memory

Thinking/content of thought.

Answer and Explanation

The Correct Answer is D

In a Mental Status Examination (MSE), thinking/content of thought is one of the key areas assessed. It refers to the content and process of a person's thoughts. The examiner will evaluate whether the person's thinking is coherent, organized, and logical, or if it is fragmented, disorganized, or delusional. They will also look for evidence of hallucinations, obsessions, or compulsions.

Speech and ability to communicate (a) are also assessed in the MSE, but they focus more on how the person expresses themselves, rather than the content of their thoughts. Judgment (b) refers to a person's ability to make decisions and solve problems, and memory (c) is the ability to recall past events and information. While both areas are important to assess in a mental health evaluation, they do not specifically focus on what the person is thinking.

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Correct Answer is B

Explanation

In this situation, the patient is expressing a lack of understanding and confusion about their medication. The therapeutic communication technique that would be most helpful is giving information, which involves providing the patient with accurate and clear information about their medication, its purpose, and the benefits of taking it.

Option a, "Ask for what you need," may not be eﬀective in this situation because the patient has already expressed what they need, which is information about their medication.

Option c, "Silence," would not be helpful because the patient is seeking information and support.

Option d, "Using general leads," involves using open-ended statements or questions to encourage the patient to share more information, but it may not address the patient's primary concern of not understanding their medication.

A. Whether the client is unable to make arrangements to stay with someone. B. Whether the client is financially incapable of paying for medications. C. Whether the client is in danger of harming herself or others. D. Whether the client is unwilling to accept that treatment is needed.

Correct Answer is C

Explanation

Involuntary admission to a mental health unit is done when an individual poses a threat to themselves or others due to a mental health condition. The initial hold is usually for 72 hours, during which the client's condition is assessed and an appropriate treatment plan is developed. If the client is still deemed to be a danger to themselves or others after the initial hold, the healthcare provider may request an extension of the hold or seek a court order to continue treatment.

In order to keep the client in the hospital, it must be determined that they continue to pose a threat to themselves or others.

Factors such as the client's ability to make arrangements to stay with someone or financial capability to pay for medications are not relevant to the decision of whether to continue the hold.

Similarly, unwillingness to accept treatment is not the determining factor, as involuntary treatment can be provided to clients who do not recognize their need for treatment if they are deemed to be a danger to themselves or others.

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In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient states, “I don’t know what the pills are for or why I am taking them, so I don’t want them.” What therapeutic communication would help this patient?

Correct Answer is B

Explanation

A nurse is caring for a client on an acute care mental health unit who was involuntarily admitted for 72 hr. after attacking a neighbor. To keep the client in the hospital when the initial time to hold the client expires, which of the following must be determined?

Correct Answer is C

Explanation

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