The mental health status examination includes (select all that apply):

Mood and affect

Memory

Judgment

Mood and tone

Level of awareness and orientation

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: Mood and affect are essential components of the mental health status examination, reflecting the patient's emotional state and its expression.

Choice B reason: Memory is a cognitive function that is assessed during the mental health status examination to determine if there are any deficits.

Choice C reason: Judgment is evaluated to understand the patient's decision-making abilities, which can be affected in various mental health conditions.

Choice D reason: "Mood and tone" is not a standard component of the mental health status examination. The term "tone" typically refers to the quality of voice or speech.

Choice E reason: Level of awareness and orientation are assessed to determine the patient's consciousness level and their awareness of time, place, and person.

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Correct Answer is C

Explanation

Choice A reason: Paranoid personality disorder is characterized by distrust and suspicion, not the behaviors described.

Choice B reason: Dependent personality disorder involves a need to be taken care of and a fear of separation, which does not align with David's behaviors.

Choice C reason: Antisocial personality disorder includes a disregard for and violation of the rights of others, deceitfulness, and impulsivity, which aligns with David's behaviors.

Choice D reason: Schizoid personality disorder is characterized by detachment from social relationships and a restricted range of emotional expression, not matching David's behaviors.

A. "What would you do if a small child was lost in the store?" B. "What city were you born in?" C. "Can you tell me what you had for breakfast this morning?" D. "Who is the president of the United States?"

Correct Answer is A

Explanation

Choice A reason: This question assesses abstract thinking and judgment by asking the client to consider a hypothetical situation and propose a solution.

Choice B reason: Asking about the city of birth is a fact-based question and does not assess abstract thinking or judgment.

Choice C reason: Inquiring about breakfast is a recall question and does not evaluate abstract thinking or judgment.

Choice D reason: Asking who the president is tests knowledge of current events, not abstract thinking or judgment.

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The mental health status examination includes (select all that apply):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Which question will the nurse ask a client when assessing their abstract thinking and judgment?

Correct Answer is A

Explanation

When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, "I'm being kept in this prison against my will. Please try to get me out." Which of the following responses should the nurse make?

The nurse is collecting admission data on a new patient with a long health history. Which of the following life events is considered a stressor?

A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?

For the patient with antisocial personality disorder, which of the following behaviors would be the most difficult for the patient to comply with?

A nurse is assisting in the collection of data for a client who is in the early compensatory stage of hypovolemic shock. Which of the following findings should the nurse expect?

A nurse is reinforcing teaching with a client following surgery who has antiembolism stockings in place. Which of the following information should the nurse include in the teaching?

A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)