The nurse is conducting a psychosocial assessment. Which of the following would be included in this assessment? (Select all that apply)

CAGE assessment

Heinrich Fall Scale

Mini-Mental Status Exam

Activities of Daily Living Tool

Answer and Explanation

Correct Answer : C,D

The Mini-Mental Status Exam assesses cognitive function, which is often included in the psychosocial assessment, and the Activities of Daily Living Tool assesses the patient's ability to perform daily tasks, which is also important to understand the patient's level of functioning.

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Correct Answer is D

Explanation

The CAGE acronym is a brief screening tool used to assess alcohol misuse or dependence. It consists

of four questions that can be easily remembered using the acronym CAGE:

C - Have you ever felt you needed to Cut down on your drinking?

A - Have you ever felt Annoyed by criticism of your drinking? G - Have you ever felt Guilty about your drinking?

E - Have you ever felt the need for an Eye-opener (drink) in the morning?

A. Dreaming does not occur during this type of sleep. B. Composes the largest amount of total sleep. C. It is part of the sleep cycle. D. Considered to be the time of restorative sleep.

Correct Answer is C

Explanation

REM (Rapid Eye Movement) sleep is a stage of sleep that is part of the sleep cycle, which also includes non-REM (NREM) sleep. Dreaming occurs during REM sleep, and it usually composes about 20-25% of total sleep time in adults. NREM sleep, on the other hand, makes up the largest amount of total sleep time, typically about 75-80%. Both REM and NREM sleep are important for restorative sleep, but each plays a diﬀerent role in physiological and cognitive functioning.

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The nurse is conducting a psychosocial assessment. Which of the following would be included in this assessment? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When assessing a client for alcohol use, the nurse utilizes the CAGE acronym, what does E stand for?

Correct Answer is D

Explanation

The nurse is teaching the patient about diﬀerent stages of sleep. The nurse knows that REM sleep includes which one of the following?

Correct Answer is C

Explanation

A 70-year-old male complains of ringing in the ears. The nurse describes this as:

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