The PMHNP works on an inpatient geriatric behavioral health unit. During the psychiatric evaluation, he asks the clients to draw a clock and recall three items. Which of the following assessment tools requires these actions?
St. Louis University Mental Status Exam
Montreal Cognitive Assessment
Mini-Cog
Geriatric Depression Scale
The Correct Answer is C
Choice A reason: The St. Louis University Mental Status Exam is a cognitive screening tool designed to assess attention, memory, and executive function. While it evaluates multiple cognitive domains, it does not specifically require patients to draw a clock or recall three items in the same structured manner as other tools.
Choice B reason: The Montreal Cognitive Assessment evaluates multiple cognitive domains, including memory, attention, language, and executive function. It does include some tasks like recalling words, but it does not combine the clock-drawing and three-item recall in the same brief screening format.
Choice C reason: The Mini-Cog is a rapid cognitive screening tool that specifically combines a three-item recall test with a clock-drawing task. This combination allows for quick identification of cognitive impairment, making it especially useful in geriatric populations for detecting early dementia.
Choice D reason: The Geriatric Depression Scale is a screening instrument used to assess depressive symptoms in older adults. It does not include tasks like clock drawing or three-item recall, as its focus is on mood and affect rather than cognitive function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Williams syndrome presents with distinctive “elfin” facial features, cardiovascular anomalies, and overly friendly behavior, not the described features.
Choice B reason: Rett syndrome primarily affects girls and involves loss of purposeful hand skills, language regression, and stereotypic hand movements.
Choice C reason: Fragile X syndrome is characterized by intellectual disability, long face, large ears, midface hypoplasia, hyperextensible joints, and short stature, matching this patient’s presentation.
Choice D reason: Turner syndrome affects females and is characterized by short stature, webbed neck, and gonadal dysgenesis, not the features described.
Correct Answer is A
Explanation
Choice A reason: Utilities are considered indirect costs because they are necessary for the operation of the practice but cannot be directly attributed to a specific service provided to a patient.
Choice B reason: Direct costs are those directly tied to patient care, such as medications or clinical supplies, which utilities are not.
Choice C reason: Fixed costs refer to expenses that remain constant regardless of service volume; while utilities may be relatively consistent, they can fluctuate with usage, so they are not strictly fixed.
Choice D reason: Permanent costs is not a standard accounting category and does not apply to typical business budgeting terminology.
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