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 B
Explanation
Choice A reason: Highlighting risk of suicide in a confrontational or accusatory manner may increase parental defensiveness and does not provide a constructive framework for supporting the child.
Choice B reason: Conversion therapy has been widely discredited as harmful and ineffective. Educating parents on this evidence-based information protects the child’s mental health and is a professional, nonjudgmental way to guide care.
Choice C reason: This statement fails to provide guidance or protection for the child and may inadvertently support harmful practices.
Choice D reason: While emphasizing child well-being is important, this confrontational phrasing may alienate parents and reduce their receptivity to professional advice.
Correct Answer is C
Explanation
Choice A reason: The Child Behavior Checklist is a broad behavioral screening tool used for children from ages 1.5 to 18 but does not specifically target early signs of autism in toddlers.
Choice B reason: The Conners Teacher Rating Scale is designed to assess behaviors related to attention-deficit/hyperactivity disorder (ADHD) in school-aged children, not to screen for autism in toddlers.
Choice C reason: The M-CHAT is specifically designed to screen children between 16 and 30 months for early signs of autism spectrum disorder. It identifies risk factors and developmental concerns related to social communication and repetitive behaviors.
Choice D reason: The Vanderbilt Teacher Rating Scale is intended for evaluating ADHD symptoms and behavioral issues in school-aged children and is not appropriate for screening toddlers for autism spectrum disorder.
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