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Which data are important to collect during a mental health assessment? (select all that apply)

Appearance

Heart sounds

Memory

Mobility

Ability to communicate clearly

Orientation to reality

Answer and Explanation

Correct Answer : A,C,E,F

A. Appearance

Physical appearance can reveal self-neglect, depression, or mania.

B. Heart sounds

This is part of a physical health assessment, not typically included in a mental status exam.

C. Memory

Short-term and long-term memory are key components of cognitive function.

D. Mobility

While sometimes relevant, it is not a routine mental health parameter unless the mobility issues are related to medication side effects or neurologic disorders.

E. Ability to communicate clearly

Speech patterns, coherence, and fluency provide insight into thought processes and psychiatric status.

F. Orientation to reality

Assessing whether the person is oriented to time, place, person, and situation helps evaluate their mental status.

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Correct Answer is C

Explanation

A. Id:

The id is the primitive part of personality driven by pleasure and basic instincts (e.g., hunger, sex), with no concern for reality.

B. Superego:

The superego represents moral standards and ideals internalized from society and parents-focused on "shoulds" and guilt.

C. Ego:

The ego is the rational part that mediates between the id, the superego, and the external world. It operates based on the reality principle.

D. Superid:

This is not a valid Freudian term.

A. Vulnerability B. An unstable event or situation C. A precipitating event D. A predictable event

Correct Answer is C

Explanation

A. Vulnerability

Vulnerability refers to the state of being more susceptible to crisis due to poor coping skills or lack of support. It is not the triggering event.

B. An unstable event or situation

This is a general description but does not specifically identify the final triggering factor like the precipitating event does.

C. A precipitating event

A precipitating event is the specific trigger or final event that pushes the individual into a crisis. It’s often referred to as the "last straw."

D. A predictable event

Crises are often unexpected and overwhelming, making them unpredictable in nature.

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Which data are important to collect during a mental health assessment? (select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

According to Freud, which part of the personality is concerned with reality?

Correct Answer is C

Explanation

A crisis is sometimes brought about by some specific event and is often the "last straw." What element of a crisis is this?

Correct Answer is C

Explanation

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Which behavior, in a patient with a chronic physical illness, alerts the nurse to possible mental health concerns?

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