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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bring her and her children to a room immediately
This is a safety-first response. The woman is frightened and possibly in immediate danger. Moving her and the children to a private area provides physical and emotional safety and allows the nurse to continue assessment confidentially.
B. Ask her please not to scream-she is alarming the other patients
This is inappropriate and dismissive. Her distress signals potential abuse or trauma; silencing her prioritizes others’ comfort over her safety.
C. Ask, "Who will kill you?"
Although assessing threat is important, immediate safety must be ensured first before probing for more details.
D. Ask her to sit for a moment while you contact someone who can provide safety for her
Delaying action may increase the risk to her and her children. Immediate removal to a safe space is more appropriate.
Correct Answer is C
Explanation
A. Compassion for others, consistency, productivity
These qualities reflect healthy functioning, empathy, and responsibility-hallmarks of positive adaptive behavior.
B. Compassion for others, constructiveness, interest in others
These behaviors indicate emotional well-being, problem-solving, and social engagement, all positive traits.
C. Dependability, consistency, withdrawal
While dependability and consistency are positive, withdrawal suggests social disengagement or maladaptive coping, especially when persistent or used to avoid interaction.
D. Dependability, productivity, ability to interact
All three are traits of a person who can function well in society, form relationships, and fulfill responsibilities.
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