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 D
Explanation
A. Denial:
Denial is typically the first stage of grief, where the individual refuses to accept the loss. Jill is not denying her mother's death.
B. Bargaining:
Bargaining involves "if only" or "what if" thoughts to reverse or prevent the loss. Jill's reaction is more about injustice and resentment.
C. Depression:
Depression is marked by profound sadness and withdrawal, not irritability and outward frustration.
D. Anger:
Jill is expressing anger at the perceived unfairness of losing her mother, a classic emotion in this stage of grief.
Correct Answer is D
Explanation
A. Role performance:
This refers to how individuals fulfill the expectations of their roles in life (e.g., student, parent), not their internal identity.
B. Body image:
Body image is how a person perceives their physical appearance, which is a part of self-concept but not the whole.
C. Self-esteem:
Self-esteem is the value one places on themselves. It is a component of self-concept, but self-concept is broader.
D. Self-concept:
Self-concept encompasses an individual’s thoughts and feelings about themselves as a person, including identity, self-esteem, and role perception.
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