Exam 21: Approach to the Mental Health Assessment

The nurse is conducting a health maintenance assessment for a patient who lost a spouse 2 months ago. The patient's adult child states, "My mom's behavior has changed since we lost my dad. She seems forgetful and confused at times. It seems to be worse in the morning." Based on this data, which diagnosis does the nurse anticipate?

The nurse is conducting a health history to determine a patient's risk for mental illness. Which question is most appropriate to determine the risk for posttraumatic stress disorder (PTSD)?

The nurse is assessing an older adult patient for risk factors for suicide. Which finding would suggest that this patient is at an increased risk for suicide?

The nurse is providing care to an older adult patient who is experiencing sudden onset of recent memory loss after a surgical procedure. Which diagnosis does the nurse anticipate for this patient?

Which assessment finding would indicate that a patient is experiencing neuroleptic malignant syndrome (NMS)?

The nurse, working in a senior center, performs risk assessments for suicide. Which factors would increase a patient's risk for suicide in the older adult? Select all that apply.

The nurse is assessing a pediatric patient for anxiety. Which tool is most appropriate for the nurse to use?

You are working in a prenatal clinic, performing risk assessment for postpartum depression. Which factors would increase a patient's risk for postpartum depression? Select all that apply.

The nurse is assessing an adolescent patient during a health maintenance visit. Which assessment finding would cause the nurse to suspect the adolescent is participating in the choking game?

Which classification of medication prescribed to a patient would require the nurse to assess for tardive dyskinesia?

The nurse working at a mental health clinic is reviewing the current medications for a patient who is seeking treatment. Which medication has a psychotic reaction as a side effect?

The nurse is assessing an older adult patient for depression. Which is a typical clinical manifestation of depression in older adult patients?

The nurse is conducting a review of systems for a patient with a history of a mood disorder. Which are biographical questions the nurse will include in this process? Select all that apply.

The nurse is admitting an older adult patient to the emergency department (ED) with a change in mental status with recent and remote memory loss. The family tells the nurse the patient's forgetfulness has gotten progressively worse over the past 6 months. Which diagnosis does the nurse anticipate for this patient?

Which older adult patient is at the greatest risk for suicide?

The nurse is assessing a patient who presents with depression. Which medication found during the health history assessment could be the cause for this depression?

Which psychoactive agent may be the cause for depression?