Exam 6: Mental Health Assessment

Which of the following statements is an example of flight of ideas?

Which of the following statements about the mental health examination is true?

A patient is admitted after an automobile accident.The nurse begins the mental health examination and finds that the patient's speech is dysarthric and that she is lethargic.The nurse's best approach in this situation is to:

Which of the following would illustrate an auditory hallucination?

A woman has come to the clinic to seek help for a substance use problem.She admits to using cocaine just before coming to the clinic.Which of the following describes what the nurse may find when examining this woman?

A 20-year-old construction worker has suffered heat stroke and has been brought into the emergency department.He has delirium as a result of fluid and electrolyte imbalance.The nurse will assess his:

During an interview,the nurse notes that the patient gets up several times to wash her hands even though they are clean.This is an example of:

A patient drifts off to sleep when there is no stimulation.The nurse can arouse her easily by calling her name,but she remains drowsy during the conversation.The best description of this patient's level of consciousness would be:

A 19-year-old woman comes to the clinic at the insistence of her brother.She is wearing black combat boots and a black lace nightgown over her other clothes.Her hair is dyed pink with black streaks.She has several piercings in her nares and ears and is wearing an earring on her eyebrow and heavy black makeup.The nurse concludes that:

The nurse is performing a mental health assessment on a 5-year-old girl.Her parents are in the middle of a bitter divorce and are worried about the effect it is having on their daughter.Which of the following might lead the nurse to be concerned about the girl's mental health?

A score of 6 on the MoCA tool indicates:

During morning rounds,the nurse asks a patient,"How are you today?" The patient mumbles,"You today,you today,you today!" This speech pattern is an example of:

A patient states,"I feel so sad all of the time.I can't feel happy even doing things I used to enjoy doing." He also says that he is tired,sleeps poorly,and has no energy.To differentiate between dysthymic disorder and a major depressive disorder,which of the following questions should the nurse ask him?

Which of the following individuals would the nurse consider at highest risk for a suicide attempt?

The nurse has decided to administer the Set Test to Mr.C. ,age 70 years.To administer this test the nurse needs to:

A patient has been diagnosed with schizophrenia.During a recent interview,he shows the nurse a picture of a man holding a decapitated head.He describes this picture as horrifying but laughs loudly when looking at it.This behaviour is a display of:

A woman brings her husband to the clinic for an examination.She is particularly worried because after a recent fall,he seems to have lost a great deal of his memory of recent events.Which of the following statements reflects the nurse's best course of action?

A patient has had a cerebrovascular accident (stroke).He is trying very hard to communicate.He seems driven to speak and says,"I buy obie get spirding and take my train." What is the best way for the nurse to communicate with this patient?

Which of the following statements best describes the Montreal Cognitive Assessment (MoCA)examination?

To assess affect,the nurse should ask the patient: