A charge nurse is discussing mental status examination with a newly licensed nurse. Which of the following statements made by the newly licensed nurse
... [Show More] indicates and understanding of the teaching? (Select all that apply).
A. "To assess cognitive ability, I should ask the client to count backwards by seven."
B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents." - CORRECT ANSWER-A. "To assess cognitive ability, I should ask the client to count backwards by seven."
B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of medications. - CORRECT ANSWER-D. Monitor the client for adverse effects of medications.
A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority?
A. Coordinate holistic care with social services.
B. Identify the client's perceptions of her mental health status.
C. Include the client;s family in the interview.
D. Teach the client about her current mental health disorder. - CORRECT ANSWER-B. Identify the client's perceptions of her mental health status.
A nurse is told during change-of-shift report that a client is stuporous. When assessing
the client, which of the following findings should the nurse expect? - CORRECT
ANSWER-The client arouses briefly in response to a sternal rub. [Show Less]