Exam (elaborations)
NURS 2900 Final Exam Questions with Correct Answers.
- Course
- Institution
NURS 2900 Final Exam Questions with Correct Answers.
[Show more]
Content preview
NURS 2900 Final Exam Questions with CorrectAnswers
Purpose of Mental Health Assessment Correct Answer ✓✓ Establish
rapport between pt. & nurse, Risk factors, Goals for treatment, Form
plan of care: consideration of cultural health care beliefs/practices/food,
safety for patient and others, (don't dismiss physical part of examination)
Mental Status Examination (MSE) Correct Answer ✓✓ Psychological
equivalent of a physical exam, Describes mental state & behaviors,
Objective observations of MD & subjective descriptions of pt., LOC,
Cognitive & intellectual abilities: orientation, memory, abstract thinking,
ability to calculate, rate/volume of speech, language quality
Level of Consciousness (Mental Status Examination) Correct Answer
✓✓ Alert, lethargic, stuporous, Comatose: abnormal posturing
Decorticate Correct Answer ✓✓ flexion-internal rotation of upper
extremity/joint/legs
decerebrate Correct Answer ✓✓ extension-neck/elbow extension
Physical Appearance: (Mental Status Examination) Correct Answer ✓✓
Note personal hygiene, grooming, & clothing choice; Mentally healthy
individual would be dressed/groomed appropriately for the environment
,Behavior (Mental Status Examination) Correct Answer ✓✓ Voluntary
& involuntary body movements/eye contact, Mood, affect: objective
expression of mood. Flat affect or lack of facial expression
Cognitive & intellectual abilities (Mental Status Examination) Correct
Answer ✓✓ -Orientation: time, place, person
-Memory: recent & remote
-Level of knowledge: what they know about current illness
-Ability to calculate: count backwards for 100 by 7
-Judgement based on hypothetical question: "What would you do if there
was fire?" Should provide logical answer
Standard Mental Health Screening Tools Correct Answer ✓✓ -Mini-
mental state examination (MMSE)
-Glasgow Coma Scale: Eye 4 levels, Verbal 5 levels, & Motor 6 levels.
Higher # is better
Mini-Mental State Examination (MMSE) Correct Answer ✓✓ -
Cognitive function can decline as a result of certain risk factors (HTN,
elevated cholesterol, cardiac arrhythmias) = adversely impacts
functioning and quality of life of older adults
-Assess pts., Cognitive status, orientation to time/place, Attention span,
Calculate by counting backward, Registration & recall of object,
language such as naming objects/following commands, Ability to write
,Lab tests for mental status Correct Answer ✓✓ Blood, urine, CBC,
BMP
Children & Adolescents Mental Health Assessment Correct Answer ✓✓
-Can have mental health problems as adults
-Mental health & developmental disorders not always easily diagnosed=
delays treatment/interventions
-Assess mood, anxiety, developmental, behavioral, & eating disorders
-At risk for self-injury (cutting) or suicide
Older Adults Assessment Correct Answer ✓✓ -Functional ability: how
independent are they, dressing, household tasks, use of stairs
-Standardized Assessments: Geriatric Depression Scale, Michigan
Alcoholism Screening Test
-MMSE, pain scales, pain assessment in advanced dementia (PAINAD)
When performing mental health assessment/interview: Correct Answer
✓✓ Quiet space, Introduce self & ask what pt. wants to be called, Sit or
stand at pts. level, Personal space, ask pt. before touching, medication
history, Questions r/t difficulty sleeping, falls/injuries, depression,
dizziness, lack of energy, Include family or significant others
Hamilton Anxiety Rating Scale (HAM-A) Correct Answer ✓✓ Rating
scale for anxiety (0-4)
, Diagnostic & Statistical Manual of Mental Health Disorders (DSM-5)
Correct Answer ✓✓ -Identifies diagnoses
-Diagnostic criteria to guide assessment
GCS (glasgow coma scale) Correct Answer ✓✓ BL assessment of LOC:
eye, verbal, and motor response (15-8): lower = coma
Counseling Correct Answer ✓✓ -Therapeutic communication skills
-Assist w/ problem solving & crisis intervention
Milieu Therapy Interventions Correct Answer ✓✓ -Orienting pt. to
physical setting
-Identify rules/boundaries
-Ensure safe environment
-Assist pt. to participate in activities
How does Milieu Therapy create a safe/therapeutic environment?
Correct Answer ✓✓ - Prevents self-destructive behavior
- Client is in therapeutic environment in which they learn tools necessary
to cope adaptively, interact more effectively and appropriately, and
strengthen relationship skills w/ others
- Nurse = manager of care, structure the aspects of therapeutic milieu,
each nurse is assigned a specific client = consistent approach to
interactions
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76800 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now