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ATI - RN Mental Health Nursing Exam Questions and Answers 100% Solved
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ATI - RN Mental Health Nursing Exam Questions and Answers 100% Solved What do you assess for during a Mental Status Exam (MSE)? - 1. level of consciousness 2. physical appearance 3. behavior 4. cognitive and intellectual abilities alert - able to fully respond by opening eyes, attend to norm...

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  • August 21, 2024
  • 11
  • 2024/2025
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  • Questions & answers

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ATI - RN Mental Health Nursing Exam

Questions and Answers 100% Solved


What do you assess for during a Mental Status Exam (MSE)? - ✔✔1. level

of consciousness

2. physical appearance

3. behavior

4. cognitive and intellectual abilities

alert - ✔✔able to fully respond by opening eyes, attend to normal tone of

voice and speech, and answer questions spontaneously and appropriately

lethargy - ✔✔able to open eyes and respond, but is drowsy and falls asleep

readily

obtundation - ✔✔needs to be lightly shaken to elicit a response; may be

confused and slow to respond

stupor - ✔✔requires painful stimuli (e.g. pinch a tendon, rub sternum) to

elicit a brief response; may not be able to respond verbally

coma - ✔✔no response from repeated painful stimuli

, decorticate rigidity - ✔✔flexion and internal rotation of upper extremity

joints and legs (arms toward midline)

decerebrate rigidity - ✔✔neck and elbow extension, wrist and finger flexion

(arms away from midline)

mood - ✔✔subjective data about emotions that are felt

affect - ✔✔objective data about expression of mood

How do you assess recent memory? - ✔✔Have patient recall a series of

number or list of objects.

How do you assess remote memory? - ✔✔Have patient state a verifiable

fact (e.g. birthdate).

How do you assess level of knowledge? - ✔✔Ask patient what they know

about their illness or hospitalization.

How do you assess ability to calculate? - ✔✔Ask patient to count backward

from 100 in serials of 7.

How do you assess ability to think abstractly? - ✔✔See if patient can

interpret an idiom/saying.

How do you assess judgment? - ✔✔Ask patient a hypothetical question to

see how they would answer (i.e. is it logical).

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