Health Assessment Exam 2 Study Set Questions And
Accurate Answers
As part of a comprehensive mental health history, the nurse should observe which
aspects of the patient's body language?
Posture
Grooming
Facial expressions
Eye contact
Hearing - Answer Posture
Facial Expressions
eye contact
As part of a comprehensive mental health history, the nurse should observe patient
behavior that reflects which traits?
Docility
Shyness
Insensitivity
Extroversion
Hatefulness - Answer Docility
Insensitivity
Match the specific patient assessment with the related cognitive ability.
Relating the meaning of a specific metaphor
Writing his or her name and address
,Unbuttoning his or her shirt
Following a set of commands
Similarities
Attention span
Use of motor activity
Able to write - Response Describing the meaning of a particular metaphor
Similarities
Writing his or her name and address
Able to write
Unbuttoning his or her shirt
Use of motor activity
Following a set of commands
Attention span
The mini-mental state examination is utilized to monitor changes in cognitive function
over a given period of time and measures what cognitive functions?
Attention
Articulation
Recall
Language
Judgement - Answer Attention
Recall
Language
A nurse would teach a patient to take 8 from 50, then from that number, subtract 8
again, and continue until the answer is 2 during which of the following cognitive
evaluations?
,Writing ability
Arithmetic calculation
Attention span
Judgement - Answer Arithmetic calculation
The nurse is performing the Mini-Mental State Examination on a patient and identifies
that the patient has mild cognitive impairment. What score must this patient receive?
7
22
25
27 - Answer 22. A person having mild cognitive impairment may score between 18 and
23 in this questionnaire. Thus, the patient with a score of 22 in the MMSE questionnaire
has mild cognitive impairment. A score of 7 in the MMSE scale indicates that the patient
has severe cognitive impairment. A person scoring 25 or 27 has no cognitive
impairment.
At what age should an infant be tested for his/her language development skills using a
one-word sentence?
1 year
2 years
4 weeks
6 weeks -Answer 1 yea. Language development skills in 1-year-old infants can be
assessed easily by making use of one-word sentences. The language development can
be assessed using multiword sentences at the age of 2 years. Language development
can be assessed while an infant is differentiating between crying at the age of 4 weeks.
The language development can be assessed when cooing is performed towards the
infant, ages 6 weeks.
The nurse is caring for a patient diagnosed with generalized anxiety disorder. Which
associated physiologic complications does the nurse expect to find in the patient?
Diarrhea
Tachypnea
, Nausea
Sweating
Sleep disturbance - Answer Diarrhea
Tachypnea
Sleep disturbance
During an assessment, the nurse finds that a patient has nausea, vomiting, and malaise.
The patient also shows tremors of the tongue and eyelids. What other findings does the
nurse expect to see in a patient experiencing sedative withdrawal?
Insomnia
Loss of appetite
Grand mal seizures
Desire to smoke
Orthostatic hypotension -Answer Insomnia
Grand mal seizure
Orthostatic hypotension
The patient is admitted with alcohol withdrawal and complains of a headache. The nurse
assesses the patient and gives the patient a score of 3 for the patient based on the
Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar). Why has
the nurse given this score to the patient?
The patient has a moderate headache.
The patient has a very mild headache.
The patient has a mild headache.
The patient has a very severe headache. - Answer The patient has a moderate
headache.
The nurse is caring for a patient with a history of cannabis abuse who is reported to
have reddened eyes, dry mouth, and tachycardia. What behaviors does the nurse
expect in the patient?
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