NURS 612 Mental Health/Exam 3 Maryville
Questions With Complete Solutions
What questions do you ask a patient with a chief complaint of a
mood disorder? correct answer: abrupt or insidious onset,
medications, associated health problems, and associated
symptoms.
What are some questions to ask for an HPI of depression?
correct answer: any troubling thoughts or feelings, constant
worry/ change in outlook on life of change in feelings, low
energy level, agitation, thought or plans for hurting self and/or
others, medications (antidepressants, steroids, beta-blockers,
CCB, barbiturates, phenytoin, anabolic steroids).
What are some questions to ask for an HPI of anxiety? correct
answer: any sudden, unexplained episodes of intense fear,
anxiety or panic for no apparent reason. Feels uncomfortable
around people. Prior experience with a frightening or traumatic
event. Panic attack, obsessive thoughts, or compulsive
behaviors.
What are the objective data that you collect when assessing the
patient's mental health in primary care? correct answer: voice
quality, memory, attention span, judgment, grooming, body
language, and comprehension.
, What is the difference between a patient's mood and affect with
a diagnosis of dementia or delirium. correct answer: with
delerium their mood and affect includes rapid mood swings,
fearful and suspicious. Dementia patients are depressed,
apathetic, and uninterested.
Name four differences between dementia and delirium. correct
answer: Delerium the onset is sudden, with dementia it is
insidious and relentless. Delirium causes misperceptions,
illusions, hallucinations, and delusion. Dementia usually does
not include misperceptions or hallucinations. Delirium can be
reversible and dementia is not. Delirium is associated with
infections, medications, MODS, or brain injury. Dementia is
usually related to structural diseases of the brain.
How can you assess/test a patient's immediate recall or new
learning? correct answer: ask the patient to listen and repeat a
sentence or a series of numbers. 5-8 numbers forward or 4-6
numbers backward can usually be repeated.
How can you assess/test a patient's recent memory? correct
answer: give the patient four objects to remember and ask them
about them in 10 minutes. They should be able to name them all.
How can you assess/test a patient's remote memory? correct
answer: Ask them about verifiable past events such as mother's
maiden name, high school, or a subject of common knowledge.
What does loss of immediate and recent memory with retention
of remote memory suggest? correct answer: dementia.
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