ExamI1:INUR2459/INURI2459I(NewI2024/I
2025IUpdate)IMentalIHealthI|ICompleteI
ReviewIwithIQuestionsIandIVerifiedI
Answers|IAIGradeI|I100%ICorrect-
IRasmussen
QUESTION
LevelsIofIconsciousnessI(LOC)
Answer:
I1.FullyIconscious
2.Confusion
3.Lethargy
4.Obtundation
5.Stupor
6.Coma
QUESTION
NursingIprocess/IClinicalIjudgementImodel
Answer:
IDiagnosis:ICurrentIproblem,INANDAIlist
I
AnalyzeIcues:IConditionIconsistentIw/IinfoIobtained?IUseIanalyticalIabilitiesItoIdetermineInurs
ingIinterventions.
Responding:IPriorityIestablished,IMaslow
Evaluation:IOutcomesIachieved?IModifyIPOCIifIneeded.
QUESTION
Transference
,Answer:
IWhenItheIclientIunconsciouslyIdisplacesIorItransfersItoItheInurseIfeelingsIformedItowardIanot
herIpersonIfromIhis/herIpast.ITheseIcanIbeIpositiveIorInegativeIfeelings.
QUESTION
Countertransference
Answer:
IRefersItoItheInursesIbehavioralIandIemotionalIre-
IsponseItoItheIclient,IinIwhichItheInurseItransfersIfeelingsI(oftenIunconsciously)IaboutIpastIex
periencesIorIpeopleIontoItheIclient.
QUESTION
WhatIareItheI3IlevelsIofIpreventionIwhenIimplementingIcommunityIteach-Iing/interventions?
Answer:
IPrimaryIPrevention
SecondaryIPreventionI&ITertiaryIPrevention
QUESTION
PrimaryIPrevention
Answer:
IPromotesIhealthIandIemphasizesIeffortsIinIpreventingImentalIhealthIproblemsIfromIoccurring.
Exp:IAInurseIteachesIaIcommunityIeducationIprogramIonIstressIreductionItech-Iniques.
QUESTION
SecondaryIPrevention
Answer:
IFocusesIonIearlyIdetectionIofImentalIillness.IExp:IAInurseIscreensIolderIadultsIinItheIcommu
nityIforIdepression.
,QUESTION
TertiaryIPrevention
Answer:
IFocusesIonIrehabI&IpreventionIofIfurtherIproblemsIinIclientsIwhoIhasIpreviousIdiagnoses.
Exp:IAInurseIleadsIaIsupportIgroupIforIclientsIwhoIhaveIcompletedIaIsubstanceIabuseIprogra
m.
QUESTION
MentalIStatusIExamI(MSE)Icomponents
Answer:
I1.PersonalIinformation
2.Appearance
3.Behavior
4.Speech
5.AffectI&Imood
6.Thought
7.PerceptualIdisturbances
8.Cognition
QUESTION
MSEIpersonalIinformationIcomponents
Answer:
I•Iage
•Igender
•ImaritalIstatus
•IreligiousIpreference
•Irace
•Iethnicity
•Iemployment
•IlivingIarrangement
I
QUESTION
, MSEIappearanceIcomponents
Answer:
I•IgroomingI&Idress
•IlevelIofIhygiene
•Iheight,Iweight,InutritionalIstatus
•IrelationshipIbetweenIageI&IappearanceIofIage
•IpupilIdilationIorIconstriction
•IfacialIexpression
•IpresenceIofIpiercings,Itattoos,IorIscars
QUESTION
MSEIbehaviorIcomponents
Answer:
I•IexcessiveIorIreducedIbodyImovements
•IpeculiarIbodyImovementsI(scanningItheIenvironment,IoddIorIrepetitiveIgestures,ILOC,Ibalan
ceI&Igait)
•IabnormalImovementsI(tardiveIdyskinesia,Itremors)
•IlevelIofIeyeIcontactI(keepIculturalIdifferencesIinImind)
QUESTION
MSEIspeechIcomponents
Answer:
I•Irate:Islow,Irapid,Inormal
•Ivolume:Iloud,Isoft,Inormal
•IdisturbancesI(articulation,Islurring,Istuttering,Imumbling)
•IclutteringI(rapid,Idisorganized,ItongueItied)
QUESTION
MSEIaffectI&ImoodIcomponents
Answer:
I•Iaffect:Iflat,Ibland,Ianimated,Iangry,Iwith-Idrawn,IappropriateItoIcontext
•Imood:Isad,Ilabile,Ieuphoric
