NSG 530 EXAM 2: ADVANCED PATHOPHYSIOLOGY
| QUESTIONS AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A - WILKES
1. Mental status is best defined as:
o A) A patient’s emotional and cognitive function
o B) The patient's conscious, mood, and affect
o C) General intelligence level
o D) Patient's perception
o Answer: A) A patient’s emotional and cognitive function
2. A mental disorder can be described as:
o A) Presence of phobias
o B) Lack of rational thought
o C) Extreme behaviors often linked to stress
o D) Memory loss from years ago
o Answer: C) Extreme behaviors often linked to stress
3. The ABCs of mental health assessment include:
o A) Attitude, beliefs, culture, traditions
o B) Appearance, behavior, cognition, and thought process
o C) Airway, breathing, circulation
o D) Ability, background, communication, traits
o Answer: B) Appearance, behavior, cognition, and thought process
4. Which describes a patient’s appearance?
o A) Erect posture and voluntary movements
o B) Oriented to time, place, and person
o C) Awake, alert, and responsive
o D) High GAD score
o Answer: A) Erect posture and voluntary movements
5. To check recent memory, a nurse can:
o A) Ask about the patient’s first job
o B) Request a 24-hour diet recall
o C) Perform a language test
o D) Ask the patient to remember unrelated words
o Answer: B) Request a 24-hour diet recall
6. A deficit in recent memory may occur with:
o A) Anxiety and depression
o B) Delirium and dementia
o C) Schizophrenia
o D) Substance abuse
o Answer: B) Delirium and dementia
7. Attention span can be tested by:
o A) Asking the patient to solve a puzzle
o B) Giving a series of instructions to follow
o C) Checking the patient’s pulse rate
o D) Observing facial expressions
o Answer: B) Giving a series of instructions to follow
,ESTUDY
8. In the "4 unrelated words" memory test, how many words should be recalled?
o A) 5 words
o B) 10 words
o C) 4 words
o D) 8 words
o Answer: C) 4 words
9. When testing recall duration, the nurse should ask after:
o A) 10 and 20 minutes
o B) 5 and 15 minutes
o C) 10 and 30 minutes
o D) 15 and 60 minutes
o Answer: C) 10 and 30 minutes
10. Which of these is NOT an anxiety disorder?
o A) Panic disorder
o B) PTSD
o C) Social anxiety
o D) Bipolar disorder
o Answer: D) Bipolar disorder
Psychological Assessments
11. PHQ-9 score indicating minimal depression is:
o A) 0-4
o B) 5-9
o C) 10-14
o D) 15-19
o Answer: B) 5-9
12. Obtunded state refers to a patient who:
o A) Falls asleep without stimulation
o B) Only wakes to loud noises
o C) Does not respond to pain
o D) Remains awake and alert
o Answer: B) Only wakes to loud noises
13. Expressive aphasia is also known as:
o A) Broca’s aphasia
o B) Wernicke’s aphasia
o C) Global aphasia
o D) Anomic aphasia
o Answer: A) Broca’s aphasia
14. Delirium is characterized by:
o A) Chronic memory loss
o B) Progressive cognitive decline
o C) Sudden confusion and disorientation
o D) Enhanced memory and focus
o Answer: C) Sudden confusion and disorientation
15. Hypochondriasis means:
o A) Fear of losing control
o B) Belief in having a serious illness without evidence
,ESTUDY
o C) Paranoia about being watched
o D) Extreme fear of confined spaces
o Answer: B) Belief in having a serious illness without evidence
16. Signs of cannabis intoxication include:
o A) Rapid heart rate
o B) Red eyes and relaxed mood
o C) Sweating and shaking
o D) Aggression and hostility
o Answer: B) Red eyes and relaxed mood
17. Opiate intoxication symptoms are:
o A) Pupil dilation and fever
o B) Pinpoint pupils and low blood pressure
o C) Hyperactivity and sweating
o D) Muscle spasms and hallucinations
o Answer: B) Pinpoint pupils and low blood pressure
18. Which drug causes pupil dilation and chills?
o A) Cannabis
o B) Cocaine
o C) Opiates
o D) Alcohol
o Answer: B) Cocaine
19. The corneal light reflex test is also known as:
o A) Accommodation test
o B) PEARLA test
o C) Hirschberg test
o D) Visual acuity test
o Answer: C) Hirschberg test
20. A key sign of anxiety disorder is:
o A) Elevated blood pressure
o B) Hallucinations
o C) Excessive worry
o D) Memory loss
o Answer: C) Excessive worry
Cognitive Function and Neurological Signs
21. To assess orientation, a nurse asks about:
o A) Recent diet
o B) Time, place, and person
o C) Childhood memories
o D) Future goals
o Answer: B) Time, place, and person
22. Patients with delirium often show:
o A) Slow, gradual changes in memory
o B) Sudden onset of confusion
o C) Long-term depression
o D) Consistent behavior
o Answer: B) Sudden onset of confusion
, ESTUDY
23. Wernicke’s aphasia affects:
o A) Language production
o B) Understanding spoken language
o C) Motor skills
o D) Vision
o Answer: B) Understanding spoken language
24. Which symptom is common in severe depression?
o A) Hyperactivity
o B) Elevated mood
o C) Low energy and fatigue
o D) Uncontrolled laughter
o Answer: C) Low energy and fatigue
25. Testing recent memory involves asking about:
o A) A recent event
o B) Childhood experiences
o C) Family history
o D) Favorite hobbies
o Answer: A) A recent event
26. What is the main focus when assessing a patient’s thought process?
o A) Appearance and hygiene
o B) How logically the patient’s thoughts flow
o C) Level of education
o D) Physical strength
o Answer: B) How logically the patient’s thoughts flow
27. A common symptom of anxiety disorders is:
o A) Decreased appetite
o B) Increased energy levels
o C) Excessive worry and nervousness
o D) Memory enhancement
o Answer: C) Excessive worry and nervousness
28. One way to assess the patient’s insight is to ask:
o A) “What is your favorite color?”
o B) “Why do you think you are here today?”
o C) “Can you recite the alphabet backwards?”
o D) “What day is it today?”
o Answer: B) “Why do you think you are here today?”
29. Testing a patient’s judgment involves asking about:
o A) The patient’s hobbies
o B) How they would handle an emergency situation
o C) Their diet recall
o D) Their favorite book
o Answer: B) How they would handle an emergency situation
30. Remote memory is best assessed by asking:
o A) About a recent meal
o B) The patient’s date of birth
o C) The name of a close friend
o D) About their current location
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