NSG 316: TOPIC 14-Questions with Correct Answers/Verified
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Course
NSG 316
Institution
NSG 316
mental status - ️️a person's emotional and cognitive functioning
strikes a balance between good and bad days, allowing person to function socially and
occupationally
mental disorder -️️an illness that affects a person's thoughts, emotions, and behaviors
organic disorders -️️Due to b...
NSG 316: TOPIC 14-Questions with Correct Answers/Verified
mental status - ✔️✔️a person's emotional and cognitive functioning
strikes a balance between good and bad days, allowing person to function socially and
occupationally
mental disorder - ✔️✔️an illness that affects a person's thoughts, emotions, and behaviors
organic disorders - ✔️✔️Due to brain disease of known specific organic cause (e.g.,
delirium, dementia, alcohol and drug intoxication and withdrawal)
psychiatric mental illness - ✔️✔️organic etiology has not yet been established (e.g., anxiety
disorder or schizophrenia)
when do you perform a full mental status examination - ✔️✔️when any abnormality in
affect or behavior is discovered and in certain situations
mental status: aging adult - ✔️✔️o Older adulthood contains more potential for losses
o Grief and despair surrounding theses losses can affect mental status and can result in
disability, disorientation, or depression
o Chronic diseases such as heart failure, cancer, diabetes, and osteoporosis include fear of
loss of life
the four main headings of mental status assessment: - ✔️✔️A-B-C-T
-Appearance
-Behavior
-Cognition
-Thought processes
aphasia - ✔️✔️impairment of language ability secondary to brain damage
, brain lesions - ✔️✔️trauma, tumor, cerebrovascular accident or stroke
when is a full mental status examination necessary - ✔️✔️-Patients whose initial screening
suggests an anxiety disorder or depression
-Behavioral changes, such as memory loss, inappropriate social interaction
-Brain lesions
-Aphasia
-Symptoms of psychiatric mental illness, especially with acute onset
what things does the nurse ask about when determining the orientation of a client? -
✔️✔️-time(day of the week, date, year, season)
-place(where person lives, address, phone number, present location, type of building, name
of city and state)
-person(own name, age, who examiner is, type of worker)
attention span - ✔️✔️ability to concentrate-noting completes a thought without
wandering
assessing recent memory - ✔️✔️Assess in context of interview by 24-hour diet recall or by
asking time person arrived at agency
confabulates - ✔️✔️makes up plausible explanation for his actions without intention to
deceive, to fill in gaps of memory loss
assessing remote memory - ✔️✔️In the context of the interview, ask verifiable past events;
describe past health, the first job, birthday and anniversary dates, and historical events that
are relevant for that person
Remote memory is lost when - ✔️✔️cortical storage area for that memory is damaged,
such as in Alzheimer disease, dementia, or any disease that damages cerebral cortex
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