CNUR 107 Midterm Exam
Questions with All Correct
Answers
What do we need to remember while assessing patients pain? - Answer- that pain is
whatever the experiencing person says it is, whenever he says it does.
What a patient says my heart hurt, what is the most appropriate response? - Answer-
tell me more about that, when did it start, how does it feel, ask more questions.
What is brief pain inventory? - Answer- the scale of 0-10 for pain
When do we use face pain scale? - Answer- patients aged 4-5 years old.
what is mental health? - Answer- the capacity to feel, think, express emotions and
behave in ways that enhance personal capacity to manage challenged, adapt
successfully to range of demands and enjoy life.
what is the medical term for mental illness? - Answer- mental disorder
what is the "Two Continuum Model? - Answer- people living with a mental health illness
can experience positive mental health and it is possible to experience poor mental
health without a mental illness
why might some canadians be more at risk than other face an increased risk for mental
illness and suicide? - Answer- could be in their genetics
what are some factors influencing mental health? - Answer- genetics, internal emotional
problems, familial and social work, community, including health care systems,
employment, education and housing, larger social issues (poverty, racism,
discrimination), known illness, current medications, known educational and behavioral
issues
what is a stigma? - Answer- a mark of disgrace or discredit that is used to identify and
separate out people whom society sees as sinful or dangerous.
As we get older is it normal for mental health to become more common? - Answer- no it
is not normal.
, what are the four domains of mental status? - Answer- appearance, behavior, cognition:
alert and orientated, memory attention, concentration, comprehension and thinking:
perception, content, process, insight, judgment
How do we assess mental health? - Answer- use the four domains.
besides doing health history, observation, examination and interview what else is very
important to asses with a person with a mental health condition? - Answer- risk
assessment ( suicide factor)
when observing appearance what do we look for regarding mental health? - Answer-
posture, body movements, dress, grooming and hygiene.
when observing behavior what do we look for? - Answer- level of consciousness, facial
expression, speech, mood and affect
what questions could the nurse ask the patient to assess mood? - Answer- "How are
you feeling today?" how were you feeling yesterday compared to today.
what are abnormal findings of mood and affect? - Answer- depression, anxiety, fear,
what is depression? - Answer- cognitive and physical changes present for at least 2
weeks
marked by loss of interest or pleasure in living
extreme feelings of despair and loss of hope
risk factor for suicide
what is the mnemonic to to assess a depressed patient? - Answer- A SAD FACES
what are the symptoms of depression? - Answer- A: appetite (weight change) S:sleep
A: anhedoni (inability to feel pleasure) D: dysophria ( a state of unease or dissatisfaction
of life). F: fatique A: aggitation
C:concentration E: esteem S: sucide
whats is the four unrelated words test? - Answer- you ask four unrelated works
1-brown
2;honesty
3-tulip
4-eyedropper
and ask the patient if these words mean anything to them if they do might want to
assess more as they have nothing to do with each other and are random.
what is insight? - Answer- involves the capacity to examine many aspects, viewpoints,
and consequences of an issue before forming an opinion or making a decision. * ability
to recognize ones own illness need for treatment