Jarvis: Chapter 5 (2025 )Latest Questions With Passed Solutions!!
0 view 0 purchase
Course
Jarvis: Chapter 5
Institution
Jarvis: Chapter 5
A patient drifts off to sleep when she is not being stimulated. The nurse can easily
arouse her by calling her name, but the patient remains drowsy during the conversation.
The best description of this patient's level of consciousness would be:
a. Lethargic
b. Obtunded
c. Stuporous
d. Semiale...
Jarvis: Chapter 5
A patient drifts off to sleep when she is not being stimulated. The nurse can easily
arouse her by calling her name, but the patient remains drowsy during the conversation.
The best description of this patient's level of consciousness would be:
a. Lethargic
b. Obtunded
c. Stuporous
d. Semialert - Answer-A
Rationale: Lethargic (or somnolent) is when the person is not fully alert, drifts off to
sleep when not stimulated, and can be aroused when called by name in a normal voice
but looks drowsy. He or she appropriately responds to questions or commands, but
thinking seems slow and fuzzy. He or she is inattentive and loses the train of thought.
Spontaneous movements are decreased
The nurse is preparing to conduct a mental status examination. Which statement is true
regarding the mental status examination?
a. A patient's family is the best resource for information about the patient's coping skills.
b. Gathering mental status information during the health history interview is usually
sufficient.
c. Integrating the mental status examination into the health history interview takes an
enormous amount of extra time.
d.. To get a good idea of the patient's level of functioning, performing a complete mental
status examination is usually necessary. - Answer-B
Rationale: The full mental status examination is a systematic check of emotional and
cognitive functioning. The steps described, however, rarely need to be taken in their
entirety. Usually, one can assess mental status through the context of the health history
interview.
The nurse is assessing the mental status of a child. Which statement about children and
mental status is true?
a. All aspects of mental status in children are interdependent.
, b. Children are highly labile and unstable until the age of 2 years.
c. Children's mental status is largely a function of their parents' level of functioning until
the age of 7 years.
d. A child's mental status is impossible to assess until the child develops the ability to
concentrate. - Answer-A
Rationale: Separating and tracing the development of only one aspect of mental status
is difficult. All aspects are interdependent. For example, consciousness is rudimentary
at birth because the cerebral cortex is not yet developed. The infant cannot distinguish
the self from the mother's body. The other statements are not true.
The nurse is assessing a 75-year-old man. As the nurse begins the mental status
portion of the assessment, the nurse expects that this patient:
a. Will have no decrease in any of his abilities, including response time.
b. Will have difficulty on tests of remote memory because this ability typically decreases
with age.
c. May take a little longer to respond, but his general knowledge and abilities should not
have declined.
d. Will exhibit had a decrease in his response time because of the loss of language and
a decrease in general knowledge. - Answer-C
Rationale: The aging process leaves the parameters of mental status mostly intact.
General knowledge does not decrease, and little or no loss in vocabulary occurs.
Response time is slower than in a youth. It takes a little longer for the brain to process
information and to react to it. Recent memory, which requires some processing, is
somewhat decreased with aging, but remote memory is not affected.
When assessing aging adults, the nurse knows that one of the first things that should be
assessed before making judgments about their mental status is:
a. Presence of phobias
b. General intelligence
c. Presence of irrational thinking patterns
d. Sensory-perceptive abilities - Answer-D
Rationale: Age-related changes in sensory perception can affect mental status. For
example, vision loss (as detailed in Chapter 14) may result in apathy, social isolation,
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
