During initial assessment of mental health status, the nurse asks a patient to interpret a familiar proverb and explain what it means. The nurse is assessing which area/aspect of the patient's mental status?

a. Level of awareness and orientation
b. Judgment
c. Memory
d. Mood and affect


ANS: B
Judgment refers to a patient's ability to make appropriate decisions about his or her situation or to understand concepts and is often tested by asking the meaning of a proverb. Awareness and orientation are assessed by asking questions related to person, place, and time. Memory is tested by asking the patient to recall recent or remote events. Mood and affect are assessed by determining if the patient's expression, body language, and emotional condition match the patient's circumstances.

Nursing

You might also like to view...

When the deceleration pattern of the fetal heart rate "mirrors" the uterine contraction, which nursing action is indicated?

a. Administer oxygen by nasal cannula. b. Reposition the woman. c. Apply a fetal scalp electrode. d. Record this reassuring pattern.

Nursing

Which physical assessment technique would be used to identify sternal retraction?

1) Inspection 2) Palpation 3) Percussion 4) Auscultation

Nursing

Nystatin (Mycostatin) has been prescribed for a client topically. What is the most common side effect the nurse will monitor for when administering this medication?

1. Diarrhea 2. Nausea 3. Skin irritation 4. Vomiting

Nursing

MC Nursing instructions to a client using relaxation techniques for pain control should include the following information after telling him or her to breathe in and out slowly:

A. "Inhale deeply and hold your breath." B. "Tense the painful area." C. "Completely relax the painful area." D. "Find a point of tension in your body."

Nursing