A nurse is admitting an elderly patient suspected of having a cognitive disorder.

What inventories should be included as part of the admission assessment?

Scale for Assessment of Negative Symptoms (SANS)

Mental status examination (MSE)

Abnormal Involuntary Movements Scale (AIMS)

Mini-Mental State Examination (MMSE) .

Answer and Explanation

The Correct Answer is B

Choice A rationale

The Scale for Assessment of Negative Symptoms (SANS) is a tool used to assess negative symptoms in schizophrenia and is not typically used in the assessment of cognitive disorders.

Choice B rationale

The Mental Status Examination (MSE) is a key part of the clinical assessment process in psychiatric practice. It is a structured way of observing and describing a patient’s current state of mind, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and judgement.

Choice C rationale

The Abnormal Involuntary Movements Scale (AIMS) is a rating scale that measures involuntary movements known as tardive dyskinesia (a side effect of long-term use of antipsychotic drugs). It is not typically used in the assessment of cognitive disorders.

Choice D rationale

The Mini-Mental State Examination (MMSE) is a commonly used test for complaints of memory problems or when a diagnosis of dementia is being considered. However, in this case, the MSE would be a more comprehensive tool.

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Correct Answer is D

Explanation

When caring for a patient who practices Islam, the nurse should request a meal tray without pork. Dietary laws in Islam, known as halal, prohibit the consumption of pork.

A. Need for increased caloric intake. B. How to establish trust. C. Management of tantrums. D. How to encourage cooperative play. E. Dental care.

Correct Answer is ["A","C","D","E"]

Explanation

Choice A rationale

Toddlers have high energy needs, so they need a diet that provides enough calories. Parents should be educated on providing a balanced diet that includes a variety of foods to meet their toddler’s nutritional needs.

Choice B rationale

Establishing trust is more relevant to infancy, when babies learn to trust their caregivers to meet their needs. While it’s still important as children grow, it’s not a key point of health promotion education for parents of toddlers.

Choice C rationale

Toddlers often express their independence and frustration through tantrums. Parents should be educated on how to handle tantrums in a calm, consistent manner, and how to teach their child appropriate ways to express their feelings.

Choice D rationale

Cooperative play is a part of social development in toddlers. Parents should be educated on how to encourage this type of play, such as arranging playdates with children of a similar age.

Choice E rationale

Dental care is important for toddlers. Parents should be educated on how to care for their toddler’s teeth and gums, including brushing their teeth twice a day and scheduling regular dental check-ups.

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A nurse is admitting an elderly patient suspected of having a cognitive disorder. What inventories should be included as part of the admission assessment?

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Naxlex Comprehensive Predictor Exams

A nurse is developing a plan of care for a patient who practices Islam. Which of the following actions should the nurse include in the plan?

Correct Answer is D

Explanation

A nurse is providing health promotion education to the parents of a toddler.Which information should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

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A nurse is admitting an elderly patient suspected of having a cognitive disorder.

What inventories should be included as part of the admission assessment?