A nurse is performing a mental status examination (MSE) on a client who has a new diagnosis of dementia. Which of the following components should the nurse include? (Select all that apply.)
Grooming
Long-term memory
Support systems
Presence of pain
Affect
Correct Answer : A,B,E
The nurse should include the following components when performing a mental status examination (MSE) on a client with a new diagnosis of dementia:
● Grooming: Assessing the client's grooming and personal hygiene can provide insights into their ability to care for themselves and maintain basic activities of daily living.
● Long-term memory: Evaluating the client's long-term memory can help identify any deficits or impairments in their ability to recall past events, experiences, or personal information. This is particularly relevant in dementia, as it often affects memory function.
● Support systems: Assessing the client's support systems, such as family members, friends, or caregivers, is essential in understanding the resources available to the client and the level of assistance they may require in managing their dementia. However, this does not occur within the mental status exam.
● Affect: Evaluating the client's affect refers to observing their emotional expression and responsiveness during the assessment. In dementia, changes in affect can occur, such as a flat affect or inappropriate emotional responses.
The component that should not be included in the MSE for a client with dementia is:
● Presence of pain: While pain assessment is an important aspect of caring for individuals with various health conditions, including dementia, it is not a specific component of the mental status examination. Pain assessment is typically addressed separately and should be conducted when necessary or based on the client's specific complaints or indications of pain.
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Correct Answer is C
Explanation
Social Security benefits can provide financial support to individuals who are unable to work due to a serious mental illness such as relapsing schizophrenia. This financial support can help the client maintain some level of independence by providing them with a source of income. However, it is important to note that the amount of benefits received may not be sufficient to cover all of the client’s expenses, including the cost of medication and other bills. Social Security benefits do not guarantee access to psychiatric services or dictate the type of treatment that a client can receive.
The other choices are incorrect for the following reasons:
● “The client will have the ability to obtain psychiatric service regardless of setting.” This statement is incorrect because receiving Social Security benefits does not guarantee access to psychiatric services. Access to care can depend on a variety of factors, including the availability of services in the client’s area and their ability to pay for care.
● “The client will be able to pay all of their bills as well as purchase medication.” This statement is incorrect because the amount of Social Security benefits received may not be sufficient to cover all of the client’s expenses. The cost of living and healthcare can vary widely, and the amount of benefits received may not be enough to cover all of the client’s bills and medication costs.
● “The client will have the option to only obtain inpatient treatment.” This statement is incorrect because receiving Social Security benefits does not dictate the type of treatment that a client can receive. The appropriate treatment for a client with relapsing schizophrenia will depend on their individual needs and circumstances. Inpatient treatment may be appropriate in some cases, but other forms of treatment, such as outpatient therapy or medication management, may also be effective.
Correct Answer is ["2"]
Explanation
To determine the number of capsules the nurse will administer, we need to consider the dosage prescribed and the available strength of the capsules.
The prescription states: cephalexin (Keflex) 0.5 g p.o. qid (four times a day).
Given that the available strength of cephalexin capsules is 250 mg, we need to convert the prescribed dosage from grams (g) to milligrams (mg) to match the capsule strength.
1 g = 1000 mg
0.5 g = 0.5 * 1000 mg = 500 mg
Now we know that the prescribed dosage is 500 mg, and each capsule contains 250 mg.
To calculate the number of capsules needed, we divide the prescribed dosage by the strength of each capsule:
Number of capsules = Prescribed dosage / Capsule strength
Number of capsules = 500 mg / 250 mg
Number of capsules = 2
Therefore, the nurse will administer 2 capsules of cephalexin (Keflex) for each dose.
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