In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Speech and ability to communicate.

Judgement

Memory

Thinking/content of thought.

Answer and Explanation

The Correct Answer is D

In a Mental Status Examination (MSE), thinking/content of thought is one of the key areas assessed. It refers to the content and process of a person's thoughts. The examiner will evaluate whether the person's thinking is coherent, organized, and logical, or if it is fragmented, disorganized, or delusional. They will also look for evidence of hallucinations, obsessions, or compulsions.

Speech and ability to communicate (a) are also assessed in the MSE, but they focus more on how the person expresses themselves, rather than the content of their thoughts. Judgment (b) refers to a person's ability to make decisions and solve problems, and memory (c) is the ability to recall past events and information. While both areas are important to assess in a mental health evaluation, they do not specifically focus on what the person is thinking.

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Correct Answer is A

Explanation

This open-ended question allows the patient to share their thoughts and feelings about their relationship and provides the nurse with valuable information about the patient’s situation. By asking this question, the nurse is showing that they are actively listening to the patient and are interested in understanding their perspective.

The other questions (b, c, d) are more closed-ended and may not provide as much information about the patient’s situation. It is important for the nurse to ask open-ended questions and to actively listen to the patient’s responses to gain a better understanding of their needs and concerns.

A. “I am concerned about how you are acting right now. No one else here is acting like this.” B. “We will call the psychiatrist to see if medication can be ordered for you.” C. “You will need to control yourself. Your husband was not injured that badly.” D. “Let me take you to a room with more privacy so we can talk.”

Correct Answer is D

Explanation

In this situation, the nurse is recognizing that the woman is distressed and is showing empathy and understanding by oﬀering her a private space to talk. This allows the woman to express herself freely without feeling judged or embarrassed in front of others. It also shows the nurse's respect for the woman's privacy and her cultural beliefs, which may include the need for modesty and privacy during emotional situations.

Option A is not culturally competent because it dismisses the woman's emotional state and implies that her behavior is abnormal.

Option B assumes that medication is the solution to the woman's emotional distress and does not address her cultural needs.

Option C is not culturally competent because it disregards the woman's feelings and emotions and implies that her reaction is inappropriate.

Overall, cultural competence is about being respectful and sensitive to the beliefs, values, and customs of individuals and communities from diverse backgrounds, and providing care that is tailored to their unique needs and preferences.

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In the Mental Health Status Examination, which of the following focuses on what the person is thinking?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which question asked by the nurse would gain the most information from a patient experiencing marital crisis?

Correct Answer is A

Explanation

The nurse in the Emergency Department finds a woman collapsed on the ﬂoor and crying loudly. The woman’s husband was in a car accident and is being attended by the medical staﬀ. Which statement by the medical nurse best demonstrates acting in a culturally competent manner?

Correct Answer is D

Explanation

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