The mental health status examination includes (select all that apply):

Mood and affect

Memory

Judgment

Mood and tone

Level of awareness and orientation

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: Mood and affect are essential components of the mental health status examination, reflecting the patient's emotional state and its expression.

Choice B reason: Memory is a cognitive function that is assessed during the mental health status examination to determine if there are any deficits.

Choice C reason: Judgment is evaluated to understand the patient's decision-making abilities, which can be affected in various mental health conditions.

Choice D reason: "Mood and tone" is not a standard component of the mental health status examination. The term "tone" typically refers to the quality of voice or speech.

Choice E reason: Level of awareness and orientation are assessed to determine the patient's consciousness level and their awareness of time, place, and person.

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Correct Answer is A

Explanation

Choice A reason: Schizotypal personality disorder is characterized by odd beliefs, eccentric behavior, and difficulty with social relationships, yet individuals can still function in society.

Choice B reason: Narcissistic personality disorder involves a pattern of grandiosity and a need for admiration, not necessarily bizarre behavior.

Choice C reason: Antisocial personality disorder is marked by a disregard for the rights of others, not specifically bizarre behavior.

Choice D reason: Borderline personality disorder includes instability in relationships and self-image, which may not be described as "very bizarre behavior".

A. Respiratory depression B. Intense abdominal pain C. Bradycardia D. Dyspnea on exertion

Correct Answer is D

Explanation

Choice A reason: Respiratory depression is not a typical finding associated with anemia; it is more related to respiratory or central nervous system issues.

Choice B reason: Intense abdominal pain is not a common symptom of anemia and would likely indicate other medical conditions.

Choice C reason: Bradycardia, or slow heart rate, is not commonly associated with anemia. Anemia usually causes tachycardia, or a fast heart rate, as the body attempts to compensate for the reduced oxygen-carrying capacity of the blood.

Choice D reason: Dyspnea on exertion is a common symptom of anemia, as the reduced number of red blood cells leads to decreased oxygen delivery to the tissues, causing shortness of breath during activities.

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The mental health status examination includes (select all that apply):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has anemia due to excessive blood loss during surgery. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who is 5 days postoperative after abdominal surgery. The client reports a sudden pulling sensation and pain in his surgical incision. Upon examination, the nurse finds an evisceration. Which of the following interventions is appropriate?

When setting limits with patients with personality disorders, the consequences of violating those limits should be set at which time?

A nurse is caring for a client who has positive manifestations of schizophrenia. Which of the following behaviors should the nurse anticipate?

The nurse is caring for a patient receiving a spinal block. Which symptom would most concern the nurse?

The nurse is assisting a coworker in preparing a patient for surgery. Which statement by the coworker should warrant intervention by the nurse?

Which of the following are NOT appropriate nursing interventions for Paranoid Personality Disorders? (Select all that apply.)

Ms. T complains of headaches and body pains whenever her husband mentions that the house needs to be cleaned. This has been a recurring problem for more than 6 months. Ms. T probably is suffering from what kind of disorder?

We encourage the patient to cough and deep breathe after surgery to prevent: