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 D

Explanation

Choice A reason: Legs in adduction can increase the risk of dislocation after hip replacement surgery.

Choice B reason: Flexing the hip more than 90 degrees can also increase the risk of dislocation.

Choice C reason: Internal rotation of the leg can lead to dislocation of the new hip joint.

Choice D reason: Maintaining the legs in abduction helps to stabilize the hip and prevent dislocation.

A. Vomiting B. Urticaria C. Low back pain D. Pulmonary congestion

Correct Answer is C

Explanation

Choice A reason: Vomiting can be a sign of a transfusion reaction, but it is not as specific as low back pain for an acute hemolytic reaction.

Choice B reason: Urticaria, or hives, may indicate an allergic reaction but is not specific to an acute hemolytic reaction.

Choice C reason: Low back pain is a classic symptom of an acute hemolytic reaction, which is a serious and potentially life-threatening condition that requires immediate attention.

Choice D reason: Pulmonary congestion may occur in various conditions and is not the most specific indicator of an acute hemolytic reaction.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A resident returns to the long-term care center after a right total hip replacement. The nurse should reinforce teaching for maintaining which of the following postoperative leg positions?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who is receiving a blood transfusion. The nurse should monitor for which of the following findings as an indication the client is having an acute hemolytic reaction?

Correct Answer is C

Explanation

A nurse is caring for a client who has paranoid delusions and believes the hospital food is being poisoned by the staff. Which meal presentation should the nurse consider to be an effective method of encouraging nutritional intake?

A nurse is collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?

A nurse is reinforcing preoperative teaching to a client who is undergoing total hip replacement surgery. Which of the following statements should the nurse include in the teaching?

The 3 main types of Phobias as identified by DSM-5 include: (select all that apply)

The nurse is reinforcing teaching provided to a patient with Raynaud's disease. Which measure should the nurse include to prevent an attack?

Agoraphobia is characterized by which of the following?

The nurse is assisting with the care of a patient with rheumatoid arthritis (RA). What should the nurse consider when providing care?

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?