When the nurse is assessing a client's mental status as part of the neurological examination, which question would be most appropriate to ask?

"Do you feel like crying often?"

"Do you have a history of psychotic disorder?"

"Can you tell me about your mood today?"

"Can you tell me where you are right now?"

Answer and Explanation

The Correct Answer is D

A) "Do you feel like crying often?": This question is more focused on assessing mood rather than cognitive function. While mood is an important aspect of mental health, it is not the primary focus in a neurological examination. The goal of a neurological assessment is to evaluate cognitive functions, orientation, and mental status.
B) "Do you have a history of psychotic disorder?": Asking about a history of psychotic disorders might be relevant in some contexts but does not directly assess the current mental status of the client. This question is more about past psychiatric history than current cognitive or neurological function.
C) "Can you tell me about your mood today?": While understanding a client’s mood can be valuable for overall mental health assessment, this question does not specifically assess cognitive functions or orientation. It is important to evaluate mood, but it is not the primary question for assessing neurological status.
D) "Can you tell me where you are right now?": This question is appropriate for assessing orientation, a key component of a neurological examination. Orientation questions assess a person's awareness of their current environment, which helps evaluate their cognitive function and mental status. This is directly relevant to a neurological assessment as it determines if the client is aware of their surroundings, which is crucial for understanding cognitive and neurological function.

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Correct Answer is B

Explanation

A) Dysuria: Dysuria, or painful urination, is not typically associated with menopause. It is more commonly linked to urinary tract infections or other urinary tract conditions.
B) Dyspareunia: Dyspareunia, or pain during intercourse, is a common symptom experienced during menopause. Decreased estrogen levels can lead to vaginal dryness and thinning of vaginal tissues, contributing to discomfort during sexual activity.
C) Urinary frequency: While urinary frequency can be a symptom of various conditions, it is not a primary symptom of menopause. However, changes in estrogen levels can sometimes impact urinary function, but it is less common than symptoms like dyspareunia.
D) Vaginal discharge: Vaginal discharge is usually not a symptom of menopause. Instead, menopause is often associated with reduced vaginal discharge or dryness due to decreased estrogen levels. Increased discharge could indicate other issues such as infections or hormonal imbalances.

A. Vagus B. Facial C. Glossopharygeal D. Trigeminal

Correct Answer is D

Explanation

A. Vagus: The vagus nerve (cranial nerve X) is involved in regulating autonomic functions, such as heart rate and digestion. It does not play a significant role in controlling jaw movements or clenching.
B. Facial: The facial nerve (cranial nerve VII) controls facial expressions, such as smiling or frowning, and also contributes to taste sensation in the anterior two-thirds of the tongue. While it is related to facial motor function, it does not control the jaw muscles responsible for clenching.
C. Glossopharyngeal: The glossopharyngeal nerve (cranial nerve IX) is involved in taste sensation on the posterior one-third of the tongue, as well as in swallowing and salivation. It does not control the jaw muscles used for clenching.
D. Trigeminal: The trigeminal nerve (cranial nerve V) is responsible for sensation in the face and motor functions related to chewing. It innervates the muscles of mastication, including those involved in clenching the jaw. The client’s jaw clenching is a direct manifestation of motor function associated with the trigeminal nerve.

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When the nurse is assessing a client's mental status as part of the neurological examination, which question would be most appropriate to ask?

Nursing Test Bank

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Explanation

A 54 year-old client diagnosed with Bipolar disorder is clenching his jaw closed to avoid taking a prescribed oral medication. The nurse can use this observation to confirm the client is demonstrating motor function of which cranial nerve?

Correct Answer is D

Explanation

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