NURS 612 EXAM 3 MARYVILLE UNIVERSITY ADVANCED

NURS 612 EXAM 3 MARYVILLE UNIVERSITY ADVANCED

HEALTH ASSESSMENT EXAM 3 NEWEST ACTUAL 200+

QUESTIONS WITH DETAILED VERIFIED SOLUTIONS/A+

GRADE

• A patient's inability to follow simple instructions could indicate which of

the following findings?

• dysphonia
• amnesia
• aphasia

D. depression: D. depression

• A patient scores a 3 on the Mini-Cog Assessment Instrument for dementia.

What does this score indicate?

• advanced dementia
• early dementia
• need for further evaluation

D. negative screen for dementia: D. negative screen for dementia

• The examiner asks the patient to complete this statement: "A bird is to air

as a fish is to ..." This is an example of what type of testing?

• calculation
• analogy
• judgment

D. mood & feelings: B. analogy

• Assume that the patient's response to the question: "A bird is to air as a

fish is to ..." is "scales". What does this response likely reflect?

• left cerebral hemisphere lesion
• depression

• eating disorder

D. aphasia: A. left cerebral hemisphere lesion

• Which type of assessment should be used to evaluate the mental status of

a patient with head trauma?

A. PHQ

• perceptual distortion assessment
• Glasgow Coma Scale

D. functional assessment: C. Glasgow Coma Scale

• Which of the following indicates possible cognitive impairment?
• ability to complete personal care without assistance
• suspiciousness or inappropriate affect
• articulate communication

D. prudent behavior and calm demeanor: B. suspiciousness or inappropriate

affect

• A 65-year-old woman is brought to the clinic by family members, who report

that they have noticed a change in her mental abilities over the past 2 weeks.Normally, they say, she is independent, intelligent, and very socially oriented.

Her medical history is unremarkable except for congestive heart failure, for which she takes digoxin. She has had no major changes in her health. What question would be the most important for the examiner to ask this woman's family?

• is there a family history of Alzheimer disease?
• how much alcohol does she drink in an average week?
• when was her digoxin blood level last checked?

D. did you know that mental function begins to decline after the age of 60?:

• when was her digoxin blood level last checked?
• A patient who has difficulty writing or drawing is most likely to have which

condition?

• temporal lobe damage
• peripheral neuropathy
• organic brain syndrome

D. psychiatric hallucinations: B. peripheral neuropathy

• A mother brings her 18-month-old son to the clinic. She states that the child

rarely talks or smiles or makes eye contact. She has also noticed that he does not like to be held. She says his motor development seems to be normal.These symptoms are consistent with what condition?

• dementia
• autistic disorder

C. ADHD

D. delirium: B. autistic disorder

• A patient with Alzheimer disease classically displays which of the follow-

ing?

• alternating periods of mania and stupor
• hallucinations and decorticate posturing
• disintegration of personality

D. rapid onset of symptoms: C. disintegration of personality

• Which characteristic suggest that a lesion on a patient's breast is Paget

disease and not eczema? A. itchy predominantly at night

• Erythematous and crusty
• confined to the nipple and areola of one breast

D. does not respond to steroids: D. does not respond to steroids

• How should a breast examination on a patient who had a lumpectomy for

breast cancer differ from a breast examination on a patient who has not had breast cancer?

• supraclavicular and infraclavicular lymph nodes are palpated