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A charge nurse is discussing mental status exams with a newly licensed
nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? (Select all that apply)
A. "To assess cognitive ability, I should ask the client to count backward by
sevens."
B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a
sentence."
D. "To assess remote memory, I should have the client repeat a list of
objects."
E. "To assess the client's abstract thinking, I should ask the client to identify
our most recent presidents."
A nurse is planning care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of the medications.
A nurse in an outpatient mental health clinic is preparing to conduct an
initial client interview. When conducting the interview, which of the following
actions should the nurse identify as the priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
A nurse is told during change of shift report that a client is stuporous. When
assessing the client, which of the following findings should the nurse
expect?
A. The client arouses briefly in response to a sternal rub.
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