When assessing the mental status of a 67-year-old client, th... | Exam 2 - FA24

Practice Question

When assessing the mental status of a 67-year-old client, the nurse detects some difficulty with their ability to follow directions. What should the nurse do first?

Answer Choices:

A. Validate assessment findings with a family member.

B. Observe for signs of dementia.

C. Use the Confusion Assessment Model.

D. Assess the client's vision and hearing. ✓ Correct Answer

Correct Answer:

Assess the client's vision and hearing.

Rationale:

None

Want to practice more questions like this?

This question is from Exam 2 - FA24 which contains 49 questions.

View Exam Details

More Questions from This Exam

When preparing to obtain information about a client's mental and psychosocial status, what would the nurse do first?

Answer Choices:

A. Question the client about their usual lifestyle and behaviors.

B. Explain the purpose of the exam and types of questions.

C. Perform a neurologic examination to determine any deficits.

D. Check the client's level of consciousness for changes.

View Full Question

When analyzing the nursing history recently taken on a client, which factor would most strongly alert the nurse to a significantly increased risk for chronic arterial insufficiency?

Answer Choices:

A. A family history of arterial insufficiency.

B. A sedentary lifestyle.

C. A 14-year history of smoking a pack a day.

D. A history of varicose veins.

View Full Question

A nurse asks their client, "What do you do if you have pain?" What aspect of cognitive function is the nurse assessing?

Answer Choices:

A. Memory

B. Abstract reasoning

C. Judgement

D. Orientation

View Full Question

A client opens their eyes, answers questions, and then falls back asleep. What would be the best description of this client's level of consciousness?

Answer Choices:

A. stuporous

B. lethargic.

C. semi-alert.

D. obtunded.

View Full Question

The nurse is assessing a client using the Glasgow Coma Scale following an acute hypoglycemic episode. They note the client's score went from a 12 to a 15. What action should the nurse take next?

Answer Choices:

A. Assess the client's level of consciousness.

B. Notify the provider of the clients obtunded state.

C. Document the finding.

D. Assess the clients blood pressure.

View Full Question

View All 49 Questions

From Exam

Exam 2 - FA24

49 Questions

View Full Exam

Question Details

Category: RN - Nursing Exam(s)
Domain: Mixed Topics: mental health/psychiatry
Answer Choices: 4

NursingSprint

Practice Question

When assessing the mental status of a 67-year-old client, the nurse detects some difficulty with their ability to follow directions. What should the nurse do first?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

When preparing to obtain information about a client's mental and psychosocial status, what would the nurse do first?

When analyzing the nursing history recently taken on a client, which factor would most strongly alert the nurse to a significantly increased risk for chronic arterial insufficiency?

A nurse asks their client, "What do you do if you have pain?" What aspect of cognitive function is the nurse assessing?

A client opens their eyes, answers questions, and then falls back asleep. What would be the best description of this client's level of consciousness?

The nurse is assessing a client using the Glasgow Coma Scale following an acute hypoglycemic episode. They note the client's score went from a 12 to a 15. What action should the nurse take next?

From Exam

Exam 2 - FA24

Question Details

Was this question helpful?

Share your thoughts

Comments (0)

Search Resources, Exams, Questions, Notes & Flashcards

Access Restricted:

Practice Question

When assessing the mental status of a 67-year-old client, the nurse detects some difficulty with their ability to follow directions. What should the nurse do first?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

When preparing to obtain information about a client's mental and psychosocial status, what would the nurse do first?

When analyzing the nursing history recently taken on a client, which factor would most strongly alert the nurse to a significantly increased risk for chronic arterial insufficiency?

A nurse asks their client, "What do you do if you have pain?" What aspect of cognitive function is the nurse assessing?

A client opens their eyes, answers questions, and then falls back asleep. What would be the best description of this client's level of consciousness?

The nurse is assessing a client using the Glasgow Coma Scale following an acute hypoglycemic episode. They note the client's score went from a 12 to a 15. What action should the nurse take next?

From Exam

Exam 2 - FA24

Question Details

Was this question helpful?

Share your thoughts

Comments (0)