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." - ANSWER-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."

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. - ANSWER-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. - ANSWER-B. Identify the

client's perception of her mental health status.

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.

B. The client has a glasgow coma scale score less than 7.