1. 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."

2. 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.

3. 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.

4. 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.

C. The client exhibits decorticate rigidity.

D. The client is alert but disoriented to time and place.