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 ofthe 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 mostrecent presidents."

A nurse is planning care for a client who has a mental health disorder.

Which of thefollowing 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 thenurse 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

assessingthe 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.