Chapter 1

1. A charge nurse is discussing mental status examinations 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." counting backward by 7s is an appropriate technique to assess a client's cognitive ability.

B. "To assess affect. I should observe the client's facial expression." Observing a client's facial expression is appropriate when assessing affect.

C. "To assess language ability. I should instruct the client to write a sentence." Writing a sentence is an indication of language ability.

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?

D. Monitor the client for adverse effects of medications. Monitoring for adverse effects of medications is an example of a psychobiological intervention.

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?

B. Identify the client's perception of her mental health status, assessment is the priority action when using the nursing process approach to client care. identifying the client's perception of her mental health status provides important information about the client's psychosocial history.

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. A client who is stuporous