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NURS 623 : HEALTH ASSESSMENT : MODULE 2 TEST QUESTIONS WITH COMPLETE SOLUTIONS
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a patient presents with a 6-day history of rapid weight gain. The most likely explanation is: -- Answer ✔✔ Accumulation of body fluids what are the parameters of orthostatic BP? -- Answer ✔✔ 1. Systolic drops more than 20 mm of mercury OR
what is the observable mood of a patient? -- Answer ✔✔ affect define dysthymic -- Answer ✔✔ depressed what is an example when you would see hesitancies in speech? -- Answer ✔✔ patients with aphasia from strokes what is an example when you would see monotone inflections -- Answer ✔✔ schizophrenia or severe depression when words or phrases are substituted for the word a person cannot remember (eg. "the thing you block out your writing with" for eraser) -- Answer ✔✔ circumlocutions when words are malformed, wrong, or invented -- Answer ✔✔ paraphasias speech characterized by indirection and delay due to the patient's excessive use of details that have no connection to the point -- Answer ✔✔ circumstantiality speech in which a person shifts topics with no apparent relation between topics -- Answer ✔✔ Derailment accelerated change of topics in a very fast but generally coherent manner -- Answer ✔✔ flight of ideas invented or distorted words -- Answer ✔✔ neologisms speech that is incomprehensible because it is illogical -- Answer ✔✔ incoherence
a subjective external stimuli the patient hears or sees that others do not hear or see and that the patient may not recognize as false -- Answer ✔✔ hallucinations What is a quick standardized method to assess mental status -- Answer ✔✔ MMSE (Mini Mental State Examination) What is the maximum score someone can get on the MMSE? -- Answer ✔✔ 30 If a patient has a cognitive impairment if they score less than what on the MMSE? -- Answer ✔✔ 23 what do you do if someone score less than a 23 on the MMSE? -- Answer ✔✔ you need to follow up (can't just leave it at that) fatigue can be classified in what two ways? -- Answer ✔✔ 1. physiological/psychological