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Mental Status Exam & Legal, Ethical Refresher T1 322 Flashcards | StudBud
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Mental Status Exam & Legal, Ethical Refresher T1 322
Mental Status Exam & Legal, Ethical Refresher T1 322
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Behavioral health nursing - better understanding of the MSE and its importance in nursing care.
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1
The Mental Status Exam (MSE) is important in nursing because it ______
assists reluctant clients in talking more.
helps the client begin to learn social skills.
determines the client's intelligence level.
assesses the client's current level of functioning.
2
Which question assesses the client's
cognition
?
What is your favorite song?
Do you have any pets?
What medications do you take?
What is your name and date of birth?
3
Most clients are involuntarily admitted for psychiatric care.
True
False
4
The MSE includes assessment of
gait & coordination
height, weight, blood pressure, pulse
prescription & OTC med use
intake & output
5
Asking your clients if they want to hurt or kill themselves is ________
asked only in mental health settings.
important to assess for risk.
scary - don't ask that question.
only asked by an MD or nurse practitioner.
6
To assess
insight
, the nurse might ask ____________
Do you have a support system?
Do you understand the reason you are here?
Do you feel loved?
Are you feeling depressed today?
7
During the MSE, it will be
most helpful
to ask a client _________.
what they like to do in their free time.
if they have any food preferences.
what their goals for the day are.
if they agree with the current president.
8
Another question to ask during the MSE is ____________
Have you gone to group therapy?
Do you enjoy listening to the radio?
Where is North America on a world map?
Do you hear or see things others do not?
9
Which assessments are included in the MSE? (select all that apply)
thoughts of suicide
speech traits
appearance & grooming
history of substance use
behavior
mood &affect
10
Which would the nurse document in the
appearance
section of the MSE?
level and/or style of grooming
description of any noticeable body odors
a comparison of the client's appearance to their stated age
clothing and manner of dress
11
Confidentiality can be broken if there is a need to warn a third person of threats or harm.
True
False
12
Assault is harmful or unwarranted contact with a client (e.g., touching without consent or unnecessarily restraining)
True
False
