A psychiatric nurse is performing a mental status examination ...

[waynest]

A psychiatric nurse is performing a mental status examination (MSE) on a newly admitted client. Elements of an MSE include:
 
  A) Erikson's stage of development.
  B) Medical review of systems.
  C) Appearance, behavior, speech, mood, affect, intelligence, sensorium, and thought.
  D) The family's communication patterns.

Question 2

A client with manic behavior was admitted to the unit this morning. The client is pacing the floor and has pressured speech showing flight of ideas.
 
  This client has a delusion that she has been canonized as a saint and is openly angry at all the sinners on the ward. The nurse assesses this client as high risk for assaulting behavior. Which of the following stages of mania represents this client's current state? a. stage I
  b. stage II
  c. stage III
  d. stage IV

[britb2u]

Answer to Question 1

C

Answer to Question 2

B
The client is in stage II of mania. Cognitive aspects of this stage consist of flight of ideas and delusions that the client is exhibiting. Her speech is pressured and she is a risk for assaulting behavior, which are also characteristics of this stage.

[waynest]

Gracias!

[coreycathey]

Excellent