Author Question: When asked what a mental status examination is intended to reveal about the patient, the nurse ... (Read 102 times)

tnt_battle · **on:** Jul 19, 2018

When asked what a mental status examination is intended to reveal about the patient, the nurse Answer:

a. It gives us a more complete family history..
b. It reflects the patient's current state of function..
c. It reveals a lot about the patient's past experiences..
d. It helps us determine the patient's future prognosis..

Question 2

The nurse is working with a young adult who has been diagnosed with bipolar I for the last 3 years.

This client was admitted with mania after going on an alcohol and drug binge, was treated for 4 days, and is to be discharged from the unit with medication with follow-up appointment for outpatient treatment of drug abuse. The nurse is MOST concerned about predischarge assessment of the client's: a. intent to keep follow-up clinic appointment
b. intent to attend Alcoholics Anonymous group
c. risk for suicide
d. access to drugs

fwbard · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
The mental status examination is designed to give a picture of the patient's current level of functioning. The information provided may be a factor in prognosis, but that is not the primary function of the examination. Family history and general patient information are derived from other sources and the general nursing interview.

Answer to Question 2

C
The risk of successful suicide in persons with mania increases in the presence of substance abuse or prior suicide attempts. Because the young man was admitted with mania and a history of alcohol and drug abuse, the nurse would be concerned about conducting a predischarge assessment to determine if the client is a suicidal risk.