Author Question: What is being assessed when a nurse asks a client to identify name, date, residential address, and ... (Read 90 times)

kwoodring · **on:** Jul 19, 2018

What is being assessed when a nurse asks a client to identify name, date, residential address, and situation?

1. Mood
2. Perception
3. Orientation
4. Affect

Question 2

Which tool would be appropriate for a nurse to use when assessing mental acuity prior to and immediately following electroconvulsive therapy (ECT)?

1. CIWA scale
2. GGT
3. MMSE
4. CAPS scale

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

Answer to Question 1

3
Rationale: The nurse should ask the client to identify name, date, residential address, and situation to assess the client's orientation. Assessment of the client's orientation to reality is part of a mental status evaluation.

Answer to Question 2

3
Rationale: The MMSE, or mini mental status exam, would be the appropriate tool to use to assess the mental acuity of a client prior to and immediately following ECT. The CIWA scale, or clinical institute withdrawal assessment scale, would be used to assess withdraw from substances such as alcohol. The CAPS refers to the clinician-administered PTSD scale and would be used to assess signs and symptoms of PTSD. The GGT test is a blood test used to assess gamma-glutamyl transferase levels, which may be an indication of alcoholism.