Author Question: The nurse is having difficulty discriminating whether a client is experiencing acute confusion, ... (Read 47 times)

ec501234 · **on:** Jul 22, 2018

The nurse is having difficulty discriminating whether a client is experiencing acute confusion, chronic confusion, or depression. Which of the following tools would the nurse use to help make this finer discrimination?

1. NEECHAM Confusion Scale
2. Clinical Assessment of Confusion Scale
3. Mini-Mental State Examination
4. general neurological assessment flow sheet

Question 2

The nurse is assessing a client using the Mini-Mental State Examination (MMSE). The nurse would include which of the following activities as part of this examination?

1. Ask the client to recall a fond memory from the distant past.
2. Have the client name all the objects in the room.
3. Have the client walk 25 feet while carrying on a normal conversation.
4. Ask the client to repeat a phrase and to follow a direction.