Seidel's Guide to Physical Examination 9th Edition Ball Test Bank
Chapter 07: Mental Status Ball: Seidel G ide Ph ical E a i a i
, 9 h Edi i
MULTIPLE CHOICE 1. When is the mental status portion of the neurologic system examination performed? a. During the history-taking process b. Immediately after the vital signs are taken c. During the time when questions related to memory are asked d. Constantly, throughout the entire interaction with a patient e. During assessment of cranial nerves and deep tendon reflexes ANS: D
A mental status evaluation should be continually evaluated throughout the patient encounter. Assessing and validating clues to determine the individual’s ability to interact with the environment is a priority of the mental status evaluation. TOP: Discipline: Behavioral Science
MSC: Organ System: Nervous
2. Which statement is true regarding mental status changes in older adults? a. There is usually a decline in general intelligence in older adults. b. Vocabulary and inventories of information show a marked decrease in older adults. c. Remote memory decline frequently causes problems in processing information. d. Recent memory is usually more efficient than remote memory. e. There is an increased risk of delirium with acute illness or metabolic derangement. ANS: E
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Acute illness or metabolic derangement of older adults places such a stress on the declining metabolism and synthesis of neurotransmitters that adaptation is inadequate, and delirium results. None of the other statements are true. TOP: Discipline: Behavioral Science
MSC: Organ System: Nervous
3. A 69-year-old truck driver presents with a sudden loss of the ability to understand spoken
language. This indicates a lesion in the: a. temporal lobe. b. Broca area. c. frontal cortex. d. precentral gyrus. e. occipital lobe. ANS: A
The temporal lobe, specifically in the Wernicke speech area, is responsible for the comprehension of spoken and written language. TOP: Discipline: Neuroscience
MSC: Organ System: Nervous
4. Slumped posture and a lack of facial expression may indicate depression or: a. anxiety. b. Parkinson disease.
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