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Chapter 11 Post Test - Chapter 11 Post Test Radford,Cindy...

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Chapter 11 Post Test Radford,Cindy Submitted : 4/14/2011 9:56:05 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 33/33 1. During the Mental State Examination, the client provides the same response to all questions. The nurse documents the client’s characteristic of speech as: a. Circ umst antia l. b. Bloc king. c. Orie ntati on. d. Pers ever ation . Grade: 0 User Responses: b.Blocking. Feedback: a. Rationale: Perseveration is a pattern of repeating the same words or movements despite apparent efforts to make a new response. The client who goes into cumbersome, convoluted, unnecessary detail is demonstrating circumstantiality. Blocking is associated with a pattern of sudden silence in the stream of conversation, for no obvious reason, but is often thought to be associated with intrusion of delusional thoughts or hallucinations. Orientation is related to the individual’s awareness and is not a component of speech. Cognitive Level: Analysis Nursing Process: Assessment Client Need: Psychosocial Integrity 1
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Chapter 11 Post Test Radford,Cindy Submitted : 4/14/2011 9:56:05 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 33/33 2. During the Mental State Examination, the nurse asks the client to read a story and then talk about it, recalling as many details as possible in order to assess the client’s: Grade: 1 User Responses: d.General grasp and recall. 2
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Chapter 11 Post Test Radford,Cindy Submitted : 4/14/2011 9:56:05 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 33/33 Feedback: a. Rationale: General grasp and recall is assessed by having the client read a story and then repeat the gist of the story to the examiner with as many details as possible. When testing recall of remote past experiences the examiner will ask for a review of the important events in the client’s life, then compare the response with information obtained from other sources during the history taking. Recall of recent past experiences is assessed when the client discusses the events leading to the present seeking of treatment. Insight is often tested by asking the client for suggestions for their own treatment; this provides the examiner with information regarding the client’s perception whether they feel the need for treatment, and how they explain the symptoms. Cognitive Level: Application Nursing Process: Assessment Client Need: Psychosocial Integrity 3
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Chapter 11 Post Test Radford,Cindy Submitted : 4/14/2011 9:56:05 PM Grade: 100.0% Attempt Number: 1 Questions Attempted: 33/33
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