Mental Status Assessment
Patient Initials_Age _
(Before testing, tell the person the three unrelated words you want him or her to remember and to recall
in a few minutes.) Three words:
1. Behavior & Appearance
Feedback 1: Immobility results in the strongest muscles, usually the flexors, pulling the joints in their
direction, leading to contractures, or joint ankylosis (fusion of the joints).
Feedback 2: Hypertrophy is an increase in the size or bulk of a muscle
Directions: Obtain a Health History from your peer utilizing appropriate communication techniques,
which includes therapeutic communication and open ended questions to gather data. Include question
used to gather information and patients response.
Spinal alterations, such as kyphosis (excessive curvature of the thoracic spine) and scoliosis (lateral
curvature of the spine) alter the shape of the thoracic cage.
Bronchial breath sounds are loud, high-pitched, tubular sounds; expiration
Normal Lung Sounds
You can hear bronchial sounds above the manubrium, over the trachea. Bronchial sounds are:
Bronchovesicular sounds are heard over the main bronchi. These sounds are:
Medium in loudness
1 Taking a pain history
Develop 10 questions the nurse might utilize when taking a pain history. The initial
question you would ask a patient is if they have pain and it is a yes or no question.
Please ensure that the questions you develop
Do you have joint problems?
Have you ever had problems walking?
Does your foot injury make it difficult to walk?
How would you rate your pain when walking?
Where does the swelling occur?
Do you have a history of standing problems?
Are you able to stand on
Nutritional Case Study- Reviewing Chapter 27 reading and Power
Point from PCCI but focusing on pages 692-700 please read the case
study and answer the following questions:
78 year old African American Male
Wife died 6 months ago
Range of motion Neck:
Tilt your head and look toward the ceiling
Touch your chin to your chest
Touch your ear to your shoulder
Turn your head side to side
Cross each arm in front of your body
Put your hands behind your back
Raise your arms in fr
Misfeasance: Negligence; giving the wrong drug or drug dose that results in the patients death
Nonfeasance: Omission; omitting a drug dose that results in the patients death
Malfeasance: Giving the correct drug but by the wrong route that results in the p
Medication: Benztropine / Cogentin
Class: Antiparkinson Agent, Anticholinergic
Why is PT on this medication: Treatment of all forms of parkinsons disease,
reduction of rigidity and tremors
What are the therapeutic effects/outcomes desi
Medication: Trazodone / Desyrel
Why is PT on this medication: Do not know, could be for anxiety
What are the therapeutic effects/outcomes desired with this ct? Antidepressant
action, which may develop only over s
Medication: Hydroxyzine / Atarax, Hyzine-50, Vistaril
Class: Antianxiety agents, antihistamines, sedative/hypnotics
Why is PT on this medication: Treatment of anxiety
What are the therapeutic effects/outcomes desired with this ct?