The nurse is conducting a mental status exam. The nurse should understand that which of the following is included in a mental status exam? (Select all that apply)
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Correct Answer Rationale: In a mental status exam, the nurse should assess thought content, behavior, and eye contact. Thought content evaluates the client's cognitive patterns, behavior refers to the client's physical actions, and eye contact is an important component of interaction assessment. Vital signs and nutritional intake are not part of the mental status exam.
Question 2
The nurse is conducting a mental status exam. Which of the following should the nurse specifically assess during the exam? (Select all that apply)
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Correct Answer Rationale: Orientation refers to the client's awareness of time, place, and person. Judgment is evaluated to determine the client's ability to make reasoned decisions. Insight refers to the client's awareness and understanding of their condition. Blood pressure and respiratory rate are vital signs that are not part of the mental status exam.
Question 3
The nurse is conducting a mental status exam. Which of the following should the nurse specifically assess during the exam? (Select all that apply)
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Correct Answer Rationale: All of the listed answer choices are components of a mental status exam. The mental status exam comprehensively evaluates thought content, speech, insight and judgment, thought process, and physical appearance to assess the client's mental and emotional functioning.