Podcast
Questions and Answers
What is an expected finding in the physical appearance data collection?
What is an expected finding in the physical appearance data collection?
- Client looks younger than their stated age
- Client is disheveled and unkempt
- Client is wearing inappropriate clothing for the environment
- Client is clean and dressed appropriately for the environment (correct)
Which abnormal posturing is associated with decerebrate rigidity?
Which abnormal posturing is associated with decerebrate rigidity?
- Neck and elbow extension, wrist, and finger flexion (correct)
- Twisting of the torso and limbs
- Bending at the waist and neck
- Flexion and internal rotation of upper extremity joints and legs
What does data collection for physical appearance include?
What does data collection for physical appearance include?
- Personal hygiene, grooming, nutritional status, and clothing choice (correct)
- Blood pressure and heart rate
- Respiratory rate and oxygen saturation
- Temperature and weight
What is the purpose of the Mini Mental State Examination (MMSE)?
What is the purpose of the Mini Mental State Examination (MMSE)?
What does expected finding in physical appearance data collection NOT include?
What does expected finding in physical appearance data collection NOT include?
Which tool is used for pain rating?
Which tool is used for pain rating?
Who can provide valuable information for data collection in mentally healthy children and adolescents?
Who can provide valuable information for data collection in mentally healthy children and adolescents?
What is the purpose of physical examination in mental health nursing?
What is the purpose of physical examination in mental health nursing?
Why should the nurse ask for feedback from the client after an interview?
Why should the nurse ask for feedback from the client after an interview?
What is the primary concern when performing physical data collection for a client in mental health nursing?
What is the primary concern when performing physical data collection for a client in mental health nursing?
What is a possible consequence of not asking for the client's feedback after an interview?
What is a possible consequence of not asking for the client's feedback after an interview?
What should the nurse do if the client is triggered by touch during physical examination?
What should the nurse do if the client is triggered by touch during physical examination?
Which action best demonstrates cultural sensitivity in mental health nursing?
Which action best demonstrates cultural sensitivity in mental health nursing?
