Tina Jones Mental Health Shadow Health Review Questions
Review Questions
Activity Time: 22 min
1. What would you be assessing if you asked Tina to explain the meaning of the saying “Don’t cry over spilled milk”?
– Correct: You can assess abstract reasoning by asking the patient to explain a common saying or find similarities between two things.
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Options:
– Impaired judgment
– Memory
– Abstract reasoning (Correct Answer)
– Cognition
What is Kernig’s sign test?
2. If Tina couldn’t recognize the pen you were holding, what is this symptom called?
– Correct: Agnosia is when someone can’t identify objects or people. It can be limited to one sense (like sight or hearing) and is often caused by a neurological condition or brain injury.
Options:
– Apraxia
– Discrimination loss
– Memory loss
– Agnosia (Correct Answer)
3. What is one component of assessing cognition?
– Correct: Cognitive assessments can involve evaluating a patient’s orientation, attention, memory, ability to learn new things, vocabulary, general knowledge, and mathematical skills.
Options:
– Memory (Correct Answer)
– Emotional response
– Speech
– Affect
4. Explain the difference between inappropriate affect and appropriate affect, and provide an example of each.
– Student Response: It’s important to know that affect is how we express our feelings or state of mind. Appropriate affect is when your emotional expression matches the situation. For instance, a student feeling happy when they pass a big test shows appropriate affect. Inappropriate affect is when your emotions don’t match the circumstances. An example is someone laughing at a funeral.
– Model Note: Affect is the temporary way we express our feelings or state of mind. Appropriate affect is when your emotional expression matches the situation. For example, a high school student celebrating getting into a prestigious college shows appropriate affect. Inappropriate affect is when your emotions don’t fit the situation, like laughing at a funeral.
5. What are the components (domains) of a comprehensive mental status examination?
– Student Response: A comprehensive mental status exam should assess a patient’s orientation, attention, abstract thinking, comprehension, judgment, vocabulary, speech, and memory. This assessment is typically done informally and continuously during a physical examination. If there are concerns, a formal mental status exam may be conducted.
– Model Note: A comprehensive mental status exam should cover a patient’s orientation, attention, abstract thinking, comprehension, judgment, memory, vocabulary, and speech. The mental status assessment is usually done informally and continuously during a physical exam. In cases of suspicion or concern, a complete formal mental status exam may be performed.
6. If Tina’s family reported that she has been periodically confused for the past two days, what are at least two key features of delirium, and why would you assess for delirium?
– Student Response: Delirium often involves changes in consciousness and cognitive function, and these are two common features. When cognitive changes occur suddenly and fluctuate, it’s important to conduct a comprehensive mental status exam and gather a medical history because these are typical signs of delirium. Delirium can be caused by factors like medication toxicity, illness, substance abuse or withdrawal (including alcohol and drugs), and even dementia.
– Model Note: Delirium is characterized by altered consciousness and fluctuations in cognitive function. When acute and fluctuating cognitive changes are observed, it’s important to perform a thorough mental status examination and obtain a medical history, as these are indicative of delirium. Possible causes of delirium include medication toxicity, illness, substance abuse or withdrawal (including alcohol and drugs), and dementia.
Tina Jones Mental Health Shadow Health Review Questions
Review QuestionsActivity Time: 22 min
If you had asked Tina to tell you the meaning of the proverb “Don’t cry over spilled milk,” what would you have been assessing?
- Impaired judgment
- Memory
- Abstract reasoning (Correct Response)
- Cognition
Suppose that Tina had been unable to identify the pen you were holding. What is the name of this symptom?
- Apraxia
- Discrimination loss
- Memory loss
- Agnosia (Correct Response)
Which of the following is a component of assessing cognition?
- Memory (Correct Response)
- Emotional response
- Speech
- Affect
Distinguish between inappropriate affect and appropriate affect, and provide an example of each.
Identify the components (domains) of a comprehensive mental status exam.
Model Note: Comprehensive mental status exams should assess a patient’s orientation, attention, abstract thinking, comprehension, judgment, memory, vocabulary, and speech. Mental status assessment is usually performed informally and continuously throughout the physical exam. When a problem is suspected, the clinician may choose to perform a complete formal mental status exam.
Imagine that Tina’s family member reported to you that she had been acting confused on and off for the last two days. Identify at least two key features of delirium. Describe why you would assess for delirium.
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