NURS 6512 Week 9 Quiz (Version 2)
• Question 1 While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and
St. John s wort. You make a short note to check for results of the:
Response
Feedback:
Ginkgo biloba and St. John s wort are herbal remedies intended to improve mental alertness and elevate mood. As side effects, they can also result in disorientation and confusion that can be monitored with the Mini-Mental State Examination. The Denver and the Goodenough-Harris tests are used for childhood development, and the Glasgow Coma Scale is used to rate coma depth. The CAGE Questionnaire is useful tool for approaching a discussion of the use of alcohol.
• Question 2
You are performing a two-point discrimination test as part of a well physical examination. The area
with the ability to discern two points in the shortest distance is the:
Response
Feedback:
The fingertips can discern two points with a minimal distance of 2 to 8 mm; the back, 40 to 70 mm; the palms, 8 to 12 mm; the upper arms, at 75 mm; and the chest and forearms, 40 mm.
• Question 3
On a scale of 0 to 4+, which deep tendon reflex score is appropriate for a finding of clonus in a 1 / 2
patient?
Response 0 indicates absent reflexes; 1+ indicates sluggish or diminished reflex; 2+ indicates
Feedback: active or expected response; 3+ indicates more brisk than expected, slightly hyperactive; and 4+ indicates brisk, hyperactive, with intermittent or transient clonus.
• Question 4
Which statement is true regarding mental status changes in older adults?
Response
Feedback:
Acute illness or metabolic derangement of older adults places such a stress upon the declining metabolism and synthesis of neurotransmitters that adaptation is inadequate and delirium results. None of the other statements are true.
• Question 5
Deep pressure tests are used mostly for patients who are experiencing:
Response
Feedback:
Deep pressure sensation is tested by squeezing the trapezius, calf, or biceps muscle, thus causing discomfort. When superficial pain sensation is not intact, then further assessments of temperature and deep pressure sensation are performed.
• Question 6
The autonomic nervous system coordinates which of the following?
- / 2