Mental Status, Mood, & Behavior

TEST ANSWER KEY

MENTAL STATUS, MOOD, & BEHAVIOR

1. Which of these is true r/t nursing c. Upon admission assessment of mental status in LTC? d. Only as needed with the onset of a. Residents are at high risk for change in condition conditions affecting mental state

b. Altered mental status is rare, but is 5. Which of the following is recommended a potentially life threatening sign when there is a change in mental c. Altered mental status is an status? expected outcome of the aging a. BIMS process b. CAM d. Onset of mental status change is evidence of poor care c. MDS

d. Concurrent Review

2. Which of the following skills are most 6. Mrs. Lott, 86 y.o. with dementia, has necessary when assessing mental become physically aggressive in the status? past 2 days. This is most likely due to:

a. Screening, monitoring a. Worsening of dementia

b. Observation, interview b. Onset of delirium

c. Observation, analysis of triggers c. Depression

d. Interpretation d. Anxiety

3. Which is the best time of day to 7. Which of the following is true about perform a mental status assessment? delirium?

a. Early in AM a. It often goes undetected

b. After finishing ADL routines b. Person can be hyper, and/or hypoactive c. During ADL routines c. Those with dementia are at d. When resident functions best increased risk

d. All of the above 4. What does NICHE recommend for mental status assessment? 8. A Concurrent Review for altered mental a. With the MDS status should include review of: b. According to facility protocols a. Meds TEST ANSWER KEY

b. Labs

c. Skin 10. What is the value of including behavioral tracking with assessment? d. A and B only a. Provides a comprehensive dimension to mental status 9. Which is the best description of evaluation behavior? b. Helps screen for delirium a. Resisted care c. Can reveal patterns that help b. Raised fist and hollered, “Stop identify possible trigger(s) for that!” behavior

c. Became agitated with bathing d. Reflects whether dementia is worsening d. Uncooperative