MENTAL STATUS, MOOD, & BEHAVIOR Which of these is true r/t nursing Mrs. Lott, 86 y.o. with dementia, has assessment of mental status in LTC? become physically aggressive in the Residents are at high risk for past 2 days. This is most likely due to: conditions affecting mental state Worsening of dementia Altered mental status is rare, but is of delirium a potentially life threatening sign Depression Altered mental status is an Anxiety expected outcome of the process Which of the following is true about Onset of mental status change is delirium? evidence of poor care It goes undetected Person can be hyper, and/or Which of the following skills are most hypoactive necessary when assessing mental Those with dementia are at status? increased risk Screening, monitoring All of the above Observation, interview Observation, analysis of triggers A Concurrent Review for altered mental Interpretation status should include review of: Meds Which is the best time of day to Labs perform a mental status assessment? Skin Early in AM A and B only After finishing ADL routines During ADL routines Which is the best description of When resident functions best behavior? Resisted care What does NICHE recommend for Raised fist and hollered, “Stop mental status assessment? that!” With the MDS Became agitated with bathing According to facility protocols Uncooperative Upon admission Only as needed with the onset of What is the value of including change in condition behavioral tracking with assessment? Provides a comprehensive Which of the following tools is dimension to mental status recommended when there is a change evaluation in mental status? Helps screen for delirium BIMS Can reveal patterns that help CAM identify possible trigger(s) for MDS behavior Concurrent Review Reflects whether dementia is worsening
MENTAL STATUS, MOOD, & BEHAVIOR Which of these is true r/t nursing assessment of mental status in LTC? Residents are at high risk for conditions affecting mental state Altered mental status is rare, but is a potentially life threatening sign Altered mental status is an expected outcome of the process Onset of mental status change is evidence of poor care Which of the following skills are most necessary when assessing mental status? Screening, monitoring Observation, interview Observation, analysis of triggers Interpretation Which is the best time of day to perform a mental status assessment? Early in AM After finishing ADL routines During ADL routines When resident functions best What does NICHE recommend for mental status assessment? With the MDS According to facility protocols Upon admission Only as needed with the onset of change in condition Which of the following tools is recommended when there is a change in mental status? BIMS CAM MDS Concurrent Review Mrs. Lott, 86 y.o. with dementia, has become physically aggressive in the past 2 days. This is most likely due to: Worsening of dementia of delirium Depression Anxiety Which of the following is true about delirium? It goes undetected Person can be hyper, and/or hypoactive Those with dementia are at increased risk All of the above A Concurrent Review for altered mental status should include review of: Meds Labs Skin A and B only Which is the best description of behavior? Resisted care Raised fist and hollered, “Stop that!” Became agitated with bathing Uncooperative What is the value of including behavioral tracking with assessment? Provides a comprehensive dimension to mental status evaluation Helps screen for delirium Can reveal patterns that help identify possible trigger(s) for behavior Reflects whether dementia is worsening
Test%20Assessment%20Mental%20Status,%20Mood%20and%20Behavior.docx