Lifespan Network



MENTAL STATUS, MOOD, & BEHAVIORWhich of these is true r/t nursing assessment of mental status in LTC?Residents are at high risk for conditions affecting mental stateAltered mental status is rare, but is a potentially life threatening signAltered mental status is an expected outcome of the aging processOnset of mental status change is evidence of poor careWhich of the following skills are most necessary when assessing mental status?Screening, monitoringObservation, interviewObservation, analysis of triggersInterpretationWhich is the best time of day to perform a mental status assessment?Early in AMAfter finishing ADL routinesDuring ADL routinesWhen resident functions bestWhat does NICHE recommend for mental status assessment?With the MDSAccording to facility protocolsUpon admissionOnly as needed with the onset of change in conditionWhich of the following tools is recommended when there is a change in mental status?BIMSCAMMDSConcurrent ReviewMrs. Lott, 86 y.o. with dementia, has become physically aggressive in the past 2 days. This is most likely due to:Worsening of dementiaOnset of deliriumDepressionAnxietyWhich of the following is true about delirium? It often goes undetectedPerson can be hyper, and/or hypoactiveThose with dementia are at increased riskAll of the aboveA Concurrent Review for altered mental status should include review of:MedsLabsSkinA and B onlyWhich is the best description of behavior?Resisted careRaised fist and hollered, “Stop that!”Became agitated with bathingUncooperativeWhat is the value of including behavioral tracking with assessment?Provides a comprehensive dimension to mental status evaluationHelps screen for deliriumCan reveal patterns that help identify possible trigger(s) for behaviorReflects whether dementia is worsening ................
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