HESI (Health and Environmental Sciences Institute) Health Assessment Practice Test

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Which question should a nurse ask to effectively assess a patient's affect during a mental status examination?

How do you feel today?

To effectively assess a patient's affect during a mental status examination, asking "How do you feel today?" is the most appropriate question. This inquiry invites the patient to express their emotional state, which is a direct measure of affect. Affect refers to the observable expression of emotion, and this question specifically targets the patient's current feelings, providing insights into their emotional well-being.

The other options focus on different aspects of assessment. Asking a patient to repeat words assesses memory and cognitive function, rather than emotional state. Questions regarding medications and their impact on pain or activities of daily living are relevant to physical health or functional ability but do not provide direct information about the patient's affect or emotional expression. Therefore, focusing on the patient's feelings allows the nurse to gauge the patient's mood and emotional tone effectively, which is crucial for a comprehensive mental status examination.

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Would you please repeat the following words?

Have these medications had any effect on your pain?

Has this pain affected your ability to get dressed by yourself?

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