During a Mental Health History, the Nurse Suspects Altered Mental

During a mental health history, the nurse suspects altered mental status for a patient. Which questions are appropriate to ask when assessing mental status? (Select all that apply.)

A) Do you have difficulty making decisions?
B) Do you know where you are?
C) Are there times when you wanted to escape?
D) If you bought a hat for $5.75 and gave the sales person $10.00, how much change do you expect back?
E) What would you do if a fire started in your home?
F) What does this phrase "A rolling stone gathers no moss" mean?