Midreview Mental Health Assessment

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Acronym for Mental Health Assessment

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BEST PICKI

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B

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behavioral/behavior and general appearance.

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E

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emotions. And when we speak of emotions we are talking about mood and affect.

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S

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is for speech. The way someone speaks gives you some indication of what is going on with them.

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T

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thought content and processes. one of the objectives is to be able to differentiate between thought content and thought processes.

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P

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stands for Perceptual sensory disturbances. This relates to alterations in sensory perception.

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I

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Impulse control

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C

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Cognition, the way one thinks, as well as sensorium and that has to do with if someone is alert and oriented to time place person. X3

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K

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stands for their level of Knowledge based on worldly experience and education. For instance is someone knowledgeable about their illness.

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I

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The I stands for insight, judge and judgment.

Safety!!!! safety is always a priority. Any indication that a client is at risk for hurting themselves or someone else must be addressed immediately.

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euthymic

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normal mood..not depressed or heightened

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*Labile

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rapidly changing from one mood state to another

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Loose associations

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illogical difficult to follow shifting of ideas so that the thoughts are loosely associated.

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tangential thinking

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is when the client wanders from subject at hand to a related one, and is unable to come back to the original topic.

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Circumstantial thought

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is demonstrated by clients who get lost in details but eventually return to the relevant topic.

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Flight of ideas,

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often seen in a client who has a manic episode involved pressured speech with rapid topic changes. The topics may be associated but in a strange way. For example, I can see, the sea is washing away the shells.

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concrete thought process

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concrete thought process as opposed to an abstract thought process is only able to understand conversations literally. For example, for a client that is asked what brought him or her to the hospital and responds an ambulance, is manifesting concrete thinking. ***usually in schizophrenic**also children may not be able to think abstractly

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After a nurse assesses a new patient with a psychiatric disorder, nursing diagnoses are formulated. Information conveyed by the nursing diagnoses includes

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-unmet patient needs present at the moment.
-supporting data that validate the diagnoses.
-probable causes that will be targets for nursing interventions.