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28 Cards in this Set

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What is involved in the initial assessment?
(1) Comprehensive assessment: collect all relevant data, biopsychosocial assessment, may take several sessions to complete
(2) Screening: collection of selective data, recognize symptoms and risk factors or emotional difficulties, structured and brief
What is involved in an ongoing assessment?
Focuses on specific factors, monitor progress and outcomes of interventions
Name 7 collection techniques
1. Patient observations
2. Interviews
3. Mental status assessment**
4. Assessment tools
5. Physical examination
6. Records and diagnostic reports
7. Collaboration with colleagues
What lab results are important for assessment?
CBC
Electrolytes
Liver and renal function tests
Urinalysis
Thyroid function
Toxicology screen
What psychological condition may be derived from thyroid malfunction?
Depression
What is involved in the Mental Status Examination?
1. General observation (appearance, psychomotor activity, attitude)
2. Orientation
3. Mood, affect, emotions
4. Speech
5. Thought Processes
6. Sensory-perceptual alteration
7. Cognition and intellectual performance
8. Attention and concentration
9. Abstract reasoning and comprehension
10. Memory: recall, short-term, long-term (remote)
11. Judgment and insight
What does the Mini-Mental Status Exam assess?
1. Orientation
2. Registration
3. Attention and calculation
4. Recall
5. Language
6. Knowledge
How do you assess stress and coping patterns?
Assess emotions, determine comfort level with emotions, and assess coping strategies.
Axis I
Clinical disorders
Axis II
Personality disorders, mental retardation
Axis III
General medical conditions
Axis IV
Psychosocial and environmental problems
Axis V
Global assessment of functioning (GAF)
What is the difference between nursing diagnoses and patient outcomes?
Nursing diagnoses are formulated based on assessment data and form the basis for nursing interventions. Patient outcomes are mutually agreed upon goals that reflect nursing interventions and have measurable outcomes.
What are nursing interventions for promotion of patient safety?
Observation, de-escalation, seclusion, restraint
What are some examples of nursing interventions for psychiatric patients?
- Promotion of self-care
- Relaxation interventions
- Medication management
- Counseling
- Reminiscence
- Milieu therapy
What is a delay in reaching point of communication, owing to unnecessary and tedious detail?
Circumstantial thinking
What is a fixed false belief not based in reality that persists in spite of proof that it is false and/or irrational?
A delusion
What thought process is characterized by a rapid succession of fragmentary thoughts or speech in which the content changes abruptly, and which may be incoherent?
Flight of ideas
Someone who thinks the news anchor is speaking directly to him suffers from what disturbed thought process?
Ideas of reference
What thought process involves disorder in the logical progression of thoughts such that thoughts become unrelated and readily shift from one subject to another?
Loose associations
What thought process describes the inability to get to the point of the story because of the introduction of many unrelated topics until original topic is lost?
Tangential thinking
What is thought blocking?
Delay in starting or stopping abruptly in the middle of a sentence or train of thought.
What is thought broadcasting?
Believing one's thoughts are being broadcast or projected into the environment
What is thought insertion?
Delusion that thoughts are being implanted in one's mind by other people or forces
What is thought withdrawal?
Delusion that one's thoughts are being removed form one's mind by other people or forces.
What is word salad?
Group of words put together in random fashion without any logical connection.
What are new words invented by an individual that are meaningless to others?
Neologisms