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28 Cards in this Set
- Front
- Back
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What is involved in the initial assessment?
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(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 |
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What is involved in an ongoing assessment?
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Focuses on specific factors, monitor progress and outcomes of interventions
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Name 7 collection techniques
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1. Patient observations
2. Interviews 3. Mental status assessment** 4. Assessment tools 5. Physical examination 6. Records and diagnostic reports 7. Collaboration with colleagues |
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What lab results are important for assessment?
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CBC
Electrolytes Liver and renal function tests Urinalysis Thyroid function Toxicology screen |
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What psychological condition may be derived from thyroid malfunction?
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Depression
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What is involved in the Mental Status Examination?
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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 |
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What does the Mini-Mental Status Exam assess?
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1. Orientation
2. Registration 3. Attention and calculation 4. Recall 5. Language 6. Knowledge |
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How do you assess stress and coping patterns?
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Assess emotions, determine comfort level with emotions, and assess coping strategies.
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Axis I
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Clinical disorders
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Axis II
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Personality disorders, mental retardation
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Axis III
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General medical conditions
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Axis IV
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Psychosocial and environmental problems
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Axis V
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Global assessment of functioning (GAF)
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What is the difference between nursing diagnoses and patient outcomes?
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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.
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What are nursing interventions for promotion of patient safety?
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Observation, de-escalation, seclusion, restraint
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What are some examples of nursing interventions for psychiatric patients?
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- Promotion of self-care
- Relaxation interventions - Medication management - Counseling - Reminiscence - Milieu therapy |
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What is a delay in reaching point of communication, owing to unnecessary and tedious detail?
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Circumstantial thinking
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What is a fixed false belief not based in reality that persists in spite of proof that it is false and/or irrational?
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A delusion
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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?
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Flight of ideas
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Someone who thinks the news anchor is speaking directly to him suffers from what disturbed thought process?
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Ideas of reference
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What thought process involves disorder in the logical progression of thoughts such that thoughts become unrelated and readily shift from one subject to another?
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Loose associations
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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?
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Tangential thinking
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What is thought blocking?
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Delay in starting or stopping abruptly in the middle of a sentence or train of thought.
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What is thought broadcasting?
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Believing one's thoughts are being broadcast or projected into the environment
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What is thought insertion?
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Delusion that thoughts are being implanted in one's mind by other people or forces
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What is thought withdrawal?
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Delusion that one's thoughts are being removed form one's mind by other people or forces.
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What is word salad?
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Group of words put together in random fashion without any logical connection.
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What are new words invented by an individual that are meaningless to others?
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Neologisms
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