Psych Ch 10

Front 1

assessment

Back 1

deliberate and systemic collection and interpretation of biopsychosocial info or data to determine current and past health, function status, and human responses to mental health problems, both actual and potential

Front 2

Things needed for successful assessment:

Back 2

-rapport
-trust
-healthy self-knowledge of nurse
-self assessment (biases)

Front 3

Things needed for a patient interview:

Back 3

-direct questions
-statement of purpose of interview
-restating for clarification
-empathy, interest, acceptance
-reflecting, reality, focus, observations

Front 4

Lab results to pay attention to:

Back 4

-renal
-hepatic
-urinary
-WBC
-electrolytes

Front 5

what might lithium carbonate cause?

Back 5

diarrhea and frequency of urination
(test serum sodium levels)

Front 6

what can be anticholinergic effects of antipsychotics?

Back 6

constipation and urinary hesitancy or retention

Front 7

BIological things to assess:

Back 7

nutrition, exercise, sleep, elimination, hydration, sexuality, self care, meds

Front 8

what are the 3 domains of the biopsychosocial nursing assessment?

Back 8

biologic, social, psychological

Front 9

what is the mental status examination?

Back 9

organized systemic approach to assessment of an individual's current psychiatric condition

Front 10

Psychological things to assess:

Back 10

-observation, orientation, mood and affect, speech, thought processes, cognition and insight

Front 11

Define Mood

Back 11

-prominent, sustained, overall emotions that the person expresses and exhibits

Front 12

what is euthymic, euphoric, labile, and dysphoric?

Back 12

euthymic-normal
euphoric-elated
labile-changable
dysphoric-depressed/restless

Front 13

Define affect

Back 13

-person's capacity to vary outward emotional expression

Front 14

what is full range affect, restricted affect?

Back 14

full range affect-several different emotions of stated feelings
restricted affect-few emotions

Front 15

describe lability of mood

Back 15

rapid mood changes

Front 16

describe labile affect

Back 16

intense frequent shifting of emotional extremes

Front 17

define cognition

Back 17

ability to think and know

Front 18

how is cognition assessed

Back 18

attention/concentration, abstract reasoning/comprehension, memory-short, recent, remote, insight/judgement

Front 19

define insight

Back 19

person's awareness of their own thoughts and feelings and ability to compare them with the thoughts and feelings of others

Front 20

define judgement

Back 20

ability to reach a logical decision about a situation and to choose a course of action after examing and analyzing various possibilities

Front 21

define self-concept

Back 21

total beliefs about 3 interrelated dimensions of the self: body image, self-esteem, personal identity

Front 22

how can a self portrait be analyzed?

Back 22

low self esteem-small size, lack of color and sparse details
powerlessness/inadequacy-lack of head, mouth, arms, feet or eyes
insecurity/inadequacy-lack of symmetry

Front 23

define body image

Back 23

person's beliefs and attitudes about their body

Front 24

what are some nonverbal behaviors that indicate poor body image

Back 24

looking or touching a body part, hiding the body in oversized clothes, bandaging embarassing item (mole)

Front 25

define self esteem

Back 25

person's attitude about the self

Front 26

define personal identity

Back 26

knowing "who I am"

Front 27

what risk assessments should always be done?

Back 27

suicide, violence, injury, homicidal ideation, assaultive

Front 28

What assessments make up the social domain?

Back 28

-functional status
-social systems
-family
-cultural
-spiritual
-occupational
-economic
-legal
-quality of life

Front 29

define nursing diagnosis

Back 29

clinical judgement about an identified problem or need that requires nursing interventions and nursing management
-includes defining characteristics

Front 30

define outcomes

Back 30

patient's response to nursing care at a given point in time
-concise, neutral

Front 31

define outcome indicators

Back 31

describe patient status, behaviors, or perceptions evaluated during a patient's assessment
-measurement of progress

Front 32

define nursing interventions

Back 32

nursing activities that promote and foster health, assess dysfunction, assist patients to regain or improve their coping abilities or prevent additional disabilities

Front 33

what is the difference between counseling and psychotherapy?

Back 33

counseling is short term, foced on improving coping abilities/health behaviors/positive interactions
psychotherapy is long term, helps patient regain previous health status/functional ability

Front 34

what is conflict resolution?

Back 34

intervention which the nurse helps patients resolve disagreements with friends/family/other patients

Front 35

what are the steps of conflict resolution?

Back 35

1. helping patient id problem
2. dev expectations for a win-win situation
3. id interests
4. foster brainstorming
5. combining options

Front 36

define cultural brokering

Back 36

mediating messages/instructions between groups with different cultural systems to reduce conflict/produce change

Front 37

What does bibliotherapy help with?

Back 37

anxiety, insight, problem solving, catharsis (expression of feelings)

Front 38

define behavioral modification

Back 38

systematized behavior therapy applied to reinforce desired behavior and extinguish undesired ones

Front 39

define milieu therapy

Back 39

provides a stable and coherent social organization to facilitate an individual's treatment

Front 40

what steps are involved in a home visit:

Back 40

previsit-reading up, collecting data
visit: greeting, focus of visit, implementaion of service, closure
postvisit