Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
66 Cards in this Set
- Front
- Back
|
In the initial assessment, what information is categorized as comprehensive?
|
-collect all relevant data
-biophysical assessment -may take several sessions |
|
|
What aspects are part of the screening in the initial assessment?
|
-collection of selective data
-recognition of symptoms, risk factors or emotional difficulties -structured and brief |
|
|
When is screening used most often?
|
in an emergency, disaster or crisis situation
|
|
|
What is screening usually used for?
|
to determine appropriate treatment setting
|
|
|
What are the collection techniques for assessment data?
|
-patient observations
-interview -mental status assessment -assessment tools -physical exam -records and reports -collaboration with colleagues |
|
|
A patients past and present health status and the physical examination fall under what category of assessment?
|
biologic domain
|
|
|
why is a physical exam usually down during a psychiatric assessment?
|
to rule out any biological problem that may be the cause of the problem
|
|
|
What are described as indicators for good mental health?
|
the Physical functions
ie activity, exercise, sleep appetite, hydration, sexuality and self-care |
|
|
What is included in the pharmacologic assessment?
|
-current and past medications
-over-the-counters, vitamins, herbal suppliments |
|
|
In the initial assessment, what information is categorized as comprehensive?
|
-collect all relevant data
-biophysical assessment -may take several sessions |
|
|
What aspects are part of the screening in the initial assessment?
|
-collection of selective data
-recognition of symptoms, risk factors or emotional difficulties -structured and brief |
|
|
When is screening used most often?
|
in an emergency, disaster or crisis situation
|
|
|
What is screening usually used for?
|
to determine appropriate treatment setting
|
|
|
What are the collection techniques for assessment data?
|
-patient observations
-interview -mental status assessment -assessment tools -physical exam -records and reports -collaboration with colleagues |
|
|
A patients past and present health status and the physical examination fall under what category of assessment?
|
biologic domain
|
|
|
why is a physical exam usually down during a psychiatric assessment?
|
to rule out any biological problem that may be the cause of the problem
|
|
|
What are described as indicators for good mental health?
|
the Physical functions
ie activity, exercise, sleep appetite, hydration, sexuality and self-care |
|
|
What is included in the pharmacologic assessment?
|
-current and past medications
-over-the-counters, vitamins, herbal suppliments |
|
|
What is aprosody?
|
non-harmonious speech
|
|
|
What are some examples of moods?
|
-euthymic
-dysthymic -labile -bored -elated -euphoric -dysphoric -irritable |
|
|
What is the definition of affect?
|
refers to the person’s capacity to vary outward emotional expression. It fluctuates with though content and can be observed in facial expressions, vocal fluctuations and gestures. Types include euthymic, irritable, constricted, blunted, flat, inappropriate and labile
|
|
|
Define anhedonia.
|
Inability to experience pleasure from activities that usually produce pleasurable feelings.
|
|
|
What is delusion?
|
Erroneous belief that usually involves a misinterpretation of perception of experience. These beliefs are false, fixed and fall outside of the patient’s social, cultural or religious background.
|
|
|
define hypomania.
|
Mildly dysphoric mood that meets the same criteria as for a manic episode escept that it lasts at least 4 days rather than 1 week and that no marked impairment in social or occupational function is present.
|
|
|
What is the definition of mood?
|
The prominent, sustained, overall emotions that the person expresses and exhibits. May be sustained for days or weeks or can fluctuate during the day. Common examples of mood include depression, elation, anger, and anxiety. Types of mood include: dysphoric, elevated, euthymic, expansive, irritable.
|
|
|
What is meant by flight of ideas?
|
Repeated and rapid changes in the topic of conversation, generally with just one sentence or phrase.
|
|
|
What are ways to assess attention?
|
-Digit span test (repeat numbers)
-Spelling backwards -calculations |
|
|
What are the 3 types of memory that can be assessed?
|
-Recent
-Remote -immediate |
|
|
What is the CAGE screening tool?
|
Used to detect alcohol or substance abuse
|
|
|
What question corresponds to the C in CAGE screening?
|
"Have you ever felt that you should CUT down on your drinking?"
|
|
|
What does the A in CAGE stand for?
|
Have you been ANNOYED by people criticizing your drinking>?
|
|
|
What question corresponds with the G of CAGE?
|
have you ever felt GUILTY about drinking?
|
|
|
What is an eye-opener?
|
Having a drink in the morning to calm your nerves or get rid of a hangover.
The E in CAGE |
|
|
What are the 2 aspects of the MSE that are strictly inquired>
|
Mood and Suicidality or homicidality
|
|
|
What are the 6 MSE that can be obtained through observation and inquiry?
|
-THought process/form
-THought content -Insight and judgement -attention span -Memory -Intellectual functioning |
|
|
What aspects of the MSE are strictly obtained through observation?
|
-appearance
-behavior -attitude -level of consciousness -speech/language -Affect |
|
|
What does the Mini-mental status exam directly test?
|
Cognition
|
|
|
What makes up the MMSE?
|
-Orientation
-Registration -Attention and calculation -Recall -Language -Knowledge |
|
|
When conducting the suicide or homicide assesment, what is the most important follow-up question to ask a person who responds in the positive to thoughts of either?
|
Do you have a plan and the means to do it?
|
|
|
What are Axis I disorders?
|
Clinical disorders: Bipolar, schizo etc
|
|
|
What are Axis II disorders?
|
Personality disorders or mental retardation
|
|
|
Axis III include what?
|
General medical conditions
|
|
|
Psychosocial and environmental problems are classified under what axis?
|
Axis IV
|
|
|
Which Axis is characterized by a number value?
|
Axis V: global assessment of functioning
|
|
|
What are the 4 nursing interventions that promote patient safety?
|
1. Observation
2. De-escalation 3. Seclusion 4. Restraint |
|
|
What is the most restrictive safety intervention that is used in extreme cases?
|
Restraint
|
|
|
What are the 2 types of restraint>
|
Physical and Chemical (meds)
|
|
|
Describe de-escalation
|
An effort made to calm the patient and prevent them from reaching a breaking point. May use a calming voice or distraction technique
|
|
|
Why is it important to get a measurement of patient outcomes to nursing interventions?
|
1. Demonstrates clinical effectiveness
2. Promotes rational clinical decision making |
|
|
What are the 6 basic nursing interventions in the psychiatric process?
|
1. Promotion of self-care
2. Relaxation interventions 3. Medication management 4. Counseling 5. Reminiscence 6. Milieu therapy |
|
|
Define circumstantial thinking
|
Delay in reaching point of communication, owing to unnecessary and tedious details
|
|
|
Define a delusion.
|
Fixed false belief not based in reality that persists in spite of proof that it is false and/or irrational
|
|
|
What is the rapid succession of fragmentary thoughts or speech; abrupt content changes and incoherence?
|
Flight of Ideas
|
|
|
What does it mean if a patient has ideas of reference?
|
Misinterpretation that incidents and events in outside have direct personal reference to oneself
|
|
|
If a patient has a disorder in logical progression of thoughts; unrelated, unconnected ideas shifting from one subject to another, their speech is described as having ____ _____?
|
Loose associations
|
|
|
What is tangential Thinking?
|
inability to get to point of the story; introduction of many unrelated topics until original topic is lost
|
|
|
What is thought blocking?
|
Delay in starting or stopping abruptly in the middle sentence or train of thought
|
|
|
Describe a patient with thought broadcasting.
|
They believe their thoughts are being broadcasted or projected into the environment
|
|
|
Define 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 from 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 neologisms?
|
new words invented by an individual that are meaningless to others.
|
|
|
What is the mood of a patient who is neither happy nor sad?
|
euthymic
|
|
|
If a patient's mood is up and down throughout the day they are said to be _____.
|
labile
|
|
|
What assessment categories fall under Social systems? (3)
|
1. Family assessment
2. Cultural assessment 3. Community support and resources |
|
|
A patient's spiritual, occupational, economic and legal status are all assessed as part of which domain?
|
Social domain
|
