Assessment and Response to Illness Flashcards
Age: Infant to 18 months
Psychological Crisis/Task?
Virtue Developed?
Trust vs. Mistrust
Age: 18 months to 3 years
Psychological Crisis/Task?
Virtue Developed?
Autonomy vs Shame/Doubt
Will
Age: 3-5 Years
Psychological Crisis/Task?
Virtue Developed?
Initiative vs Guilt
Purpose
Age: 5-13 Years
Psychological Crisis/Task?
Virtue Developed?
Industry vs. Inferiority
Competency
Age: 13-21 Years
Psychological Crisis/Task?
Virtue Developed?
Identity vs. Confusion
Fidelity
Age: 21-39
Psychological Crisis/Task?
Virtue Developed?
Intimacy vs. Isolation
Love
Age: 40-65
Psychological Crisis/Task?
Virtue Developed?
Generativity vs Stagnation
Care
Age: 65+
Psychological Crisis/Task?
Virtue Developed?
Integrity vs Despair
Wisdom
9 individual factors that impact a clients response to illness
- age, growth, development
- genetics and biological factors
- physical health and health practices
- response to medication
- self efficacy
- hardiness
- resilience
- resourcefulness
- spirituality
Self-Efficacy
the belief that personal abilities and efforts affect the events in ones life
Hardiness
Commitment, Control, Challenge
The ability to resist illness when under stress
Resilience
Having a healthy response to stressful stimuli
resourcefulness
using problem solving abilities and believing one can cope with adverse or novel situations
spirituality
the essence of a persons being and his or her beliefs
What are 3 interpersonal factors affecting response to illness?
sense of belonging. social networks, and family support
Unnatural Belief of Illness
attribute the cause of illness to the active personal intervention of an outside agent, spirit, or supernatural force
Natural Belief of Illness
rooted in a belief that natural conditions or forces such as cold, heat, wind or dampness are responsible for illness
Mental Status Examination (MSE)
used to collect and organize objective data
includes: behavior, nonverbal communication, appearance, speech patterns, mood and affect, thought content, perceptions, cognitive ability, insight and judgement
Psychological assessment
helps more with care planning and includes more subjective information
includes: history, current stressors, coping mechanisms, social background, goals for treatment, etc.
What are the 8 main content focuses of the Assessment
How Good Mental Talks Invite Joyful Seasons Remember
1. History
2. General Appearance
3. Mood and Affect
4. Thought process and content
5. Sensorium and intellectual processes
6. judgement and insight
7. self-concept
8. roles and relationships
things assessed during history?
age, developmental stage, cultural considerations, spiritual beliefs, previous history
things assessed during general apperance?
hygiene and grooming, appropriate dress, posture, eye contact, unusual movements or mannerisms, facial expressions, speech
automatisms
repeated purposeless behaviors; often a sign of anxiety
psychomotor retardation
overall slowed movements
waxy flexability
maintaining a posture, pose, or position over time, even if awkward or uncomfortable
neologisms
invented words that only have meaning to the client
things assessed during mood and affect?
expressed emotions, facial expression, congruency of mood and affect, labile
mood
clients pervasive and enduring emotional state
ex. happy, sad, euphoric, anxious, etc.
affect
outward expression of the clients emotional state
ex. flat, blunted, appropriate, animated, etc.
blunted affect
showing little or a slow-to-respond facial expression
broad affect:
displaying a full range of emotional expressions
flat affect
showing no facial expressions
inappropriate affect
showing a facial expression incongruent with mood or situation
restricted affect
displaying one type of expression (unchanging), usually serious or somber
things asses during thought process and content?
process, content, clarity of ideas, self-harm or suicidal urges
thought process
how the client thinks
disorganized or coherent, flight of ideas?, etc.
thought content
what the client actually says
delusions, obsessions, etc.
circumstantial thinking
a client eventually answers a question, but only after giving excessive unnecessary detail
delusion
a fixed, or false belief not based in reality
flight of ideas
excessive amount and rate of speech composed of fragmented or unrelated ideas- FAST
ideas of reference
client’s inaccurate interpretation that general events are personally directed to him or her
loose associations
disorganized thinking that jumps from one topic to another with little evident relationships between thoughts
similar to flight of ideas but slower
tangential thinking
wandering off the topic and never providing the information requested
thought blocking
stopping abruptly in the middle of a sentence or train of thought
thought broadcasting
belief that others can hear or know what the client is thinking
thought insertion
belief that others are putting ideas or thoughts into the clients head
though withdrawal
belief that others are taking the client’s thoughts away
word salad
flow of unconnected words that convey no meaning to the listener
things assessed during sensorium and intellectual processes?
orientation, confusion, memory
things assessed during judgement and insight
judgement, decision making ability, insight
judgement
interpretation of environment
the ability to interpret ones environment and situation correctly and adapt behaviors accordingly
insight
understanding ones own part in the current situation
the ability to understand the true nature of one’s situation and accept some personal responsibility for the situation
things assessed during self-concept?
personal view of self, description of physical self, personal qualities or attributes, common emotions, coping skills used
things assessed during roles and relationships?
roles the client fills, ability to fill the role, satisfaction with the role, relationships, relationship status, support system etc.
