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NUR 215: Mental Health > Assessment and Response to Illness > Flashcards

Assessment and Response to Illness Flashcards

1
Q

Age: Infant to 18 months
Psychological Crisis/Task?
Virtue Developed?

A

Trust vs. Mistrust

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2
Q

Age: 18 months to 3 years
Psychological Crisis/Task?
Virtue Developed?

A

Autonomy vs Shame/Doubt
Will

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3
Q

Age: 3-5 Years
Psychological Crisis/Task?
Virtue Developed?

A

Initiative vs Guilt
Purpose

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4
Q

Age: 5-13 Years
Psychological Crisis/Task?
Virtue Developed?

A

Industry vs. Inferiority
Competency

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5
Q

Age: 13-21 Years
Psychological Crisis/Task?
Virtue Developed?

A

Identity vs. Confusion
Fidelity

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6
Q

Age: 21-39
Psychological Crisis/Task?
Virtue Developed?

A

Intimacy vs. Isolation
Love

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7
Q

Age: 40-65
Psychological Crisis/Task?
Virtue Developed?

A

Generativity vs Stagnation
Care

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8
Q

Age: 65+
Psychological Crisis/Task?
Virtue Developed?

A

Integrity vs Despair
Wisdom

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9
Q

9 individual factors that impact a clients response to illness

A
  1. age, growth, development
  2. genetics and biological factors
  3. physical health and health practices
  4. response to medication
  5. self efficacy
  6. hardiness
  7. resilience
  8. resourcefulness
  9. spirituality
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10
Q

Self-Efficacy

A

the belief that personal abilities and efforts affect the events in ones life

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11
Q

Hardiness

A

Commitment, Control, Challenge
The ability to resist illness when under stress

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12
Q

Resilience

A

Having a healthy response to stressful stimuli

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13
Q

resourcefulness

A

using problem solving abilities and believing one can cope with adverse or novel situations

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14
Q

spirituality

A

the essence of a persons being and his or her beliefs

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15
Q

What are 3 interpersonal factors affecting response to illness?

A

sense of belonging. social networks, and family support

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16
Q

Unnatural Belief of Illness

A

attribute the cause of illness to the active personal intervention of an outside agent, spirit, or supernatural force

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17
Q

Natural Belief of Illness

A

rooted in a belief that natural conditions or forces such as cold, heat, wind or dampness are responsible for illness

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18
Q

Mental Status Examination (MSE)

A

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

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19
Q

Psychological assessment

A

helps more with care planning and includes more subjective information
includes: history, current stressors, coping mechanisms, social background, goals for treatment, etc.

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20
Q

What are the 8 main content focuses of the Assessment

A

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

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21
Q

things assessed during history?

A

age, developmental stage, cultural considerations, spiritual beliefs, previous history

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22
Q

things assessed during general apperance?

A

hygiene and grooming, appropriate dress, posture, eye contact, unusual movements or mannerisms, facial expressions, speech

23
Q

automatisms

A

repeated purposeless behaviors; often a sign of anxiety

24
Q

psychomotor retardation

A

overall slowed movements

25
Q

waxy flexability

A

maintaining a posture, pose, or position over time, even if awkward or uncomfortable

26
Q

neologisms

A

invented words that only have meaning to the client

27
Q

things assessed during mood and affect?

A

expressed emotions, facial expression, congruency of mood and affect, labile

28
Q

mood

A

clients pervasive and enduring emotional state
ex. happy, sad, euphoric, anxious, etc.

29
Q

affect

A

outward expression of the clients emotional state
ex. flat, blunted, appropriate, animated, etc.

30
Q

blunted affect

A

showing little or a slow-to-respond facial expression

31
Q

broad affect:

A

displaying a full range of emotional expressions

32
Q

flat affect

A

showing no facial expressions

33
Q

inappropriate affect

A

showing a facial expression incongruent with mood or situation

34
Q

restricted affect

A

displaying one type of expression (unchanging), usually serious or somber

35
Q

things asses during thought process and content?

A

process, content, clarity of ideas, self-harm or suicidal urges

36
Q

thought process

A

how the client thinks
disorganized or coherent, flight of ideas?, etc.

37
Q

thought content

A

what the client actually says
delusions, obsessions, etc.

38
Q

circumstantial thinking

A

a client eventually answers a question, but only after giving excessive unnecessary detail

39
Q

delusion

A

a fixed, or false belief not based in reality

40
Q

flight of ideas

A

excessive amount and rate of speech composed of fragmented or unrelated ideas- FAST

41
Q

ideas of reference

A

client’s inaccurate interpretation that general events are personally directed to him or her

42
Q

loose associations

A

disorganized thinking that jumps from one topic to another with little evident relationships between thoughts
similar to flight of ideas but slower

43
Q

tangential thinking

A

wandering off the topic and never providing the information requested

44
Q

thought blocking

A

stopping abruptly in the middle of a sentence or train of thought

45
Q

thought broadcasting

A

belief that others can hear or know what the client is thinking

46
Q

thought insertion

A

belief that others are putting ideas or thoughts into the clients head

47
Q

though withdrawal

A

belief that others are taking the client’s thoughts away

48
Q

word salad

A

flow of unconnected words that convey no meaning to the listener

49
Q

things assessed during sensorium and intellectual processes?

A

orientation, confusion, memory

50
Q

things assessed during judgement and insight

A

judgement, decision making ability, insight

51
Q

judgement

A

interpretation of environment
the ability to interpret ones environment and situation correctly and adapt behaviors accordingly

52
Q

insight

A

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

53
Q

things assessed during self-concept?

A

personal view of self, description of physical self, personal qualities or attributes, common emotions, coping skills used

54
Q

things assessed during roles and relationships?

A

roles the client fills, ability to fill the role, satisfaction with the role, relationships, relationship status, support system etc.

NUR 215: Mental Health (11 decks)

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