Assessment and Response to Illness

Question 1

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

Answer 1

Trust vs. Mistrust

Question 2

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

Answer 2

Autonomy vs Shame/Doubt
Will

Question 3

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

Answer 3

Initiative vs Guilt
Purpose

Question 4

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

Answer 4

Industry vs. Inferiority
Competency

Question 5

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

Answer 5

Identity vs. Confusion
Fidelity

Question 6

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

Answer 6

Intimacy vs. Isolation
Love

Question 7

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

Answer 7

Generativity vs Stagnation
Care

Question 8

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

Answer 8

Integrity vs Despair
Wisdom

Question 9

9 individual factors that impact a clients response to illness

Answer 9

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

Question 10

Self-Efficacy

Answer 10

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

Question 11

Hardiness

Answer 11

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

Question 12

Resilience

Answer 12

Having a healthy response to stressful stimuli

Question 13

resourcefulness

Answer 13

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

Question 14

spirituality

Answer 14

the essence of a persons being and his or her beliefs

Question 15

What are 3 interpersonal factors affecting response to illness?

Answer 15

sense of belonging. social networks, and family support

Question 16

Unnatural Belief of Illness

Answer 16

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

Question 17

Natural Belief of Illness

Answer 17

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

Question 18

Mental Status Examination (MSE)

Answer 18

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

Question 19

Psychological assessment

Answer 19

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

Question 20

What are the 8 main content focuses of the Assessment

Answer 20

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

Question 21

things assessed during history?

Answer 21

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

Question 22

things assessed during general apperance?

Answer 22

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

Question 23

automatisms

Answer 23

repeated purposeless behaviors; often a sign of anxiety

Question 24

psychomotor retardation

Answer 24

overall slowed movements

Question 25

waxy flexability

Answer 25

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

Question 26

neologisms

Answer 26

invented words that only have meaning to the client

Question 27

things assessed during mood and affect?

Answer 27

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

Question 28

mood

Answer 28

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

Question 29

affect

Answer 29

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

Question 30

blunted affect

Answer 30

showing little or a slow-to-respond facial expression

Question 31

broad affect:

Answer 31

displaying a full range of emotional expressions

Question 32

flat affect

Answer 32

showing no facial expressions

Question 33

inappropriate affect

Answer 33

showing a facial expression incongruent with mood or situation

Question 34

restricted affect

Answer 34

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

Question 35

things asses during thought process and content?

Answer 35

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

Question 36

thought process

Answer 36

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

Question 37

thought content

Answer 37

what the client actually says delusions, obsessions, etc.

Question 38

circumstantial thinking

Answer 38

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

Question 39

delusion

Answer 39

a fixed, or false belief not based in reality

Question 40

flight of ideas

Answer 40

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

Question 41

ideas of reference

Answer 41

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

Question 42

loose associations

Answer 42

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

Question 43

tangential thinking

Answer 43

wandering off the topic and never providing the information requested

Question 44

thought blocking

Answer 44

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

Question 45

thought broadcasting

Answer 45

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

Question 46

thought insertion

Answer 46

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

Question 47

though withdrawal

Answer 47

belief that others are taking the client's thoughts away

Question 48

word salad

Answer 48

flow of unconnected words that convey no meaning to the listener

Question 49

things assessed during sensorium and intellectual processes?

Answer 49

orientation, confusion, memory

Question 50

things assessed during judgement and insight

Answer 50

judgement, decision making ability, insight

Question 51

judgement

Answer 51

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

Question 52

insight

Answer 52

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

Question 53

things assessed during self-concept?

Answer 53

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

Question 54

things assessed during roles and relationships?

Answer 54

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