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Mental Health > Assessment & Client's Response to Illness: Exam 1 > Flashcards

Assessment & Client's Response to Illness: Exam 1 Flashcards

1
Q

Described psychosocial development in terms of developmental tasks to accomplish at each stage (see Videbeck TABLES 7.1 and 7.2, p. 117)
Theorized that people may get “stuck” at any age of development
Negotiating these developmental tasks and nonresolution of any stage can affect how a person responds to illness

A

Erik Erikson

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2
Q

Impact of Biologic Makeup and Physical Health on Emotional Responses

A

Heredity and biologic factors are not under voluntary control
Genetic makeup tremendously influences response to illness and treatment
Family history and background are essential parts of the nursing assessment

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3
Q

In general, the healthier =

A

better coping with stress or illness

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4
Q

Biologic differences can affect a person’s response to medication, specifically psychotropic drugs

A

-Ethnic groups differ in the metabolism and efficacy of psychoactive compounds
-Some ethnic groups metabolize drugs more slowly
-Slow drug metabolism increases the frequency and severity of side effects

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5
Q

Clients who __________ drugs more slowly need lower doses to produce desired effect
When evaluating psychotropic drug efficacy, the nurse must be alert to side effects and serum drug levels in clients from different _______ backgrounds

A

Metabolize
Ethnic

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6
Q

Personal abilities and efforts affect events in one’s life

A

Self-efficacy

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7
Q

The ability to resist illness when under stress

A

Hardiness

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8
Q

Healthy responses to stressful or risky situations

A

Resilience

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9
Q

Problem solving and the ability to cope with adverse situations

A

Resourcefulness

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10
Q

The essence of a person’s being and beliefs about life’s meaning and the purpose for living

A

Spirituality

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11
Q

Importance of Personal Characteristics:

A

Self-efficacy
Hardiness
Resilience
Resourcefulness
Spirituality

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12
Q

Influence of Interpersonal Factors

A

Sense of belonging
Social networks
Social support
Family support

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13
Q

The feeling of connectedness in an environment of which a person feels an integral part: Value and Fit

A

Sense of belonging

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14
Q

Groups of people with whom one feels connected

A

Social networks

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15
Q

Emotional sustenance that comes from friends, family, etc., who help a person when problems arise

A

Social support

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16
Q

Not always a positive resource in mental health, but most often an important part of recovery

A

Family Support

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17
Q

the client must perceive that the social support system bolsters confidence and self-esteem and provides stress-related help

A

Value

18
Q

the support systems actions are consistent with the client’s desires and expectations

A

Fit

19
Q

Beliefs about what causes illness:

A

Natural
Unnatural/personal

20
Q

natural conditions (cold, heat, wind, dampness) causes illness

A

Natural

21
Q

illness is caused by active, purposeful intervention of a spirit, supernatural force or deity

A

Unnatural/Personal

22
Q

Factors in cultural assessment:

A

Communication
Physical distance
Social organization
Time organization
Environmental control
Biologic variations

23
Q

Income, education, and occupation influences whether or not a person has health insurance and access to health care

A

Socioeconomic status

24
Q

Cultural Factors

A

Beliefs about what causes illness
Factors in cultural assessment
Socioeconomic status

25
Q

Culturally Responsive Nursing:

A
  1. Incorporate knowledge of cultural patterns as a starting point
  2. Individualize assessment to provide holistic care
  3. Open and objective approach is essential
  4. Wide variations exist among people from any culture
    -Avoid assumptions
    -Be aware of avoiding assumptions when the nurse is of the same culture as the client
26
Q

Factors Influencing Assessment:

A

-Client participation and feedback
-Clients health status
-Clients previous experiences/misconceptions about health care
-Clients ability to understand
-Nurses attitude and approach

27
Q

The Interview must include…

A

Environment
Input from family and friends
Phasing questions
Nonjudgemental language and matter-of-fact-tones

28
Q

Must be comfortable private and safe

A

Environment

29
Q

Obtain their perceptions of the client’s behavior and emotional state

A

Input from family and friends

30
Q

Open-ended (tell me what has been happening to you)
Closed-ended (have you been thinking about suicide)

A

Phrasing Questions

31
Q

Avoids giving the client verbal cues to become defensive

A

Nonjudgmental language and Matter-of-fact tone

32
Q

9 areas identified as the framework for psychosocial assessments

A

History
General appearance and motor behavior
Mood and affect
Thought process and content
Sensorium and intellectual processes
Judgment and insight
Self-concept
Role and relationships
Physiologic and self-care concerns

33
Q

Assessment Content:

A

Ask client directly
Assess for anger, hostility or threats toward others
Ask if the client has a plan

34
Q

Involves the overall assessment rather than focusing on isolated bits of information
The nurse looks for patterns or themes in the data to determine client’s strengths and needs
Assessments in a variety of areas are needed to support nursing diagnoses

A

Data Analysis

35
Q

The nurse will assess and reassess for:

A

Care planning
Evaluating treatment
Discharge planning
Follow-up care in the community

36
Q

Psychological test:

A

Intelligence Test
Personality Test

37
Q

to evaluate cognitive abilities and intellectual functioning

A

Intelligence test

38
Q

reflect the client’s personality in areas such as self-concept, impulse control, reality testing, and major defenses

A

Personality Test

39
Q

Psychiatric diagnoses are diagnosed by using the ____________.

A

DSM-5

40
Q

Mental Status Examination:

A

A cursory abbreviated exam
Focuses on cognitive abilities

41
Q

Mental Status Examination: components include

A

Orientation (person, time, place)
Ability to interpret proverbs
Ability to perform math calculations
Memorization and short-term recall
Identification of common objects
Ability to follow multistep commands
Ability to write or copy a simple drawing

Mental Health (23 decks)

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