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Psych > Chapter 6 > Flashcards

Chapter 6 Flashcards

1
Q

Holistic psychiatric mental health nursing care requires assessment of biological, psychological, sociocultural health status

A

Integrated care

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2
Q

What two patient characteristics influence the mental status exam?

A

patient’s educational and sociocultural background

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3
Q

detects changes or abnormalities in intellectual functioning, thought content, judgement, mood, and affect

A

mental status examination

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4
Q

overtly communicated information

A

content

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5
Q

how communication occurs, including feelings, intuition, behaviors that accompany speech and thought

A

process

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6
Q

Are content and process always congruent?

A

No- patient may deny feeling depressed but appear sad, tearful

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7
Q

What are the categories of mental status exam?

A

General description, emotional state, experiences, thinking, sensorium and cognition

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8
Q

Why would a nurse assess pupil constriciton or dilation?

A

Dilated pupils= drug intoxication

Constricted pupils= narcotic addiction

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9
Q

Stooped posture is often common in _____ patients

A

depressed

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10
Q

This type of patient would likely dress in colorful and unusual attire

A

Manic patient

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11
Q

What do speech disturbances generally indicate?

A

A specific brain disturbance

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12
Q

Mumbling is common in patients with _____

A

Huntington’s chorea

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13
Q

Slurred speech is common in ______ patients

A

intoxicated

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14
Q

_______ patients often show pressured speech

A

manic

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15
Q

_______ people are often reluctant to speak at all.

A

Depressed

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16
Q

What kind of body movements would a patient with anxiety, mania, or stimulant abuse likely exhibit?

A

Excessive body movement

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17
Q

What kind of body movements would a patient with depression, organic disorder, catatonic schizophrenia, or drug-induced stupor display?

A

Decreased body movement

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18
Q

What do tics and grimaces suggest a patient has?

A

Side effects of medications

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19
Q

What disorder do repeated motor movements or compulsions indicate?

A

Obsessive compuslive disorder

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20
Q

If a patient is repeatedly picking lint or dirt from clothing, what could the real problem be?

A

Delirium or toxic conditions

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21
Q

patient’s self report of prevailing emotional state

A

Mood

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22
Q

Most people with ____ report feeling hopeless

A

Depression

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23
Q

What 3 disorders commonly have suicidal ideation

A

Depression, anxiety disorders, schizophrenia

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24
Q

How would a nurse judge a patient’s suicidal or homicidal risk?

A

Assess patient’s plans, ability to carry out those plans (availability of guns)

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25
Q

Patient’s apparent emotional tone

A

Affect

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26
Q

the absence of emotional expression, as seen by a patient who reports significant life events without showing any emotional response

A

flat affect

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27
Q

frequent changes from one affective response to another

A

lability

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28
Q

labile affect is often seen in which disorder?

A

mania

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29
Q

____ affect and _____ affect are often seen with schizophrenia

A

flat and incongruent

30
Q

What are the categories of hallucinations?

A

Auditory, visual, tactile, gustatory, olfactory

31
Q

Which type of hallucination is most common?

A

Auditory (“hearing voices”)

32
Q

tell patient to do something: to kill oneself, harm another, or join someone in afterlife

A

command hallucinations

33
Q

Which disorder do auditory hallucinations suggest?

A

Schizophrenia

34
Q

Visual hallucinations suggest….

A

organicity

35
Q

tactile hallucinations suggest what 3 disorders?

A

organic mental disorders, cocaine abuse, delirium tremors

36
Q

_________ thinking may be a sign of defensiveness or paranoid thinking

A

circumstantial

37
Q

_________ associations and ___________ suggest schizophrenia or other psychotic disorders

A

loose/neologisms

38
Q

new word or words created by the patient often a blend of other words

A

neologisms

39
Q

overproductive speech characterized by rapid shifting from one topic to another and fragmenting ideas- common in schizophrenia

A

flight of ideas

40
Q

What are two thought content symptoms that are commonly associated with anxiety disorders?

A

Obsessions and phobias

41
Q

Which thought content symptoms suggest schizophrenia? (3)

A

delusions, depersonalization, ideas of reference

42
Q

refers to the “how” of a patient’s self-expression

A

thought process

43
Q

How is thought process observed?

A

through speech patterns or forms of verbalization rather than content

44
Q

What is a clinical implication of a thought process problem often associated with brain damage and psychotic disorders?

A

Perseveration

45
Q

What example of thought process disorder represents the highest level of thought disorganization?

A

Word Salad

46
Q

A patient with this type of mental disorders may give grossly inaccurate answers when asked questions to assess orientation

A

Organic Mental Disorders

47
Q

Which level of orientation remains in tact the lognest?

A

Orientation to person

48
Q

ability to recall past events

A

memory

49
Q

recall of events, information, people from distant past

A

Remote memory

50
Q

recall of events, information, people from past week or so

A

Recent memory

51
Q

recall of information or data to which person was just exposed

A

immediate memory

52
Q

Which disorders can present with a loss of memory?

A

organic disorders, dissociative disorders, conversion disorder

53
Q

How do anxiety and depression affect memory?

A

impair immediate retention, recent memory

54
Q

ability to pay attention

A

concentration

55
Q

ability to do simple math

A

calculation

56
Q

includes talents people express in the arts, athletics, ability to work cooperatively with people, self-definition

A

intelligence

57
Q

what skills are assessed in a typical intelligence test?

A

verbal and mathematical

58
Q

involves making constructive and adaptive decisions

A

judgement

59
Q

ability to understand facts and draw conclusions from relationships

A

judgement

60
Q

What aspects are used to evaluate judgement?

A

evaluated by exploring involvement in activities, relationships, and vocational choices

61
Q

How would a nurse evaluate judgement?

A

present hypothetical situations

62
Q

Which mental disorders have an element of impaired judgement?

A

organic mental disorders, schizophrenia, psychotic disorders, intoxication, borderline or low IQ, manic patients, those with personality disorders

63
Q

patient’s understanding of problem/illness

A

insight

64
Q

In which mental disorders is insight impaired?

A

organic mental disorders, psychosis, substance abuse, eating disorders, personality disorders, borderine or low IQ

65
Q

When should a quote from the patient be included in documentation?

A

When he/she adds important information to support nurse’s assessment

66
Q

simplified, scored form of cognitive mental status examination that concentrates only on cognitive aspects of mental functions (excludes questions concerning mood, abnormal psycholgical experiences, content or process thinking)

A

Mini-Mental Status Exam

67
Q

battery of tests usually administered to provide comprehensive information

A

personality tests

68
Q

What are the names of some common personality tests?

A

Rorschach test, TAT, Bender Gestalt Test, MMPI

69
Q

What are some commonly used intelligence tests for adults and children?

A

WAIS for adult and WISC for children

70
Q

Measure extent of patient’s problems, help make accurate diagnosis, track patient’s progress over time, document effectiveness/success of treatment

A

Behavioral Rating Scale

Psych (7 decks)

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