Mental Health Assessment

Question 1

Mental health assessment is different than a regular assessment because of what?

Answer 1

It is much more subjective, and difficult to test in that way

Question 2

Mental health

Answer 2

Finding balance in all aspects of life
-can vary

Question 3

Mental disorder

Answer 3

Cooccuring symptoms involving alterations in through, experience and emotion

Question 4

Mental health vs mental illness

Answer 4

Health: state of wellbeing that we all posses, where we are able to participate fully

Illness: health conditions impacting emotions, cognition, behaviours that produce stress impacting day to day events (depression)

Question 5

Examples of stigma

Answer 5

-labelling
-discrimination
-social exclusion

Question 6

Physical limitation can cause

Answer 6

A decrease in ones mental health
-leads to social isolation, access help/rescources

Question 7

Nurses are essential to mental health as

Answer 7

-create rappor
-nurse patient relationship

Question 8

What does the mental status examination document

Answer 8

Emotional and cognitive functioning

Question 9

What are the four main components of a mental health assessment and physical examination

Answer 9

Appearance, behaviour, cognition and thought process

Question 10

Appearance

Answer 10

General presentation

Question 11

Cognition

Answer 11

Consciousness, orientation, memory, attention/concentration

Question 12

Behaviour

Answer 12

Mood/affect, speech

Question 13

Thinking

Answer 13

Perception, process, judgement

Question 14

What should be tested first in an assessment of mental status

Answer 14

Consciousness

Question 15

Objective data of appearance

Answer 15

-posture
-body movements
-dress
-grooming and hygiene

Question 16

Objective data of Behaviour

Answer 16

-level of consciousness
-facial expression
-mood
-affect

Question 17

Objective data of cognitive functions

Answer 17

-orientation
-attention span
-immediate memory
-recent memory
-remote memory
-four unrelated words test

Question 18

Objective data of higher intellectual functions

Answer 18

-insight and judgement
-thought processes
-thought content
-perceptions

Question 19

A patient who was recently diagnoses with seizure disorder, plans to continue a career as a pilot. At this time in the interview, the nurse begins to question the patients..

Answer 19

Judgment

Question 20

Mini cog test

Answer 20

-checking the health of the brain on routine basis
-three words to repeat back to me and remember for later
-make a clock for me
-ask for the words again

Question 21

Nutritional patterns

Answer 21

Dietary intake over 24 hours
-dissatisfaction with body image, weighty loss

Question 22

Sleep/rest changes

Answer 22

How long it takes to fall asleep, frequency of waking up, sleep hygiene, sleep satisfaction

Question 23

Activity/mobility

Answer 23

Withdrawal from usual activists, avolition, excessive pursuit of physical activity

Question 24

Elimination

Answer 24

Certain medications may lead to constipation or urinary retention

Question 25

Interpersonal relationships and rescources

Answer 25

Asses patients role in family and social networks to identity sources of stress and connectedness

Question 26

Important clues and warning sings of suicide

Answer 26

-precise plan -prior attempt -depression -social withdrawal -self mutilation -saying goodbye -verbal suicide messages