Mental Health Assessment

Question 1

In psychiatric mental health nursing, is a process that involves collection, organization, and analysis of information about client health including a mental status examination

Answer 1

Psychosocial assessment

Question 2

Client’s health status also affect the psychosocial assessment. If the client is anxious, tired or in pain, the nurse may have difficulty eliciting the clients full participation in the assessment.

Answer 2

The nurse needs to recognize this situations and deal with them before continuing full assessment.
The client may need to rest, receive medications to alleviate pain, or be calmed before the assessment can continue.

Question 3

The nurse should conduct the psychosocial assessment in an environment that is:

Answer 3

▫️comfortable, private, and safe for both the client and the nurse.

Question 4

The framework for psychosocial assessment contains the following components:

Answer 4

▫️history 
▫️general appearance and motor behaviour 
▫️mood and affect
▫️thought process and content
▫️sensorium and intellectual processes 
▫️judgement and insight
▫️self-concept
▫️roles and relationship
▫️physiologic and self-care concerns

Question 5

the client’s age and developmental level may be incongruent with expected norms if the client has:

Answer 5

▫️developmental delay or mental retardation

Question 6

refers to the client’s pervasive and enduring emotional state

Answer 6

▫️Mood

Question 7

is the outward expression of the client’s emotional state.

Answer 7

▫️Affect

Question 8

showing little or a slow-to-respond facial expression

Answer 8

blunted affect

Question 9

displaying a full range of emotional expressions

Answer 9

broad affect

Question 10

showing no facial expression

Answer 10

Flat affect

Question 11

displaying a facial expression that is incongruent with mood or situation; often silly or giddy regardless of circumstances

Answer 11

Inappropriate affect

Question 12

displaying one type of expression, usually serious somber

Answer 12

Restricted affect

Question 13

When the client exhibits unpredictable and rapid mood swings from depressed and crying to euphoria with no apparent stimuli, the mood is called:

Answer 13

▫️labile (rapidly changing)

Question 14

When a client makes specific threats or has plan to harm another person, health-care providers are legally obligated to:___

Answer 14

▫️warn the person who is the target of the threats or plan.

▫️the legal term for this is DUTY TO WARN

Question 15

false sensory perceptions or perceptual experiences that do not really exist

Answer 15

▫️hallucination

Question 16

the ability to understand the true nature of one’s situation and accept some personal responsibility for that situation.

Answer 16

▫️insight

Question 17

A client who places all blame on others for his own behaviour, saying “it’s my wife’s fault that I drink and get into fights, because she nags me all the time.”

Answer 17

▫️an example of POOR INSIGHT

Question 18

the way one views oneself in terms of personal worth and dignity

Answer 18

▫️self concept

Question 19

Two areas that may be uncomfortable or difficult for the nurse to assess are:

Answer 19

▫️sexuality and self-harm behaviour