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Psychiatric Nursing Must-Knows > Mental Health Assessment (FINALS KASALI) > Flashcards

Mental Health Assessment (FINALS KASALI) Flashcards

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1
Q

repeated purposeless behaviors often indicative of
anxiety, such as drumming fingers, twisting locks of hair, or tapping
the foot

A

Automatism

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2
Q

overall slowed movements

A

Psychomotor Retardation

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3
Q

maintenance of posture or position over time even
when it is awkward or uncomfortable

A

Waxy Flexibility

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4
Q

Invented words that have meaning only for the client

A

Neologism

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5
Q

Client’s pervasive and enduring emotional state.
Subjective

A

Mood

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6
Q

Outward expression of the client’s emotional state.
Objective

A

Affect

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7
Q

showing little or a slow-to-respond facial expression

A

Blunted Affect

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8
Q

displaying a full range of emotional expressions

A

Broad Affect

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9
Q

showing no facial expression

A

Flat Affect

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10
Q

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

A

Inappropriate Affect

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11
Q

displaying one type of expression, usually serious or somber

A

Restricted Affect

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12
Q

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

A

Circumstantial Thinking

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13
Q

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

A

Flight of Ideas

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14
Q

client’s inaccurate interpretation that general events are personally directed to him or her, such as hearing a speech on the news and believing the message had personal meaning

A

Ideas of Reference

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15
Q

disorganized thinking that jumps from one idea to another with little or no evident relation between the thoughts

A

Loose Associations

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16
Q

wandering off the topic and never providing the information requested

A

Tangential Thinking

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17
Q

stopping abruptly in the middle of a sentence or train of thought; sometimes unable to continue the idea

A

Thought Blocking

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18
Q

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

A

Thought Broadcasting

19
Q

a delusional belief that others are putting ideas or thoughts into the client’s head—that is, the ideas are not those of the client

A

Thought Insertion

20
Q

a delusional belief that others are taking the client’s thoughts away and the client is powerless to stop it

A

Thought Withdrawal

21
Q

flow of unconnected words that convey no meaning to the listener

A

Word Salad

22
Q

a fixed false belief not based in reality

A

Delusion

23
Q

s involve the client’s belief that “others” are planning to harm the client or are spying, following, ridiculing, or belittling the client in some way.

A

Persecutory/paranoid delusions

24
Q

are characterized by the client’s claim to association with famous people or celebrities, or the client’s belief
that he or she is famous or capable of great feats.

A

Grandiose Delusion

25
Q

often center around the second coming of Christ or another significant religious figure or prophet.

A

Religious Delusion

25
Q

often center around the second coming of Christ or another significant religious figure or prophet.

A

Religious Delusion

26
Q

are generally vague and unrealistic beliefs about the client’s health or bodily functions. Factual information or
diagnostic testing does not change these beliefs.

A

Somatic Delusion

27
Q

involve the client’s belief that his or her sexual behavior is known to others; that the client is a rapist, prostitute, or pedophile or is pregnant; or that his or her excessive
masturbation has led to insanity.

A

Sexual Delusion

28
Q

are the client’s belief that his or her organs aren’t functioning or are rotting away, or that some body part or feature is horribly disfigured or misshapen.

A

Nihilistic delusions

29
Q

Involve the client’s belief that television broadcasts, music, or newspaper articles have special meaning for him or her.

A

Referential delusion or ideas of reference

30
Q

Refers to the ability to interpret one’s environment and situation correctly and to adapt one’s behavior and decisions accordingly.

A

Judgment

31
Q

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

A

Insight

32
Q

Factors Influencing Assessment

A

Client participation/feedback
Clients health status
Client’s previous experience/misconception about health care
Clients ability to understand
Nurse’s attitude and approach

33
Q

Contents of the Mental Health Assessment

A

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

34
Q

Mood Descriptions

A

Happy
Sad
Depressed
Euphoric
Anxious
Angry
Labile (Rapidly changing)

35
Q

Client’s recognition of person, place, and time.

A

Orientation

36
Q

recent and remote, by asking questions with verifiable answers

A

Memory

37
Q

Sensorium and Intellectual Processes Assessment

A

Ability to concentrate
Abstract thinking
Intellectual abilities

38
Q

What are the types of hallucinations?

A

Visual hallucinations - sight
Olfactory hallucinations - smell
Gustatory hallucinations - taste
Auditory hallucinations - hearing
Tactile hallucinations - touch

39
Q

10 stimulus cards of inkblots; client describes perceptions of inkblots; narrative interpretation discusses areas such as coping styles, interpersonal attitudes, characteristics of ideation

A

Rorschach Test

40
Q

20 stimulus cards with pictures; client tells a story about the picture; narrative interpretation discusses themes about mood state, conflict, quality of interpersonal relationships

A

Thematic Apperception Test (TAT)

41
Q

Client completes a sentence from beginnings such as “I often wish,” “Most people,” and “When I was young.”

A

Sentence Completion Test

42
Q

What is the purpose of psychosocial assessment?

A

to construct a picture of the client’s current emotional state, mental capacity, and behavioral function.

43
Q

What areas that are often difficult for nurses to assess?

A

sexuality and self-harm behaviors and suicidality

Psychiatric Nursing Must-Knows (6 decks)

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