MENTAL HEALTH LEC QUIZ Flashcards
the first part of the physical examination that begins the moment the nurse meets the client.
General survey
This provides the nurse with an overall impression of the client’s whole being.
Outcome of General survey
What are the indicators of health?
Temperature, pulse, respiration, blood pressure, pain
What is the normal body temperature
36.5 to 37.7
Low and high temperature
Hypothermia and hyperglycemia
It reflects the pressure exerted on the walls of the arteries.
Blood pressure
the more blood the heart pumps, the greater the pressure in the blood vessels
Cardiac output
stiffness in the arterial walls is called
Arteriosclerosis
Increased blood pressure
Hyper tension
refers to pain, used in assessment
Coldspa
Scale used for infants and kids
Flacc scale
Refers to the client’s level of cognitive functioning (thinking, knowledge and problem solving) and emotional functioning
(feelings, mood, behaviors, stability).
Mental status
the state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make his or her community.
mental status
how an individual earns and can cope with the
basic needs and pressure in affiliated organizations
economic and social factors
a medical examination; an extension of the physical exam.
mental status examination
Elements of MSE
Appearance, behavior, speech, mood, affect, thought process, thought content, cognition, insight or judgment
new measure of depressive signs and symptoms.
Quick inventory of depressive symtomatology
Is a very reliable and simple screening tool which is sensitive to early detection of risky and high risk (or hazardous and harmful) drinking
The World Health Organization’s alcohol use disorders identification test (audit)
What are the developmental theories mentioned?
psychosexual, psychosocial, theory of cognitive development, moral development theory
Argues that human behavior is the result of the interactions among three component parts of the mind the id, ego, and
superego ; divided into 3 levels of awareness
Sigmund Freud
part of mind in which innate instinctive impulses and primary process is manifested ; if these needs or wants are not met, a person can become tensed, anxious, or angry
ID
Personal sense of self-esteem or self- importance ; part of the mind that radiates etween the conscious and the unconscious; responsible for reality testing and a sense of personal identity
Ego
Ethical component of personality and provides the moral standards of which the ego operates
superego
maintained that personality develops in a predetermined order through eight stages of psychosocial development, from infancy to adulthood ; During this stage, the person experiences psychosocial crisis which could lead to
positive or negative outcome for a personality development
erik erikson’s stages of psychosocial development
Suggests that children move through four different stages of mental development.
jean piaget’s cognitive development
Proposes that there are three levels of moral development, with each level split into two stages ; suggested that people move through these stages in a fixed order and that moral understanding is linked to cognitive development
kohlberg’s moral development theory
in piaget’s theory, the three levels of moral reasoning include
pre conventional
conventional
post conventional
any condition characterized by cognitive and emotional disturbances, abnormal behaviors, impaired functioning, or any combination of these
mental disorder
an essential part of one’s total health and is more than just the absence of disease
mental health
mental disorder is also called
mental illness
psychiatric disorder
psychiatric illness
psychological disorder
it is essential to determining a client’s health status
nursing assessment
mental health assessment involves the following
observation
communication
administering questionnaires
inferring from results
what are the factors affecting mental health
economic and social factors
unhealthy lifestyle choices
exposure to violence
presonality factors
spiritual factors
cultural factors
changes or impairments in the structure of neurological system
psychosocial development level and issues
one of the most persistent conditions affecting mental health
substance abuse
what is the main mind altering chemical of marijuana
tetrahydrocannabinol (THC)
methods of using marijuana
hand rolled cigarettes
smoking in pipes
smoking in blunts
vaporizers
vaping
edibles
THC overactivates certain brain cell receptors resulting in effects such as
altered senses
changes in mood
impaired body movement
difficulty with thinking and problem solving
impaired memory and learning
it is a cannabis derived compound that has become popular in the past few years ; it has lower THC levels than marijuana
cannabidiol (CBD)
what are the essential assessment areas for mental status
appearance
general behavior
cognitive function
memory and thought process
refers to a group os symtpoms that cause problems with memory, thinking, and behavior
dementia
most common cause of dementia ; 6th leading cause of death among adults aged 18 yrs and older
alzheimer’s disease
is lengthy and involves great care on the part of the examiner
comprehensive mental status examination
the general survey includes
physical development and body build
gender and sexual development
apparent age as compared to reported age
skin condition and color
dress and hygiene
posture and gait
level of consciousness
behaviors, body movements, and affect
facial expression
speech
vital signs
an increase in blood volume would result to an increase in
blood pressure
meaning of COLDSPA
character
onset
location
duration
severity
pattern
associated factors
uses faces to measure pain
pain measurement scale
sedentary lifestyle
unhealthy lifestyle choices
post traumatic stress disorder and cure by a thorough psychiatric intervention
exposure to violence
poor decision making skills, low self concept, poor self control
personality factors
how does the culture adapt with the enviornment
cultural factors
what are the 4 stages of piaget’s theory
sensorimotor stage - 2 yrs
preoperational stage - 2 to 7yrs
concrete operational stage - 7 to 11 yrs
formal operational stage - 12 up
theories iin developmental stages
psychosexual theory (freud)
psychosocial theory (erikson)
cognitive development (piaget)
moral development (kohlberg)
trust vs. mistrust
hope
autonomy vs. shame
will
initiative vs. guilt
purpose
industry vs. inferiority
comptentcy
intimacy vs. role confusion
love
generativity vs stagnation
care
ego integrity vs. despair
wisdom
