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Psych Nursing > Mental Status Assessment > Flashcards

Mental Status Assessment Flashcards

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1
Q

why is gathering correct information about the client’s mental status essential

A

it is essential to the development of an appropriate plan of care

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2
Q

what is the first component of the mental status assessment

A

identifying data

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3
Q

what is comprised in the identifying data section

A

name, gender, age, race, occupation, education, significant other, living arrangements, religion, allergies, diet, CC, medical diagnosis

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4
Q

what comprises the appearance section

A

grooming, hygiene, posture, stated age, hair color/texture, skin

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5
Q

what is ataxia

A

loss of full control of bodily movements

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6
Q

what comprises the motor activity section

A

psychomotor retardation, aggressive, agitated, akathesia, restless, slow, tics, tremors, mannerisms, gestures, rigidity, hyperactive, gait pattern, full ROM, echopraxia

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7
Q

movement disorder characterized by a feeling of inner restlessness and inability to stay still

A

akathesia

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8
Q

meaningless repetition or imitation of the movements of others (mimicking actions of others)

A

echopraxia

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9
Q

what comprises the behavior section

A

strikes out, suspicious, agitated, cooperative, hostile, friendly, guarded, defensive

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10
Q

difficult or unclear articulation of speech that is otherwise linguistically normal.

A

dysarthria

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11
Q

loss of ability to understand or express speech

A

aphasia

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12
Q

what comprises speech pattern

A

clear, disorganized, dysarthria, aphasia, loud, intonation, pressured, rapid, slow, soft, stuttering/lisp

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13
Q

making up words

A

neologisms

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14
Q

what is affect

A

the emotion expressed on face
is it congruent with mood?
blunted, constricted, flat, appropriate?

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15
Q

what is comprised of orientation

A

person, place, situation, month/day/year

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16
Q

verbalizations are continuous and rapid and flow from one to another

A

flight of ideas

17
Q

verbalizations shift from one unrelated topic to another

A

associative looseness

18
Q

verbalizations are lengthy and tedious and delayed in reaching the intended point

A

circumstantiality

19
Q

verbalizaitons that are lengthy and tedious and never reach an intended point

A

tangentiality

20
Q

the individual is making up nonsensical sounding words which have meaning only to him or her

A

neologisms

21
Q

thinking is literal, elemental
absence of ability to think abstractly
unable to translate proverbs

A

concrete thinking

22
Q

speaking in puns or rhymes

using words that sound alike but have different meanings

A

clang associations

23
Q

using a mixture of words that have no meaning together

sounding incoherent

A

word salad

24
Q

persistently repeating the last word of a sentence spoken to the client

A

preservation

25
Q

persistently repeating what another person says

A

echolalia

26
Q

does not speak

either cannot or will not

A

mutisim

27
Q

speaks very little

may respond in monosyllables

A

poverty of speech

28
Q

what is content of thought comprised of

A

delusions, suicidal or homicidal thoughts, paranoia, magical thinking, religiosity, phobias, poverty of content

29
Q

does the person have unrealistic ideas or beliefs

A

delusions

30
Q

a belief that someone is out to get him in some way

A

persecutory

31
Q

idea that he is all powerful or of great importance

A

grandiose

32
Q

an idea that whatever is happening in the environment is about him

A

reference

33
Q

a belief that his behavior or thoughts are being controlled by external forces

A

control or influence

34
Q

belief that he has a dysfunctional body part

A

somatic

35
Q

belief that he, a part of the body, or even the world does not exist or has been destroyed

A

nihilistic

36
Q

what are the components of delusions

A

persecutory, grandiose, reference, control, somatic, nihilistic

37
Q

is the person experiencing unrealistic sensory perceptions

A

hallucinations

38
Q

what is comprised of hallucinations

A

auditory, gustatory, olfactory, tactile, visual, command, illusions, none

39
Q

what are the levels of consciousness

A

alert
hyper alert
lethargic
sleepy

Psych Nursing (21 decks)

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