Week 2: Lecture Proper (RLE) Flashcards
a state of well-being where there is the ability to deal with
the typical stresses of life, works productively, and
contribute to their community.
MENTAL HEALTH
may modify reality, influence daily living, or harm
judgment
MENTAL ILLNESS
the main reason the patient is presenting, in their own
words
CHIEF COMPLAINT
the chronological account of what led up to the chief
complaint
HISTORY OF PRESENT ILLNESS
the history of all psychiatric or psychological concerns in
the past
PSYCHIATRIC HISTORY
listing all medical illnesses and listing all surgeries and
dates
MEDICAL OR SURGICAL HISTORY
All current and past medications, including the dose and
frequency
MEDICATION LIST
Any substances currently used and used in the past
● Method of use (oral, inhalation, injection, intranasal)
HISTORY OF ALCOHOL AND DRUG USE
under VIOLENCE RISK ASSESSMENT
Suicidal Ideation
Homicidal Risk
Abuse
ABUSE ASSESSMENT
In the past year, have you been hit, kicked, or physically
hurt by another person?
provides clues as to how the person interacts with others
SOCIAL HISTORY
important because many mental illnesses are hereditary
FAMILY HISTORY
Commonly genetic mental illnesses include
depression, bipolar disease, schizophrenia, and
attention deficit disorder.
Record the patient’s current employment status and
occupation
OCCUPATIONAL HISTORY
will help the nurse understand the best way to interact with
the patient
EDUCATIONAL HISTORY
Determine if the patient has legal trouble, probation,
parole, pending charges, or incarcerated.
LEGAL HISTORY
will provide insight into the origins of behavior, help
diagnose and manage some conditions
DEVELOPMENTAL HISTORY
Patient’s religious background
● the degree of involvement within the religious community
and any spiritual practices
SPIRITUAL ASSESSMENT
any critical issues regarding the patient’s ethnic and
cultural background
CULTURAL ASSESSMENT
a morbid fear along with extreme anxiety
Phobia
the obsession with the idea of having a serious or
life-threatening disease which is not diagnosed
Hypochondriasis
are unwelcome idea, impulse, or emotion that is
continually forced into the conscious mind
Obsessive thoughts
are something that the patient perceives but is
not rea
Hallucinations
a belief that is clearly false and that indicates an
abnormality in the affected person’s content of
though
Delusion
Flight of ideas suggests?
Mania
Tangential (away from topic) suggests?
Schizop, psychosis, anxiety, dementia
Circumstantial (Provide unnecessary details) suggests?
Schizo, psychosis, OC disorder
Neologisms suggests?
Schizo, Psychosis
Looseness of association suggests?
Schizo, psychosis, dementia
Word salad suggests?
Schizo, psychosis, dementia
Clanging suggests?
schizo, psychosis
Thought blocking suggests?
Schizo, psychosis
Poverty of speech suggests?
Depressioon
a believe that the person is someone of extreme importance
Grandiose
a false belief that the person is being followed under surveillance, being ridiculed
Persecutory
belief that the individual’s sexual partner is unfaithful
jealousy
belief in a special status with God
Religious
belief that there is a physical defect or general medical condition when none exists
Somatic
Belief that the things in the environment refer to them when they do not
Ideas of reference
belief that someone is putting ideas or thoughts into their minds
Thought insertion
thinking that one’s thought are being broadcasted to the outside world
Thought broadcasting
ability to take an honest look at your
life without any attachment to it being right or wrong, good
or bad. – Debbie Ford
Self-awareness
