Mental Health N222 Week 1 (Answered)
Assessment
-perform physical assessment as indicated for client condition or policy
-every encounter with a client involves ongoing assessment
Psychosocial History; Assess
-perception of own health, beliefs about illness and wellness
-activity/leisure activities
-substance use and history of substance use disorder
-stress level and coping abilities (coping strategies & support system)
Cultural Beliefs & Practices; Assess
-cultural health care beliefs, practices & values
-cultural factors that can impact clients care
Spiritual & Religious Beliefs
affect the way in which a clients finds meaning, hope, purpose and a sense of peace
Spirituality
refers to internal values, send of mortality and how the client views the purpose of life
(may not be connected to views with religion)
Religion
refers to beliefs according to an organized set of patterns of worship and rituals
Level of Consciousness; Alert
the pt. is responsive and able to fully respond by opening their eyes and responding to a
normal tone of voice and speech, pt. answers questions spontaneously and
appropriately
Level of Consciousness; Lethargic
the pt. is able to open their eyes and respond but is drowsy and falls asleep readily
Level of Consciousness; Stuporous
the pt. requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to
elicit brief response, pt. might not be able to respond verbally
Level of Consciousness; Comatose
the pt. is unconscious and does not respond to painful stimuli
Level of Consciousness; Comatose Decorticate Rigidity
flexion and internal rotation of upper-extremity joints and legs
Level of Consciousness; Comatose Decerebrate Rigidity
neck and elbow extension, wrist and finger flexion
Physical Appearance; Assess
-personal hygiene
-grooming
-nutritional status
-clothing choice
-whether pt. looks older than stated age
Physical Appearance; Expected Findings
-well kept
-clean
-dressed appropriately for given environment
Behavior; Assess
,-voluntary and involuntary body movements
-eye contact
Behavior; Mood
pt. mood provides information about the emotion that the pt. is feeling
Behavior; Affect
pt. affect is an objective expression
Cognitive & Intellectual Abilities; Assess
-A&Ox4
-memory (immediate, recent, remote)
-level of knowledge
-ability to calculate
-ability to think abstractly
-perception of illness
-speech and language
Mini-Mental State Examination (MMSE)
-orientation to time and place
-attention span and ability to calculate by counting backward by seven
-registration and recalling of objects
-language, including naming of objects, following of commands, and ability to write
Children & Adolescents; Assess
-temperature
-social and environmental factors
-cultural and religious concerns
-developmental level
(children or adolescent should be main source of information but care givers can
provide valuable insight)
-mood
-anxiety levels
-behavioral and eating disorders
-risk for self injury or suicide
Why is it hard to detect and diagnose mental health and developmental disorders
in adolescence?
-lack of ability or necessary skills to describe what's happening
-a wide variation of "normal" behavior, especially in different environmental stages
Older Adults; Assess
-functional ability (independently get dressed and manage household tasks)
-economic and social status
-enviornmental factors (stairways in home) that can affect the clients well-being and
lifestly
Older Adult; Assessment Tools
-geriatric depression scale (short term)
-michigan alcoholism screening test: geriatric version
-MMSE
Older Adult; Assessment Manner
-private, quiet space with adequate lighting to accommodate for impaired vision and
hearing
, -make an introduction and determine clients name preferance
-stand or sit at the clients level to conduct the interview, rather than standing over a
client who is lying in bed or sitting in a chair
DSM-5
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, Fifth Edition; a widely used system for classifying psychological disorders,
expected findings, help with planning, implementing and evaluating care
Serious Mental Illness
-disorders classified as severe and persistent mental illnesses
-pt. often have difficulty with activities or daily living
-lifelong disorders that can have remissions and exacerbations
Role & Life Changes
-loss of employment
-divorce, retirement
-grand-parenthood, widowhood
-death of a parent
-becoming a caregiver or recipient of care
-can be expected or unexpected
Role & Life Changes; Assess
ability to adapt and cope
-health status and functional abilities
-living arrangements and employability
-personality factors, such as attitudes
-client, caregiver and family assessments
-levels of information, such as community programs
-medication use and supplemental services
Role & Life Changes; Evaluate
-able to state positive comping behaviors
-able to identify maladaptive coping behaviors
-able to participate in community resources
-able to list stress reducing techniques
-able to maintain housing and empolyment
Counseling
- using therapeutic communication skills
- assisting with problem solving
- crisis intervention
- stress management
Milieu Therapy
-orienting the client to the physical setting
-identifying rules and boundaries of the setting
-ensuring a safe environment for the client
-assisting the client to participate in appropriate activities
Promotion of Self-Care Activities
- offering assistance
- allowing time for patient to complete self-care task
- setting incentives to promote patient self-care
Assessment
-perform physical assessment as indicated for client condition or policy
-every encounter with a client involves ongoing assessment
Psychosocial History; Assess
-perception of own health, beliefs about illness and wellness
-activity/leisure activities
-substance use and history of substance use disorder
-stress level and coping abilities (coping strategies & support system)
Cultural Beliefs & Practices; Assess
-cultural health care beliefs, practices & values
-cultural factors that can impact clients care
Spiritual & Religious Beliefs
affect the way in which a clients finds meaning, hope, purpose and a sense of peace
Spirituality
refers to internal values, send of mortality and how the client views the purpose of life
(may not be connected to views with religion)
Religion
refers to beliefs according to an organized set of patterns of worship and rituals
Level of Consciousness; Alert
the pt. is responsive and able to fully respond by opening their eyes and responding to a
normal tone of voice and speech, pt. answers questions spontaneously and
appropriately
Level of Consciousness; Lethargic
the pt. is able to open their eyes and respond but is drowsy and falls asleep readily
Level of Consciousness; Stuporous
the pt. requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to
elicit brief response, pt. might not be able to respond verbally
Level of Consciousness; Comatose
the pt. is unconscious and does not respond to painful stimuli
Level of Consciousness; Comatose Decorticate Rigidity
flexion and internal rotation of upper-extremity joints and legs
Level of Consciousness; Comatose Decerebrate Rigidity
neck and elbow extension, wrist and finger flexion
Physical Appearance; Assess
-personal hygiene
-grooming
-nutritional status
-clothing choice
-whether pt. looks older than stated age
Physical Appearance; Expected Findings
-well kept
-clean
-dressed appropriately for given environment
Behavior; Assess
,-voluntary and involuntary body movements
-eye contact
Behavior; Mood
pt. mood provides information about the emotion that the pt. is feeling
Behavior; Affect
pt. affect is an objective expression
Cognitive & Intellectual Abilities; Assess
-A&Ox4
-memory (immediate, recent, remote)
-level of knowledge
-ability to calculate
-ability to think abstractly
-perception of illness
-speech and language
Mini-Mental State Examination (MMSE)
-orientation to time and place
-attention span and ability to calculate by counting backward by seven
-registration and recalling of objects
-language, including naming of objects, following of commands, and ability to write
Children & Adolescents; Assess
-temperature
-social and environmental factors
-cultural and religious concerns
-developmental level
(children or adolescent should be main source of information but care givers can
provide valuable insight)
-mood
-anxiety levels
-behavioral and eating disorders
-risk for self injury or suicide
Why is it hard to detect and diagnose mental health and developmental disorders
in adolescence?
-lack of ability or necessary skills to describe what's happening
-a wide variation of "normal" behavior, especially in different environmental stages
Older Adults; Assess
-functional ability (independently get dressed and manage household tasks)
-economic and social status
-enviornmental factors (stairways in home) that can affect the clients well-being and
lifestly
Older Adult; Assessment Tools
-geriatric depression scale (short term)
-michigan alcoholism screening test: geriatric version
-MMSE
Older Adult; Assessment Manner
-private, quiet space with adequate lighting to accommodate for impaired vision and
hearing
, -make an introduction and determine clients name preferance
-stand or sit at the clients level to conduct the interview, rather than standing over a
client who is lying in bed or sitting in a chair
DSM-5
the American Psychiatric Association's Diagnostic and Statistical Manual of Mental
Disorders, Fifth Edition; a widely used system for classifying psychological disorders,
expected findings, help with planning, implementing and evaluating care
Serious Mental Illness
-disorders classified as severe and persistent mental illnesses
-pt. often have difficulty with activities or daily living
-lifelong disorders that can have remissions and exacerbations
Role & Life Changes
-loss of employment
-divorce, retirement
-grand-parenthood, widowhood
-death of a parent
-becoming a caregiver or recipient of care
-can be expected or unexpected
Role & Life Changes; Assess
ability to adapt and cope
-health status and functional abilities
-living arrangements and employability
-personality factors, such as attitudes
-client, caregiver and family assessments
-levels of information, such as community programs
-medication use and supplemental services
Role & Life Changes; Evaluate
-able to state positive comping behaviors
-able to identify maladaptive coping behaviors
-able to participate in community resources
-able to list stress reducing techniques
-able to maintain housing and empolyment
Counseling
- using therapeutic communication skills
- assisting with problem solving
- crisis intervention
- stress management
Milieu Therapy
-orienting the client to the physical setting
-identifying rules and boundaries of the setting
-ensuring a safe environment for the client
-assisting the client to participate in appropriate activities
Promotion of Self-Care Activities
- offering assistance
- allowing time for patient to complete self-care task
- setting incentives to promote patient self-care
