Nurs 3300 exam 1 study guide-mental health 2019 graded a+
Chapter 8 – Assessment
1. What are some factors that may influence patient assessment?
a. Client Participation/Feedback
i. the client who is extremely depressed may not have the energy to answer
questions or complete the assessment. Clients exhibiting psychotic thought
processes or impaired cognition may have an insufficient attention span or
may be unable to comprehend the questions being asked.
b. Client’s Health Status
i. If the client is anxious, tired, or in pain, the nurse may have difficulty
eliciting the client’s full participation in the assessment. The information
that the nurse obtains may reflect the client’s pain or anxiety rather than
an accurate assessment of the client’s situation.
c. Client’s Previous Experiences/Misconceptions About Health Care
i. If the client is reluctant to seek treatment or has had previous
unsatisfactory experiences with the health care system, he or she may have
difficulty answering questions directly. The client may minimize or
maximize symptoms or problems or may refuse to provide information in
some areas.
d. Client’s Ability to Understand
i. If the client’s primary language differs from that of the nurse, the client
may misunderstand or misinterpret what the nurse is asking, which
results in inaccurate information. A client with impaired hearing also may
fail to understand what the nurse is asking.
e. Nurse’s Attitude and Approach
i. If the client perceives the nurse’s questions to be short and curt or feels
rushed or pressured to complete the assessment, he or she may provide
only superficial information or omit discussing problems in some areas
altogether. The client also may refrain from providing sensitive
information if he or she perceives the nurse as nonaccepting, defensive, or
judgmental.
,Nurs 3300 exam 1 study guide-mental health 2019 graded a+
2. Define and give examples of common terms used in assessing affect.
a. Affect is the outward expression of the client’s emotional state.
b. Common terms used in assessing affect:
i. Blunted affect: showing little or a slow-to-respond facial expression
ii. Broad affect: displaying a full range of emotional expressions
iii. Flat affect: showing no facial expression
iv. Inappropriate affect: displaying a facial expression that is incongruent
with mood or situation: often silly or giddy regardless of circumstances
,Nurs 3300 exam 1 study guide-mental health 2019 graded a+
v. Restricted affect: displaying one type of expression, usually serious
or somber
3. What is meant by the term labile affect?
a. Rapidly changing or fluctuating, such as someone’s mood or emotions
Chapter 9 – Legal and Ethical Issues
1. What are the highlights of the Patient’s Bill of Rights?
a. To be informed about benefits, qualifications of all providers, available
treatment options, and appeals and grievance procedures
b. Least restrictive environment to meet needs
c. Confidentiality
d. Choice of providers
e. Treatment determined by professionals, not third-party payers
f. Parity
g. Nondiscrimination
h. All benefits within scope of benefit plan
i. Treatment that affords greatest protection and benefit
j. Fair and valid treatment review processes
k. Treating professionals and payers held accountable for any injury caused by
gross incompetence, negligence, or clinically unjustified decisions
2. What is involuntary hospitalization and how long can the patient be held or detained?
a. Clients hospitalized against their will (because of being a danger to themselves or
to others) are committed to a facility for psychiatric care until they no longer
pose a danger to themselves or to anyone else. Each state has laws that govern the
civil commitment process, but such laws are similar across all 50 states. Civil
commitment or involuntary hospitalization curtails the client’s right to freedom
(the ability to leave the hospital when he or she wishes). All other client rights,
however, remain intact.
b. A person can be detained in a psychiatric facility for 48 to 72 hours on an
emergency basis until a hearing can be conducted to determine whether or not
he or she should be committed to a facility for treatment for a specified period.
3. Define the terms guardianship and conservatorship.
, Nurs 3300 exam 1 study guide-mental health 2019 graded a+
a. Guardianship
i. a legal guardian who assumes many responsibilities for the person, such as
giving informed consent, writing checks, and entering contracts. The
client with a guardian loses the right to enter into legal contracts or
agreements that require a signature (e.g., marriage or mortgage). This
affects many daily activities that are usually taken for granted. Because
guardians speak for clients, the nurse must obtain consent or permission
from the guardian.
b. Conservatorship
Chapter 8 – Assessment
1. What are some factors that may influence patient assessment?
a. Client Participation/Feedback
i. the client who is extremely depressed may not have the energy to answer
questions or complete the assessment. Clients exhibiting psychotic thought
processes or impaired cognition may have an insufficient attention span or
may be unable to comprehend the questions being asked.
b. Client’s Health Status
i. If the client is anxious, tired, or in pain, the nurse may have difficulty
eliciting the client’s full participation in the assessment. The information
that the nurse obtains may reflect the client’s pain or anxiety rather than
an accurate assessment of the client’s situation.
c. Client’s Previous Experiences/Misconceptions About Health Care
i. If the client is reluctant to seek treatment or has had previous
unsatisfactory experiences with the health care system, he or she may have
difficulty answering questions directly. The client may minimize or
maximize symptoms or problems or may refuse to provide information in
some areas.
d. Client’s Ability to Understand
i. If the client’s primary language differs from that of the nurse, the client
may misunderstand or misinterpret what the nurse is asking, which
results in inaccurate information. A client with impaired hearing also may
fail to understand what the nurse is asking.
e. Nurse’s Attitude and Approach
i. If the client perceives the nurse’s questions to be short and curt or feels
rushed or pressured to complete the assessment, he or she may provide
only superficial information or omit discussing problems in some areas
altogether. The client also may refrain from providing sensitive
information if he or she perceives the nurse as nonaccepting, defensive, or
judgmental.
,Nurs 3300 exam 1 study guide-mental health 2019 graded a+
2. Define and give examples of common terms used in assessing affect.
a. Affect is the outward expression of the client’s emotional state.
b. Common terms used in assessing affect:
i. Blunted affect: showing little or a slow-to-respond facial expression
ii. Broad affect: displaying a full range of emotional expressions
iii. Flat affect: showing no facial expression
iv. Inappropriate affect: displaying a facial expression that is incongruent
with mood or situation: often silly or giddy regardless of circumstances
,Nurs 3300 exam 1 study guide-mental health 2019 graded a+
v. Restricted affect: displaying one type of expression, usually serious
or somber
3. What is meant by the term labile affect?
a. Rapidly changing or fluctuating, such as someone’s mood or emotions
Chapter 9 – Legal and Ethical Issues
1. What are the highlights of the Patient’s Bill of Rights?
a. To be informed about benefits, qualifications of all providers, available
treatment options, and appeals and grievance procedures
b. Least restrictive environment to meet needs
c. Confidentiality
d. Choice of providers
e. Treatment determined by professionals, not third-party payers
f. Parity
g. Nondiscrimination
h. All benefits within scope of benefit plan
i. Treatment that affords greatest protection and benefit
j. Fair and valid treatment review processes
k. Treating professionals and payers held accountable for any injury caused by
gross incompetence, negligence, or clinically unjustified decisions
2. What is involuntary hospitalization and how long can the patient be held or detained?
a. Clients hospitalized against their will (because of being a danger to themselves or
to others) are committed to a facility for psychiatric care until they no longer
pose a danger to themselves or to anyone else. Each state has laws that govern the
civil commitment process, but such laws are similar across all 50 states. Civil
commitment or involuntary hospitalization curtails the client’s right to freedom
(the ability to leave the hospital when he or she wishes). All other client rights,
however, remain intact.
b. A person can be detained in a psychiatric facility for 48 to 72 hours on an
emergency basis until a hearing can be conducted to determine whether or not
he or she should be committed to a facility for treatment for a specified period.
3. Define the terms guardianship and conservatorship.
, Nurs 3300 exam 1 study guide-mental health 2019 graded a+
a. Guardianship
i. a legal guardian who assumes many responsibilities for the person, such as
giving informed consent, writing checks, and entering contracts. The
client with a guardian loses the right to enter into legal contracts or
agreements that require a signature (e.g., marriage or mortgage). This
affects many daily activities that are usually taken for granted. Because
guardians speak for clients, the nurse must obtain consent or permission
from the guardian.
b. Conservatorship
