NUR 172 Block 2 Psych Exam 1 (MCC)
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1. What is the pur- -Clinical baseline data
pose of a psy- -A full picture of the patient's current emotional state, mental capacity, and behav-
chosocial assess- ioral function
ment? -Basis for developing plan of care
2. Factors influenc- - patient participation/ feedback
ing psych assess- - client's health status
ment - client's previous experiences/ misconceptions about health care
- client's ability to understand
- nurse's attitude, approach
3. During a pa- - ask open-ended questions to initiate the assessment
tient interview, - ask focused questions if patient has trouble organizing thoughts or has difficulty
what should you answering open-ended questions
make sure to
do when asking
questions?
4. Where should Make sure the environment is comfortable, private, safe
you hold the in- - make sure the area is quite with few distractions
terview with the
patient?
5. Why is it a good They can give you insight on their interactions
idea to interview - we want to know, with the patient's permission, what the family and friends'
the patient's fam- perceptions about the patient are
ily?
6. What do you as- History
sess for in a pa- - Age
tient? - Developmental Stage
- Cultural considerations
, NUR 172 Block 2 Psych Exam 1 (MCC)
Study online at https://quizlet.com/_703pw8
- Spiritual beliefs
- Previous history
7. What are some - what culture so they come from?
cultural consider- - Any foods they do not eat?
ations to assess - Any religious practices?
for? * Use theses to know how to approach the situation to establish trust with the
patient
8. Why is it im- - always document what you find out from the patient
portant to know - the patients spiritual beliefs could play into their mental issues
about the pa- - may be the cause of the conflict or be the support the patient may require
tient's spiritual
beliefs?
9. Why do we need - has the patient been to a facility before?
to know past his- - has the patient presented with these symptoms before?
tory of the pa- - what is the patient's baseline?
tient? - with the permission of the patient talk with family about the patient's baseline,
previous behavior and current behavior
10. Psycho-social As-
sessment com-
ponents
11. Other assess- Look for appearance/ motor behavior such as
ment content - hygiene/ grooming (are they just homeless?, phobia?)
- Appropriate dress for age, weather, culture, environment
- Posture (physical ailment, self-esteem - are they hunched)
- Eye contact
, NUR 172 Block 2 Psych Exam 1 (MCC)
Study online at https://quizlet.com/_703pw8
- Unusual movements. mannerisms (automatism, psychomotor retardation, waxy
flexibility)
- Speech difficulties or differences (neologisms)
12. Automatisms Repeated purposeless behaviors often indicative of anxiety, such as drumming
fingers, twisting locks of hair, or tapping the foot
13. Psychomotor re- Overall slowed movements
tardation
14. Waxy flexibility Maintenance of posture or position over time even when it is awkward or uncom-
fortable
15. Neologisms Invented words that have meaning only for the person who created it; usually the
client
16. What thought Clarity of ideas
process/ content Self-harm or suicide urges
do we assess for Homicidal and or thoughts to harm others
in the client?
17. What does SI Suicidal ideations
stand for?
18. What does HI Homicidal ideations
stand for?
19. What is Duty to This is enacted when you are assessing a patient for HI.
warn? - When a client makes specific threats or has a plane to harm another person,
healthcare providers are legally obligated to warn the person who is the target of
the threats or plan. This is one situation in which the nurse must break the client's
confidentiality to protect the threatened person.
, NUR 172 Block 2 Psych Exam 1 (MCC)
Study online at https://quizlet.com/_703pw8
20. What are halluci- Sensory impressions without external stimuli
nations?
21. What are Illu- Real stimuli misinterpreted
sions?
22. What are delu- fixed false beliefs
sions?
23. What is judg- Judgment refers to the ability to interpret one's environment and situation cor-
ment (interpreta- rectly and to adapt one's behavior and decisions accordingly
tion of environ-
ment)?
24. What does it Problems with judgment may be evidenced as the client describes recent behavior
mean if a patient and activities that reflect a lack of reasonable care for self or others. For example,
has impaired the client may spend large sums of money on frivolous items when he or she
judgment? cannot afford basic necessities such as food or clothing.
- Decision making ability is important for the patient's safety.
25. What is Insight? -Understanding one's own part in current situation
- Insight is the ability to understand the true nature of one's situation and
accept some personal responsibility for that situation. The nurse frequently can
infer insight from the client's ability to describe realistically the strengths and
weaknesses of his or her behavior.
Example of poor insight would be a client who places all blame on others for his
own behavior, saying, "It's my wife's fault that I drink and get into fights, because
she nags me all the time."
26. What is self-con- - Personal view of self
cept? - Description of physical self
- Personal qualities or attributes
Study online at https://quizlet.com/_703pw8
1. What is the pur- -Clinical baseline data
pose of a psy- -A full picture of the patient's current emotional state, mental capacity, and behav-
chosocial assess- ioral function
ment? -Basis for developing plan of care
2. Factors influenc- - patient participation/ feedback
ing psych assess- - client's health status
ment - client's previous experiences/ misconceptions about health care
- client's ability to understand
- nurse's attitude, approach
3. During a pa- - ask open-ended questions to initiate the assessment
tient interview, - ask focused questions if patient has trouble organizing thoughts or has difficulty
what should you answering open-ended questions
make sure to
do when asking
questions?
4. Where should Make sure the environment is comfortable, private, safe
you hold the in- - make sure the area is quite with few distractions
terview with the
patient?
5. Why is it a good They can give you insight on their interactions
idea to interview - we want to know, with the patient's permission, what the family and friends'
the patient's fam- perceptions about the patient are
ily?
6. What do you as- History
sess for in a pa- - Age
tient? - Developmental Stage
- Cultural considerations
, NUR 172 Block 2 Psych Exam 1 (MCC)
Study online at https://quizlet.com/_703pw8
- Spiritual beliefs
- Previous history
7. What are some - what culture so they come from?
cultural consider- - Any foods they do not eat?
ations to assess - Any religious practices?
for? * Use theses to know how to approach the situation to establish trust with the
patient
8. Why is it im- - always document what you find out from the patient
portant to know - the patients spiritual beliefs could play into their mental issues
about the pa- - may be the cause of the conflict or be the support the patient may require
tient's spiritual
beliefs?
9. Why do we need - has the patient been to a facility before?
to know past his- - has the patient presented with these symptoms before?
tory of the pa- - what is the patient's baseline?
tient? - with the permission of the patient talk with family about the patient's baseline,
previous behavior and current behavior
10. Psycho-social As-
sessment com-
ponents
11. Other assess- Look for appearance/ motor behavior such as
ment content - hygiene/ grooming (are they just homeless?, phobia?)
- Appropriate dress for age, weather, culture, environment
- Posture (physical ailment, self-esteem - are they hunched)
- Eye contact
, NUR 172 Block 2 Psych Exam 1 (MCC)
Study online at https://quizlet.com/_703pw8
- Unusual movements. mannerisms (automatism, psychomotor retardation, waxy
flexibility)
- Speech difficulties or differences (neologisms)
12. Automatisms Repeated purposeless behaviors often indicative of anxiety, such as drumming
fingers, twisting locks of hair, or tapping the foot
13. Psychomotor re- Overall slowed movements
tardation
14. Waxy flexibility Maintenance of posture or position over time even when it is awkward or uncom-
fortable
15. Neologisms Invented words that have meaning only for the person who created it; usually the
client
16. What thought Clarity of ideas
process/ content Self-harm or suicide urges
do we assess for Homicidal and or thoughts to harm others
in the client?
17. What does SI Suicidal ideations
stand for?
18. What does HI Homicidal ideations
stand for?
19. What is Duty to This is enacted when you are assessing a patient for HI.
warn? - When a client makes specific threats or has a plane to harm another person,
healthcare providers are legally obligated to warn the person who is the target of
the threats or plan. This is one situation in which the nurse must break the client's
confidentiality to protect the threatened person.
, NUR 172 Block 2 Psych Exam 1 (MCC)
Study online at https://quizlet.com/_703pw8
20. What are halluci- Sensory impressions without external stimuli
nations?
21. What are Illu- Real stimuli misinterpreted
sions?
22. What are delu- fixed false beliefs
sions?
23. What is judg- Judgment refers to the ability to interpret one's environment and situation cor-
ment (interpreta- rectly and to adapt one's behavior and decisions accordingly
tion of environ-
ment)?
24. What does it Problems with judgment may be evidenced as the client describes recent behavior
mean if a patient and activities that reflect a lack of reasonable care for self or others. For example,
has impaired the client may spend large sums of money on frivolous items when he or she
judgment? cannot afford basic necessities such as food or clothing.
- Decision making ability is important for the patient's safety.
25. What is Insight? -Understanding one's own part in current situation
- Insight is the ability to understand the true nature of one's situation and
accept some personal responsibility for that situation. The nurse frequently can
infer insight from the client's ability to describe realistically the strengths and
weaknesses of his or her behavior.
Example of poor insight would be a client who places all blame on others for his
own behavior, saying, "It's my wife's fault that I drink and get into fights, because
she nags me all the time."
26. What is self-con- - Personal view of self
cept? - Description of physical self
- Personal qualities or attributes
