NR548 Exam 3 Questions and Answers |
Study Guide | Grade A+
• An absence of speech is seen with some diagnoses such as ___________ -
✓✓dementia
• non-sensical speech is often associated with _______________ -✓✓psychotic
disorders
• MSE: Mood and Affect -✓✓Mood
-client's state of mind or prevalent emotional state
-subjective
-typically self-reported
-Stable: mood is appropriate to their current situation
-other: bright, happy, angry, agitated, irritable, labile, anxious, depressed, or
euphoric
Affect
-physical manifestation of the client's emotional state as observed by the provider
-normal, blunted, flat, bizarre, dysphoric, or euphoric
-Qualities of affect
• stability (stable or labile)
• appropriateness
• range (does it change with diff. situations)
• intensity
, • MSE: Thought Process -✓✓-rate of thoughts and how they flow and are
connected
-coherent vs. incoherent
-Normal: linear & goal-directed
-Other: loose, circumstantial, or tangential
-Clients may experience flight of ideas with little connection between thoughts or
words
-Assessment: questioning client, listening to responses
• MSE: Suicidal and Homicidal Ideation -✓✓-Direct terms should be used to
assess suicide preoccupation and planning
-assess for homicidal ideation, intent, attempts, and plans
-critical to determine whether a plan exists
• access to the resources needed to execute the plan
• more detailed and thorough the plan, the higher the risk
• assess if plan is composed of fleeting thoughts rather than action steps
• assess whether the client is angry and lashing out or intending to bring actual
harm
-SCREENING FOR SUICIDAL AND HOMICIDAL IDEATIONS IS AN
ETHICAL OBLIGATION OF THE PMHNP & IS ESSENTIAL FOR
PROTECTING ONESELF, THE CLIENT, & THE PUBLIC
• MSE: Cognitive Assessment -✓✓-evaluation of a client's level of awareness,
attention, concentration, and memory
-Awareness: observation with emphasis on the client's eyes and speech
-alertness or wakefulness provides information about cognitive function
• help rule out potential substance use or intoxication
Study Guide | Grade A+
• An absence of speech is seen with some diagnoses such as ___________ -
✓✓dementia
• non-sensical speech is often associated with _______________ -✓✓psychotic
disorders
• MSE: Mood and Affect -✓✓Mood
-client's state of mind or prevalent emotional state
-subjective
-typically self-reported
-Stable: mood is appropriate to their current situation
-other: bright, happy, angry, agitated, irritable, labile, anxious, depressed, or
euphoric
Affect
-physical manifestation of the client's emotional state as observed by the provider
-normal, blunted, flat, bizarre, dysphoric, or euphoric
-Qualities of affect
• stability (stable or labile)
• appropriateness
• range (does it change with diff. situations)
• intensity
, • MSE: Thought Process -✓✓-rate of thoughts and how they flow and are
connected
-coherent vs. incoherent
-Normal: linear & goal-directed
-Other: loose, circumstantial, or tangential
-Clients may experience flight of ideas with little connection between thoughts or
words
-Assessment: questioning client, listening to responses
• MSE: Suicidal and Homicidal Ideation -✓✓-Direct terms should be used to
assess suicide preoccupation and planning
-assess for homicidal ideation, intent, attempts, and plans
-critical to determine whether a plan exists
• access to the resources needed to execute the plan
• more detailed and thorough the plan, the higher the risk
• assess if plan is composed of fleeting thoughts rather than action steps
• assess whether the client is angry and lashing out or intending to bring actual
harm
-SCREENING FOR SUICIDAL AND HOMICIDAL IDEATIONS IS AN
ETHICAL OBLIGATION OF THE PMHNP & IS ESSENTIAL FOR
PROTECTING ONESELF, THE CLIENT, & THE PUBLIC
• MSE: Cognitive Assessment -✓✓-evaluation of a client's level of awareness,
attention, concentration, and memory
-Awareness: observation with emphasis on the client's eyes and speech
-alertness or wakefulness provides information about cognitive function
• help rule out potential substance use or intoxication
