Psychology Chapter 5: Behaviors and Expressions
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Questions and Answers

A client is observed to be drumming their fingers and twisting their hair repeatedly. This behavior is most likely indicative of:

  • Psychomotor retardation
  • Automatisms (correct)
  • Waxy flexibility
  • Blunted affect

    • A client is talking about the recent death of their pet, laughing and smiling while doing so. This demonstrates an inconsistency between:

  • Speech quantity and quality
  • Automatisms and waxy flexibility
  • Thought process and thought content
  • Mood and affect (correct)

    • Which of the following is NOT a common observation in assessing general appearance and motor behavior?

  • Hygiene and grooming
  • Speech patterns (correct)
  • Facial expressions and tremors
  • Eye contact and posture

    • A client is talking nonstop and seems unable to move from one topic to another. This is known as:

    <p>Perseveration (B)</p> Signup and view all the answers

    A client who displays a full range of emotional expressions is demonstrating:

    <p>Broad affect (D)</p> Signup and view all the answers

    Which of the following is NOT considered a component of assessing mood and affect?

    <p>Speech patterns and content (A)</p> Signup and view all the answers

    A client with a consistently serious or somber facial expression is said to have:

    <p>Restricted affect (C)</p> Signup and view all the answers

    A nurse asking a client to rate their mood on a scale of 1 to 10, with 1 being least depressed and 10 being most depressed, is trying to assess:

    <p>Mood intensity (C)</p> Signup and view all the answers

    Which of the following is NOT a misconception about mental health treatment?

    <p>Seeking professional help is a sign of individual weakness (D)</p> Signup and view all the answers

    A client who frequently uses invented words that only they understand is displaying:

    <p>Neologisms (A)</p> Signup and view all the answers

    A client exhibits a fixed, false belief that is not based in reality. This is known as:

    <p>Delusion (D)</p> Signup and view all the answers

    Which of the following is NOT a key term associated with a client's thought process?

    <p>Waxy Flexibility (A)</p> Signup and view all the answers

    A client who displays rapid changes in mood is said to have:

    <p>Labile Affect (C)</p> Signup and view all the answers

    What does the term 'affect' refer to in a psychosocial assessment?

    <p>The client's outward expression of emotions (A)</p> Signup and view all the answers

    A client who exhibits 'thought blocking' is likely to:

    <p>Stop abruptly in the middle of a sentence or thought (D)</p> Signup and view all the answers

    The term 'automatisms' describes which behavior?

    <p>Repetitive, seemingly purposeless behaviors often indicative of anxiety (C)</p> Signup and view all the answers

    Which of these behaviors would be considered 'psychomotor retardation'?

    <p>Overall slowed movements and slow cognitive processing (C)</p> Signup and view all the answers

    A client who demonstrates the ability to understand their situation and accept responsibility for it is said to have:

    <p>Insight (A)</p> Signup and view all the answers

    Which term refers to a client's enduring emotional state?

    <p>Mood (B)</p> Signup and view all the answers

    In the context of a psychological assessment, what does 'orientation' refer to?

    <p>The initial stage of the nurse-client relationship (A)</p> Signup and view all the answers

    Why is it important for nurses to use nonjudgmental language when asking about sensitive information?

    <p>All of the above. (D)</p> Signup and view all the answers

    A client describes a unique word they created that only has meaning to them. This is considered a:

    <p>Neologism (C)</p> Signup and view all the answers

    Which of the following terms describes a client's inaccurate interpretation that general events are directed at them?

    <p>Ideas of reference (C)</p> Signup and view all the answers

    Which of the following questions is most likely to elicit honest and accurate information about a client's parenting practices?

    <p>Can you tell me about the disciplinary methods you use with your child? (B)</p> Signup and view all the answers

    What is the purpose of a psychosocial assessment in psychiatric-mental health nursing?

    <p>To develop a comprehensive understanding of the client's emotional state, mental capacity, and behavioral function. (C)</p> Signup and view all the answers

    Which of the following is NOT a component of the psychosocial assessment framework discussed in the text?

    <p>Physical Examination (A)</p> Signup and view all the answers

    Why is it important for nurses to consider the client's cultural and spiritual beliefs during a psychosocial assessment?

    <p>All of the above. (D)</p> Signup and view all the answers

    Which of the following is LEAST likely to be a factor influencing a psychosocial assessment?

    <p>The client's family history (C)</p> Signup and view all the answers

    What is the purpose of using an organizing framework for a psychosocial assessment?

    <p>All of the above. (D)</p> Signup and view all the answers

    In the text, what is the main idea of a psychosocial assessment?

    <p>It's a tool to understand the client's thoughts, emotions and behaviours. (C)</p> Signup and view all the answers

    Which of the following is NOT a factor included in the history component of the psychosocial assessment?

    <p>Previous medical history (B)</p> Signup and view all the answers

    The text highlights that assessment is the first crucial step in caring for a client. What is the next essential step after this?

    <p>Organize and analyze collected data (C)</p> Signup and view all the answers

    What is the significance of a family history of alcoholism, bipolar disorder, or suicide in a client's psychosocial assessment?

    <p>It increases the client's risk for developing these problems. (B)</p> Signup and view all the answers

    What is the primary developmental task for an adolescent?

    <p>All of the above. (D)</p> Signup and view all the answers

    Why is it important for nurses to avoid stereotyping clients based on their appearance or physical characteristics?

    <p>All of the above. (D)</p> Signup and view all the answers

    Which of the following should the nurse ask the client to gain insight into their beliefs about health and illness?

    <p>What are your beliefs about the cause of your current health problems? (D)</p> Signup and view all the answers

    What is the most important thing for the nurse to prioritize when beginning a psychosocial assessment?

    <p>Establishing a trusting working relationship with the client. (B)</p> Signup and view all the answers

    What are some examples of unusual movements or mannerisms that the nurse might observe during the general assessment?

    <p>All of the above. (D)</p> Signup and view all the answers

    Which of the following is NOT an example of a concern related to self-concept?

    <p>Difficulty with relationships. (B)</p> Signup and view all the answers

    What is the difference between judgment and insight in a psychosocial assessment?

    <p>Judgment refers to problem-solving abilities, while insight involves understanding one's own role in a situation. (A)</p> Signup and view all the answers

    What is the importance of assessing the client's ability to perform the activities of daily living (ADLs) as part of a psychosocial assessment?

    <p>All of the above. (D)</p> Signup and view all the answers

    What type of thinking is characterized by the client eventually answering a question but only after giving excessive unnecessary detail?

    <p>Circumstantial thinking (A)</p> Signup and view all the answers

    Which of the following is a delusional belief that others are taking the client's thoughts away?

    <p>Thought withdrawal (B)</p> Signup and view all the answers

    What is the purpose of data analysis in a psychosocial assessment?

    <p>To identify patterns and themes to understand the client's strengths and needs. (D)</p> Signup and view all the answers

    Which of the following is NOT a type of personality test?

    <p>Beck Depression Inventory (BDI) (D)</p> Signup and view all the answers

    Which of the following statements accurately describes the concept of 'reassessment' in client care?

    <p>Reassessment is a dynamic process used to evaluate the effectiveness of treatment. (C)</p> Signup and view all the answers

    Which of the following statements is true about the use of intelligence tests in mental health care?

    <p>Intelligence tests can provide valuable information regarding cognitive abilities and intellectual functioning. (A)</p> Signup and view all the answers

    What is the purpose of asking a client directly about suicidal ideation?

    <p>To assess the client's risk for self-harm and develop a safety plan. (B)</p> Signup and view all the answers

    Which of the following is a common criticism of both intelligence tests and personality tests?

    <p>They are often culturally biased and may not accurately reflect individuals from diverse backgrounds. (A)</p> Signup and view all the answers

    What type of thinking involves a disorganized flow of unconnected words with no meaning to the listener?

    <p>Word salad (B)</p> Signup and view all the answers

    When analyzing data from a psychosocial assessment, what should the nurse look for to identify the client's needs and problems?

    <p>Patterns or themes that emerge from the data collected. (D)</p> Signup and view all the answers

    What is the primary purpose of developing a plan of care?

    <p>To guide the provision of care and ensure continuity of treatment. (A)</p> Signup and view all the answers

    Which of the following is NOT an element of the nursing process or clinical judgment model as described in the text?

    <p>Diagnosis (A)</p> Signup and view all the answers

    Which of the following statements is TRUE regarding the assessment process in nursing?

    <p>Assessment is an ongoing process, repeated throughout the client's care. (B)</p> Signup and view all the answers

    What is the main purpose of 'objective personality tests' compared to 'projective personality tests'?

    <p>To measure personality traits and disorders in a standardized way. (C)</p> Signup and view all the answers

    Which of the following is an example of a projective personality test?

    <p>Thematic Apperception Test (TAT) (C)</p> Signup and view all the answers

    What is the primary goal of a multidisciplinary treatment plan?

    <p>To clarify the roles and responsibilities of different disciplines involved in the client's care. (D)</p> Signup and view all the answers

    What is essential for a nurse to avoid when conducting a psychosocial assessment?

    <p>Allowing personal beliefs to interfere (B)</p> Signup and view all the answers

    Which component is NOT part of a thorough psychosocial assessment?

    <p>Family medical history (D)</p> Signup and view all the answers

    Why is self-awareness important for a nurse during the psychosocial assessment?

    <p>To conduct an objective assessment (A)</p> Signup and view all the answers

    What should a nurse do if a client is reluctant to discuss their relationships during an assessment?

    <p>Encourage the client to share at their own pace (C)</p> Signup and view all the answers

    How can a nurse demonstrate cultural competence during a psychosocial assessment?

    <p>By asking about cultural beliefs and practices (C)</p> Signup and view all the answers

    What feeling might a nurse experience when working with a client who has been physically abusive?

    <p>Increased anxiety about the assessment (D)</p> Signup and view all the answers

    What is one major factor that can influence the psychosocial assessment process?

    <p>Client's ability to participate and give feedback (C)</p> Signup and view all the answers

    Which area might be impaired due to a client's illiteracy during a psychosocial assessment?

    <p>Intellectual functioning (A)</p> Signup and view all the answers

    What approach should a nurse take to avoid making inaccurate assumptions about a client's psychosocial functioning?

    <p>Conduct a thorough cultural assessment (B)</p> Signup and view all the answers

    What is a priority for the nurse when assessing a client for suicidal ideation?

    <p>Asking clearly and directly (A)</p> Signup and view all the answers

    What is the main purpose of the Mental Status Examination?

    <p>To assess cognitive abilities (B)</p> Signup and view all the answers

    How does the DSM-5-TR assist mental health professionals?

    <p>It offers a standardized classification system for mental disorders (A)</p> Signup and view all the answers

    Which of the following is NOT a component evaluated in the Mental Status Examination?

    <p>Self-reported mood state (A)</p> Signup and view all the answers

    What is the significance of self-awareness for nurses in psychosocial assessments?

    <p>It helps them recognize their biases that could affect client assessments (D)</p> Signup and view all the answers

    Which projective measure involves describing perceptions of ink blots?

    <p>Rorschach Test (C)</p> Signup and view all the answers

    What is the role of the ICU psychological assessment tools?

    <p>To account for psychiatric problems following critical illness (A)</p> Signup and view all the answers

    What should a nurse do when assessing clients for suicidal thoughts?

    <p>Ask directly and clearly about suicidal ideations (D)</p> Signup and view all the answers

    Which of the following statements accurately reflects the significance of culturally aware assessments?

    <p>Cultural context can influence the relevance of assessment scores (C)</p> Signup and view all the answers

    Which assessment tool focuses on storytelling in response to pictures?

    <p>Thematic Apperception Test (TAT) (D)</p> Signup and view all the answers

    Why is it important to address sensitive topics during psychosocial assessments?

    <p>They provide essential information for comprehensive assessments (D)</p> Signup and view all the answers

    What type of completion does the Sentence Completion Test involve?

    <p>Filling in the blanks of prompts (A)</p> Signup and view all the answers

    What is the role of judgment in the psychosocial assessment process?

    <p>It should be avoided to keep the assessment objective (D)</p> Signup and view all the answers

    Which cognitive function is often assessed to screen for dementia?

    <p>Memory recall and recognition (D)</p> Signup and view all the answers

    What may indicate impaired cognition when using the Mental Status Examination?

    <p>Struggling with short-term recall tasks (A)</p> Signup and view all the answers

    What should the nurse do if a client is anxious, tired, or in pain during a psychosocial assessment?

    <p>Delay the assessment until the client's symptoms are addressed. (B)</p> Signup and view all the answers

    Why might a client be reluctant to provide information during a psychosocial assessment?

    <p>They may have had negative previous experiences with healthcare. (D)</p> Signup and view all the answers

    When conducting a psychosocial assessment, what is the primary concern for the nurse regarding the client's ability to understand?

    <p>Whether the client is able to read and speak the nurse's language. (A)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of an ideal environment for a psychosocial interview?

    <p>Isolated and secluded. (A)</p> Signup and view all the answers

    What is the primary advantage of using open-ended questions in a psychosocial assessment?

    <p>They allow the client to express their perception of their situation. (A)</p> Signup and view all the answers

    Which of the following statements about obtaining input from family or friends during a psychosocial assessment is TRUE?

    <p>The nurse should ensure the family is comfortable sharing information in the client's presence. (A)</p> Signup and view all the answers

    Why is it important to use focused or closed-ended questions in a psychosocial assessment?

    <p>To ensure the client doesn't feel overwhelmed by open-ended questions. (D)</p> Signup and view all the answers

    Which of the following is an example of a focused or closed-ended question that could be used in a psychosocial assessment?

    <p>How often do you feel anxious? (A)</p> Signup and view all the answers

    Which of the following is NOT a reason why a nurse may need to rely on observations and secondary sources for information during a psychosocial assessment?

    <p>If the client is unwilling to provide sensitive information. (D)</p> Signup and view all the answers

    What is the primary goal of a psychosocial assessment?

    <p>To provide a comprehensive picture of the client's well-being. (D)</p> Signup and view all the answers

    Why might a client provide superficial information or omit important information during a psychosocial assessment?

    <p>The client may feel rushed or pressured. (A)</p> Signup and view all the answers

    How can a nurse establish a trusting relationship with a client who is reluctant to participate in a psychosocial assessment?

    <p>Being patient and empathetic towards the client's feelings. (C)</p> Signup and view all the answers

    Why is it important for a nurse to be aware of their own feelings and responses during a psychosocial assessment?

    <p>To avoid projecting their own biases onto the client. (B)</p> Signup and view all the answers

    What is the most appropriate course of action for a nurse to take if they suspect abuse during a psychosocial assessment?

    <p>Discreetly report the suspicion to the appropriate authorities. (B)</p> Signup and view all the answers

    Which of the following actions is most likely to negatively impact the client's willingness to participate in a psychosocial assessment?

    <p>Asking the client to provide information that they may find uncomfortable. (D)</p> Signup and view all the answers

    Which of the following is LEAST likely to be affected by a client's ability to understand the psychosocial assessment?

    <p>The nurse's ability to build rapport. (A)</p> Signup and view all the answers

    Study Notes

    Psychosocial Assessment Key Terms

    • Affect: The outward expression of a client's emotional state
    • Automatisms: Repeated, seemingly purposeless behaviors, often anxiety-related (e.g., drumming fingers)
    • Blunted Affect: Minimal or delayed facial expression; few observable expressions
    • Broad Affect: Displaying a full range of emotional expressions
    • Circumstantial Thinking: Eventually answering a question but with excessive, unnecessary detail
    • Concrete Thinking: Literal interpretations; lacking abstract thought
    • Delusion: A fixed, false belief not rooted in reality
    • Flat Affect: Absence of facial expression
    • Flight of Ideas: Rapid, fragmented, unrelated thoughts; racing thoughts
    • Hallucinations: False sensory perceptions or experiences
    • Ideas of Reference: Misinterpreting general events as personally directed
    • Inappropriate Affect: Facial expression incongruent with mood or situation
    • Insight: Understanding one's situation and accepting personal responsibility
    • Judgment: Ability to interpret surroundings and adapt behavior
    • Labile: Rapidly changing mood or emotions
    • Loose Associations: Disorganized thinking, jumping from one idea to another
    • Mood: Pervasive, enduring emotional state
    • Neologisms: Invented words with meaning only to the client
    • Orientation: Initial nurse-client interaction where the client identifies problems
    • Psychomotor Retardation: Overall slowed movements and verbal interaction
    • Restricted Affect: Displaying one type of emotional expression, often serious
    • Self-Concept: How one views their personal worth
    • Tangential Thinking: Wandering off topic without providing requested information
    • Thought Blocking: Abruptly stopping a sentence or train of thought
    • Thought Broadcasting: Delusion that others can hear one's thoughts
    • Thought Content: What the client says
    • Thought Insertion: Delusion that others are placing thoughts into one's head
    • Thought Process: How a client thinks
    • Thought Withdrawal: Delusion that others are taking one's thoughts
    • Waxy Flexibility: Maintaining posture or position despite discomfort

    Psychosocial Assessment Factors

    • Client Participation: Essential for a thorough assessment; consider client's ability and willingness to participate
    • Client Health Status: Anxiety, fatigue, or pain may affect the assessment
    • Client Experiences/Misconceptions: Past experiences with healthcare can affect how clients answer questions and communicate
    • Client's Ability to Understand: Language barriers and cognitive impairments should be considered
    • Nurse's Attitude: Non-judgmental, matter-of-fact approach crucial; avoid rushing/pressuring the client

    Psychosocial Assessment Process

    • Environment: Comfortable, private, and safe environment is essential
    • Family/Friend Input: Can provide valuable insights, but prioritize client privacy, especially regarding abuse
    • Questioning: Open-ended questions to start, followed by direct questions if needed; avoid confusing multiple questions
    • Nonjudgmental Language: Avoid judgmental language when discussing sensitive topics

    Components of Psychosocial Assessment

    • History: Includes background, age, developmental stage, culture, spirituality, health beliefs
    • General Appearance/Motor Behavior: Hygiene, dress, posture, eye contact, unusual movements or mannerisms
    • Mood and Affect: Outward expressions and consistency of mood and affect
    • Thought Process/Content: Clarity, relationships between ideas; assess for delusions, hallucinations, disorganized thinking
    • Sensorium/Intellectual Processes: Orientation, confusion, memory, concentration, abstract thinking
    • Judgment/Insight: Ability to interpret surroundings and adapt behavior; understanding one's situation
    • Self-Concept: Personal view of self and personal attributes
    • Roles/Relationships: Current roles, satisfaction with roles, significant relationships
    • Physiological/Self-Care Concerns: Eating habits, sleep patterns, health problems, medication compliance, activities of daily living

    Data Analysis

    • Overall Assessment: Analyze the entire assessment, not isolated information
    • Cues to Action: Look for patterns/themes and identify strengths/needs
    • Identifying Problems/Risks: Consider congruence of information; client perception might differ from others
    • Communicating Needs: Describe client needs clearly for other health team members
    • Ongoing Process: Assessment is a dynamic, ongoing process

    Self-Awareness in Assessment

    • Crucial for Accuracy: Be aware of personal feelings, biases, and values to avoid interference
    • Avoiding Judgments: Don't let personal beliefs influence client treatment
    • Specific Concerns: Sexuality, self-harm, and suicidality discussions often uncomfortable for beginning nurses; address discomfort and demonstrate acceptance

    Cultural Competence in Assessment

    • Important for all Clients: Recognize and respect diverse cultural beliefs and values
    • Cultural Assessment: Be sensitive to cultural nuances regarding family roles, eye contact, and health practices

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    Description

    This quiz focuses on understanding various behaviors and emotional expressions observed in psychological assessments. Participants will explore inconsistencies in emotional responses and indicators of mental states. These concepts are crucial for developing a comprehensive understanding of client interactions in psychology.

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