Podcast
Questions and Answers
A client is observed to be drumming their fingers and twisting their hair repeatedly. This behavior is most likely indicative of:
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:
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?
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:
A client is talking nonstop and seems unable to move from one topic to another. This is known as:
A client who displays a full range of emotional expressions is demonstrating:
A client who displays a full range of emotional expressions is demonstrating:
Which of the following is NOT considered a component of assessing mood and affect?
Which of the following is NOT considered a component of assessing mood and affect?
A client with a consistently serious or somber facial expression is said to have:
A client with a consistently serious or somber facial expression is said to have:
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:
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:
Which of the following is NOT a misconception about mental health treatment?
Which of the following is NOT a misconception about mental health treatment?
A client who frequently uses invented words that only they understand is displaying:
A client who frequently uses invented words that only they understand is displaying:
A client exhibits a fixed, false belief that is not based in reality. This is known as:
A client exhibits a fixed, false belief that is not based in reality. This is known as:
Which of the following is NOT a key term associated with a client's thought process?
Which of the following is NOT a key term associated with a client's thought process?
A client who displays rapid changes in mood is said to have:
A client who displays rapid changes in mood is said to have:
What does the term 'affect' refer to in a psychosocial assessment?
What does the term 'affect' refer to in a psychosocial assessment?
A client who exhibits 'thought blocking' is likely to:
A client who exhibits 'thought blocking' is likely to:
The term 'automatisms' describes which behavior?
The term 'automatisms' describes which behavior?
Which of these behaviors would be considered 'psychomotor retardation'?
Which of these behaviors would be considered 'psychomotor retardation'?
A client who demonstrates the ability to understand their situation and accept responsibility for it is said to have:
A client who demonstrates the ability to understand their situation and accept responsibility for it is said to have:
Which term refers to a client's enduring emotional state?
Which term refers to a client's enduring emotional state?
In the context of a psychological assessment, what does 'orientation' refer to?
In the context of a psychological assessment, what does 'orientation' refer to?
Why is it important for nurses to use nonjudgmental language when asking about sensitive information?
Why is it important for nurses to use nonjudgmental language when asking about sensitive information?
A client describes a unique word they created that only has meaning to them. This is considered a:
A client describes a unique word they created that only has meaning to them. This is considered a:
Which of the following terms describes a client's inaccurate interpretation that general events are directed at them?
Which of the following terms describes a client's inaccurate interpretation that general events are directed at them?
Which of the following questions is most likely to elicit honest and accurate information about a client's parenting practices?
Which of the following questions is most likely to elicit honest and accurate information about a client's parenting practices?
What is the purpose of a psychosocial assessment in psychiatric-mental health nursing?
What is the purpose of a psychosocial assessment in psychiatric-mental health nursing?
Which of the following is NOT a component of the psychosocial assessment framework discussed in the text?
Which of the following is NOT a component of the psychosocial assessment framework discussed in the text?
Why is it important for nurses to consider the client's cultural and spiritual beliefs during a psychosocial assessment?
Why is it important for nurses to consider the client's cultural and spiritual beliefs during a psychosocial assessment?
Which of the following is LEAST likely to be a factor influencing a psychosocial assessment?
Which of the following is LEAST likely to be a factor influencing a psychosocial assessment?
What is the purpose of using an organizing framework for a psychosocial assessment?
What is the purpose of using an organizing framework for a psychosocial assessment?
In the text, what is the main idea of a psychosocial assessment?
In the text, what is the main idea of a psychosocial assessment?
Which of the following is NOT a factor included in the history component of the psychosocial assessment?
Which of the following is NOT a factor included in the history component of the psychosocial assessment?
The text highlights that assessment is the first crucial step in caring for a client. What is the next essential step after this?
The text highlights that assessment is the first crucial step in caring for a client. What is the next essential step after this?
What is the significance of a family history of alcoholism, bipolar disorder, or suicide in a client's psychosocial assessment?
What is the significance of a family history of alcoholism, bipolar disorder, or suicide in a client's psychosocial assessment?
What is the primary developmental task for an adolescent?
What is the primary developmental task for an adolescent?
Why is it important for nurses to avoid stereotyping clients based on their appearance or physical characteristics?
Why is it important for nurses to avoid stereotyping clients based on their appearance or physical characteristics?
Which of the following should the nurse ask the client to gain insight into their beliefs about health and illness?
Which of the following should the nurse ask the client to gain insight into their beliefs about health and illness?
What is the most important thing for the nurse to prioritize when beginning a psychosocial assessment?
What is the most important thing for the nurse to prioritize when beginning a psychosocial assessment?
What are some examples of unusual movements or mannerisms that the nurse might observe during the general assessment?
What are some examples of unusual movements or mannerisms that the nurse might observe during the general assessment?
Which of the following is NOT an example of a concern related to self-concept?
Which of the following is NOT an example of a concern related to self-concept?
What is the difference between judgment and insight in a psychosocial assessment?
What is the difference between judgment and insight in a psychosocial assessment?
What is the importance of assessing the client's ability to perform the activities of daily living (ADLs) as part of a psychosocial assessment?
What is the importance of assessing the client's ability to perform the activities of daily living (ADLs) as part of a psychosocial assessment?
What type of thinking is characterized by the client eventually answering a question but only after giving excessive unnecessary detail?
What type of thinking is characterized by the client eventually answering a question but only after giving excessive unnecessary detail?
Which of the following is a delusional belief that others are taking the client's thoughts away?
Which of the following is a delusional belief that others are taking the client's thoughts away?
What is the purpose of data analysis in a psychosocial assessment?
What is the purpose of data analysis in a psychosocial assessment?
Which of the following is NOT a type of personality test?
Which of the following is NOT a type of personality test?
Which of the following statements accurately describes the concept of 'reassessment' in client care?
Which of the following statements accurately describes the concept of 'reassessment' in client care?
Which of the following statements is true about the use of intelligence tests in mental health care?
Which of the following statements is true about the use of intelligence tests in mental health care?
What is the purpose of asking a client directly about suicidal ideation?
What is the purpose of asking a client directly about suicidal ideation?
Which of the following is a common criticism of both intelligence tests and personality tests?
Which of the following is a common criticism of both intelligence tests and personality tests?
What type of thinking involves a disorganized flow of unconnected words with no meaning to the listener?
What type of thinking involves a disorganized flow of unconnected words with no meaning to the listener?
When analyzing data from a psychosocial assessment, what should the nurse look for to identify the client's needs and problems?
When analyzing data from a psychosocial assessment, what should the nurse look for to identify the client's needs and problems?
What is the primary purpose of developing a plan of care?
What is the primary purpose of developing a plan of care?
Which of the following is NOT an element of the nursing process or clinical judgment model as described in the text?
Which of the following is NOT an element of the nursing process or clinical judgment model as described in the text?
Which of the following statements is TRUE regarding the assessment process in nursing?
Which of the following statements is TRUE regarding the assessment process in nursing?
What is the main purpose of 'objective personality tests' compared to 'projective personality tests'?
What is the main purpose of 'objective personality tests' compared to 'projective personality tests'?
Which of the following is an example of a projective personality test?
Which of the following is an example of a projective personality test?
What is the primary goal of a multidisciplinary treatment plan?
What is the primary goal of a multidisciplinary treatment plan?
What is essential for a nurse to avoid when conducting a psychosocial assessment?
What is essential for a nurse to avoid when conducting a psychosocial assessment?
Which component is NOT part of a thorough psychosocial assessment?
Which component is NOT part of a thorough psychosocial assessment?
Why is self-awareness important for a nurse during the psychosocial assessment?
Why is self-awareness important for a nurse during the psychosocial assessment?
What should a nurse do if a client is reluctant to discuss their relationships during an assessment?
What should a nurse do if a client is reluctant to discuss their relationships during an assessment?
How can a nurse demonstrate cultural competence during a psychosocial assessment?
How can a nurse demonstrate cultural competence during a psychosocial assessment?
What feeling might a nurse experience when working with a client who has been physically abusive?
What feeling might a nurse experience when working with a client who has been physically abusive?
What is one major factor that can influence the psychosocial assessment process?
What is one major factor that can influence the psychosocial assessment process?
Which area might be impaired due to a client's illiteracy during a psychosocial assessment?
Which area might be impaired due to a client's illiteracy during a psychosocial assessment?
What approach should a nurse take to avoid making inaccurate assumptions about a client's psychosocial functioning?
What approach should a nurse take to avoid making inaccurate assumptions about a client's psychosocial functioning?
What is a priority for the nurse when assessing a client for suicidal ideation?
What is a priority for the nurse when assessing a client for suicidal ideation?
What is the main purpose of the Mental Status Examination?
What is the main purpose of the Mental Status Examination?
How does the DSM-5-TR assist mental health professionals?
How does the DSM-5-TR assist mental health professionals?
Which of the following is NOT a component evaluated in the Mental Status Examination?
Which of the following is NOT a component evaluated in the Mental Status Examination?
What is the significance of self-awareness for nurses in psychosocial assessments?
What is the significance of self-awareness for nurses in psychosocial assessments?
Which projective measure involves describing perceptions of ink blots?
Which projective measure involves describing perceptions of ink blots?
What is the role of the ICU psychological assessment tools?
What is the role of the ICU psychological assessment tools?
What should a nurse do when assessing clients for suicidal thoughts?
What should a nurse do when assessing clients for suicidal thoughts?
Which of the following statements accurately reflects the significance of culturally aware assessments?
Which of the following statements accurately reflects the significance of culturally aware assessments?
Which assessment tool focuses on storytelling in response to pictures?
Which assessment tool focuses on storytelling in response to pictures?
Why is it important to address sensitive topics during psychosocial assessments?
Why is it important to address sensitive topics during psychosocial assessments?
What type of completion does the Sentence Completion Test involve?
What type of completion does the Sentence Completion Test involve?
What is the role of judgment in the psychosocial assessment process?
What is the role of judgment in the psychosocial assessment process?
Which cognitive function is often assessed to screen for dementia?
Which cognitive function is often assessed to screen for dementia?
What may indicate impaired cognition when using the Mental Status Examination?
What may indicate impaired cognition when using the Mental Status Examination?
What should the nurse do if a client is anxious, tired, or in pain during a psychosocial assessment?
What should the nurse do if a client is anxious, tired, or in pain during a psychosocial assessment?
Why might a client be reluctant to provide information during a psychosocial assessment?
Why might a client be reluctant to provide information during a psychosocial assessment?
When conducting a psychosocial assessment, what is the primary concern for the nurse regarding the client's ability to understand?
When conducting a psychosocial assessment, what is the primary concern for the nurse regarding the client's ability to understand?
Which of the following is NOT a characteristic of an ideal environment for a psychosocial interview?
Which of the following is NOT a characteristic of an ideal environment for a psychosocial interview?
What is the primary advantage of using open-ended questions in a psychosocial assessment?
What is the primary advantage of using open-ended questions in a psychosocial assessment?
Which of the following statements about obtaining input from family or friends during a psychosocial assessment is TRUE?
Which of the following statements about obtaining input from family or friends during a psychosocial assessment is TRUE?
Why is it important to use focused or closed-ended questions in a psychosocial assessment?
Why is it important to use focused or closed-ended questions in a psychosocial assessment?
Which of the following is an example of a focused or closed-ended question that could be used in a psychosocial assessment?
Which of the following is an example of a focused or closed-ended question that could be used in a psychosocial assessment?
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?
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?
What is the primary goal of a psychosocial assessment?
What is the primary goal of a psychosocial assessment?
Why might a client provide superficial information or omit important information during a psychosocial assessment?
Why might a client provide superficial information or omit important information during a psychosocial assessment?
How can a nurse establish a trusting relationship with a client who is reluctant to participate in a psychosocial assessment?
How can a nurse establish a trusting relationship with a client who is reluctant to participate in a psychosocial assessment?
Why is it important for a nurse to be aware of their own feelings and responses during a psychosocial assessment?
Why is it important for a nurse to be aware of their own feelings and responses during a psychosocial assessment?
What is the most appropriate course of action for a nurse to take if they suspect abuse during a psychosocial assessment?
What is the most appropriate course of action for a nurse to take if they suspect abuse during a psychosocial assessment?
Which of the following actions is most likely to negatively impact the client's willingness to participate in a psychosocial assessment?
Which of the following actions is most likely to negatively impact the client's willingness to participate in a psychosocial assessment?
Which of the following is LEAST likely to be affected by a client's ability to understand the psychosocial assessment?
Which of the following is LEAST likely to be affected by a client's ability to understand the psychosocial assessment?
Flashcards
Abstract Thinking
Abstract Thinking
Ability to make associations or interpretations about a situation.
Affect
Affect
The outward expression of the client’s emotional state.
Automatisms
Automatisms
Repeated, purposeless behaviors often indicative of anxiety.
Blunted Affect
Blunted Affect
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Circumstantial Thinking
Circumstantial Thinking
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Concrete Thinking
Concrete Thinking
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Delusion
Delusion
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Flat Affect
Flat Affect
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Flight of Ideas
Flight of Ideas
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Hallucinations
Hallucinations
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Insight
Insight
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Labile
Labile
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Mood
Mood
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Self-concept
Self-concept
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Thought Blocking
Thought Blocking
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Psychosocial Assessment
Psychosocial Assessment
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Client's Health Status
Client's Health Status
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Client's Previous Experiences
Client's Previous Experiences
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Communication Barriers
Communication Barriers
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Nurse's Attitude
Nurse's Attitude
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Comfortable Environment
Comfortable Environment
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Input from Family
Input from Family
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Open-Ended Questions
Open-Ended Questions
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Closed-Ended Questions
Closed-Ended Questions
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Assessment Challenges
Assessment Challenges
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Sensitive Topics
Sensitive Topics
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Attention Span
Attention Span
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Clarifying Questions
Clarifying Questions
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Phrasing Questions
Phrasing Questions
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Assessment Privacy
Assessment Privacy
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Psychomotor Retardation
Psychomotor Retardation
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Waxy Flexibility
Waxy Flexibility
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Labile Mood
Labile Mood
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Restricted Affect
Restricted Affect
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Inappropriate Affect
Inappropriate Affect
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Thought Process
Thought Process
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Thought Content
Thought Content
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Neologisms
Neologisms
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Perseveration
Perseveration
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Ideas of Reference
Ideas of Reference
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Loose Associations
Loose Associations
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Tangential Thinking
Tangential Thinking
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Thought Broadcasting
Thought Broadcasting
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Thought Insertion
Thought Insertion
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Thought Withdrawal
Thought Withdrawal
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Word Salad
Word Salad
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Assessment of Suicide
Assessment of Suicide
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Data Analysis
Data Analysis
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Psychological Tests
Psychological Tests
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Intelligence Tests
Intelligence Tests
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Personality Tests
Personality Tests
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Self-Awareness in Nursing
Self-Awareness in Nursing
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Cultural Competence
Cultural Competence
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Assessment Components
Assessment Components
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Influence of Physical Health
Influence of Physical Health
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Professional and Nonjudgmental Attitude
Professional and Nonjudgmental Attitude
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Assessment of Illiterate Clients
Assessment of Illiterate Clients
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Suicidal Ideation Inquiry
Suicidal Ideation Inquiry
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Assessment of Relationships
Assessment of Relationships
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Assessing Sexuality and Self-Harm
Assessing Sexuality and Self-Harm
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Cultural Considerations
Cultural Considerations
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DSM-5-TR
DSM-5-TR
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Mental Status Examination
Mental Status Examination
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Cognitive Deficit
Cognitive Deficit
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Mini-Mental State Exam (MMSE)
Mini-Mental State Exam (MMSE)
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Rorschach Test
Rorschach Test
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Thematic Apperception Test (TAT)
Thematic Apperception Test (TAT)
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Sentence Completion Test
Sentence Completion Test
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Discussing Suicide
Discussing Suicide
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Client Biases
Client Biases
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Judgments in Assessment
Judgments in Assessment
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Common Cognitive Items
Common Cognitive Items
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Psychological Distress in ICU
Psychological Distress in ICU
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Nonjudgmental tone
Nonjudgmental tone
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Sensitive information
Sensitive information
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Building trust
Building trust
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Organizing framework
Organizing framework
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History in assessment
History in assessment
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Developmental stage
Developmental stage
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Judgment and insight
Judgment and insight
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Roles and relationships
Roles and relationships
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Physiological assessments
Physiological assessments
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Mood and affect
Mood and affect
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Communication techniques
Communication techniques
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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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