Exam (elaborations)
NR 509 FINAL EXAM STUDY GUIDE LATEST UPDATE RATED A+ DOWNLOAD TO SCORE A
- Course
- Institution
NR 509 FINAL EXAM STUDY GUIDE LATEST UPDATE RATED A+ DOWNLOAD TO SCORE A
[Show more]
Seller
Follow
jameswest
Reviews received
Content preview
NR 509 FINAL EXAM STUDY GUIDE LATESTUPDATE RATED A+ DOWNLOAD TO SCORE A
Behavior/Mental Health Assessment and Modification for Age
• Unexplained conditions lasting >6weeks should
prompt screening for depression, anxiety, or both
• PRIME-MD (Primary Care Evaluation of Mental Disorders).
26 questions and take 10 minutes to complete. Used for
the 5 most common=anxiety, depression, alcohol,
somatoform, and eating disorders.
• Patient indications for Mental Health Screening:
1. Medically unexplained physical symptoms-more than half have
depression and
anxiety disorders
2. Multiple physical or somatic symptoms or high
symptom count 3.High severity of the presenting
somatic symptoms, chronic pain 4.Symptoms for
more than 6 weeks
5. Physician rating as a “difficult encounter”
6. Recent stress
7.Low-self rating of overall
health 8.Frequent use of
health care services
9.Substance abuse.
CAGE=substance-related and addictive disorders
Modification for Age
Elderly:
• -Complain of memory problems but usually is due to benign
forgetfulness
• -Retrieve and process data more slowly and take
longer to learn new information
, NR 509 FINAL EXAM STUDY GUIDE LATEST
UPDATE RATED A+ DOWNLOAD TO SCORE A
• -Slower motor responses and their ability to perform
complex task may diminish
• -Important to distinguish age-related changes from
manifestations of mental disorders
• More susceptible to delirium which can be the first sign of
infection, problems with medications, or impending dementia
Infant:
• Assess mental status of a newborn=observing newborn
activities
• 1.Look at human faces and turn to parents voice
• 2.Ability to shout out repetitive stimuli
• 3. Bond with caregiver
• 4.Self-soothe
Normal VS. Abnormal Findings and Interpretation
• Mood disorders: compulsions, obsessions, phobias, and
anxieties
• -Lethargic: drowsy, but open their eyes and look at you,
respond to questions, and then fall asleep.
• -Obtunded: open their eyes and look at you but respond
slowly and are somewhat confused.
• -Agitated depression: crying, pacing, and handwringing
, NR 509 FINAL EXAM STUDY GUIDE LATEST
UPDATE RATED A+ DOWNLOAD TO SCORE A
• -Depression: the hopeless slumped posture and slowed
movements.
• -Grooming and personal hygiene may deteriorate:
Depression, schizophrenia, and dementia
• -Manic Episode: the agitated and expansive movement of a
manic episode
• -Obsessive-Compulsive Disorder: Excessive fastidiousness
• -Lesion parietal cortex: one side neglect in the opposite
parietal cortex, usually in the nondominant side
• -Parkinsonism: facial immobility
• -Paranoia: anger, hostility, suspiciousness, or evasiveness
• -Mania: Elation and euphoria
• Schizophrenia: flat affect and remoteness
• Apathy (dull affect with detachment and indifference):
dementia, anxiety, and depression
• Hallucination: schizophrenia, alcohol withdrawal, and systemic
toxicity
• Amnestic Disorders: impaired memory or new learning ability
and reduce social or occupational functioning but lack the
global features of delirium and or dementia. Anxiety and
depression, and intellectual disability may also
cause recent memory impairment.
• Calculating ability: poor performance = dementia or aphasia
Variations and abnormalities in thought processes:
1. Circumstantiality: The mildest thought disorder, consisting of
speech with unnecessary detail, indirections, and delay in
reaching the point. Some topics may have a meaningful
connection
Occurs in people with obsessions
2. Derailment: Tangential, speech with shifting from topics
, NR 509 FINAL EXAM STUDY GUIDE LATEST
UPDATE RATED A+ DOWNLOAD TO SCORE A
that are loosely connected or unrelated. The patient is
unaware of the lack of association. Schizophrenia, manic
episodes, and other psychotic disorders
3. Flight of ideas: an almost continuous flow of accelerated speech
with abrupt changes from one topic to the next. Changes are
based on understandable associations, play on words, or
distracting stimuli, but ideas are not well connected.
Manic episodes
4. Neologisms: invented or distorted words, or words with
new and highly idiosyncratic meanings
-Schizophrenia: psychotic disorders, and aphasia
5. Incoherence: Speech that is incomprehensible and illogical,
with lack of meaningful connections, abrupt changes in topic, or
disordered grammar or word use. Flight of ideas, when severe,
may produce incoherence
-Schizophrenia
6. Blocking: Sudden interruption of speech in mid-sentence or
before the idea is completed “losing the thought”
-Schizophrenia
7. Confabulation: Fabrication of facts or events, to fill in the gaps
from impaired memory
-Korsakoff syndrome from alcoholism
8. Perseveration: persistent repetition of words or ideas
-Schizophrenia or other psychotic disorders
9. Echolalia: Repetition of the words and phrases of others
-Manic episodes or Schizo
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller jameswest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78600 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now