Exam (elaborations)
NUR 172 Block 2 Psych Exam 1 (MCC) fully solved
- Course
- Hondros Nursing 172
- Institution
- Hondros College School Of Nursing
NUR 172 Block 2 Psych Exam 1 (MCC) fully solved
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NUR 172 Block 2 Psych Exam 1 (MCC)What is the purpose of a psychosocial assessment?
-Clinical baseline data
-A full picture of the patient's current emotional state, mental capacity, and behavioral function
-Basis for developing plan of care
Factors influencing psych assessment
- patient participation/ feedback
- client's health status
- client's previous experiences/ misconceptions about health care
- client's ability to understand
- nurse's attitude, approach
During a patient interview, what should you make sure to do when asking questions?
- ask open-ended questions to initiate the assessment
- ask focused questions if patient has trouble organizing thoughts or has difficulty answering open-ended
questions
Where should you hold the interview with the patient?
Make sure the environment is comfortable, private, safe
- make sure the area is quite with few distractions
,Why is it a good idea to interview the patient's family?
They can give you insight on their interactions
- we want to know, with the patient's permission, what the family and friends' perceptions about the
patient are
What do you assess for in a patient?
History
- Age
- Developmental Stage
- Cultural considerations
- Spiritual beliefs
- Previous history
What are some cultural considerations to assess for?
- what culture so they come from?
- Any foods they do not eat?
- Any religious practices?
* Use theses to know how to approach the situation to establish trust with the patient
Why is it important to know about the patient's spiritual beliefs?
- always document what you find out from the patient
- the patients spiritual beliefs could play into their mental issues
- may be the cause of the conflict or be the support the patient may require
Why do we need to know past history of the patient?
,- has the patient been to a facility before?
- has the patient presented with these symptoms before?
- what is the patient's baseline?
- with the permission of the patient talk with family about the patient's baseline, previous behavior and
current behavior
Psycho-social Assessment components
Other assessment content
Look for appearance/ motor behavior such as
- hygiene/ grooming (are they just homeless?, phobia?)
- Appropriate dress for age, weather, culture, environment
- Posture (physical ailment, self-esteem - are they hunched)
- Eye contact
- Unusual movements. mannerisms (automatism, psychomotor retardation, waxy flexibility)
- Speech difficulties or differences (neologisms)
Automatisms
Repeated purposeless behaviors often indicative of anxiety, such as drumming fingers, twisting locks of
hair, or tapping the foot
Psychomotor retardation
Overall slowed movements
, Waxy flexibility
Maintenance of posture or position over time even when it is awkward or uncomfortable
Neologisms
Invented words that have meaning only for the person who created it; usually the client
What thought process/ content do we assess for in the client?
Clarity of ideas
Self-harm or suicide urges
Homicidal and or thoughts to harm others
What does SI stand for?
Suicidal ideations
What does HI stand for?
Homicidal ideations
What is Duty to warn?
This is enacted when you are assessing a patient for HI.
- 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.
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