NUR 233 Mental Health Nursing
Pre-Class Assignments: Week 4
Concept: Mood and Affect
Review:
Review the Giddens chapter 33 on Mood and Affect.
Task
Identifying signs and symptoms
Clustering related information
Using professional guidelines (to determine other healthcare provides to work with)
Answer the following questions:
1. As a generalist RN functioning as a staff nurse, what is your role related to the concept of
mood and affect?
Recognize affective instability so that these patients can be managed safely and referred
to advanced practitioners for evaluation and treatment of any possible mood spectrum
disorders.
2. What is the difference between the terms mood and affect?
Mood is the way someone feels and affect is the observable response a person has to
his or her own feelings
3. Who are other healthcare providers you will be working with if you determine the
assessment data indicate there is an issue with this concept?
Advanced practice nurses, psychiatrists, psychologists, counselors
Task
Identifying signs and symptoms
Gathering complete and accurate data
Clustering related information
Comparing and contrasting
Assessment
Review the Mental Status Examination on page 114 in your Halter book. Using the information
in Chapter 33 of the Giddens book, complete the following table contrasting what you might find
for each category for mania and for melancholy.
This study source was downloaded by 100000903111493 from CourseHero.com on 03-06-2026 12:10:36 GMT -06:00
https://www.coursehero.com/file/92725026/NUR-233-Week-4-Pre-Class-Assignmentdoc/
, NUR 233 Mental Health Nursing
Pre-Class Assignments: Week 4
Category of the
Mental Status Exam Possible Findings with Mania Possible Findings with
Melancholy
Appearance Not well put together, Not Very dirty or hasn’t had a lot of
socially acceptable self care
Behavior Gives away money prized Doesn’t want to leave the
possessions and expensive gifts house, doesn’t want to engage
themselves in anything
Speech Very erratic Little to none, very tired
Mood Grandiose Little self confidence
Disorders of the Form Flight of ideas Very Pessimistic
of Thought
Perceptual Thinking of themselves above Thinking of themselves lower
Disturbances others to others
Cognition Not able to stay focused on one Unable to focus on one task- if
task any
Ideas of Harming Self None unless these thoughts Typical of harming themselves
or Others come to them, or if they are
easily agitated
Collaborative Care
Using legal, ethical, professional guidelines (to determine nurse's role)
For each of the collaborative care options, provide a brief description and discuss the nurse's
role in that therapy.
Psychotherapy Options
Reporting to the therapist or doctor of any changes or improvements of behavior or
feelings
Pharmacotherapy
Administering medications safely to patients and giving quick intervention of any toxic
or adverse reactions
Brain Stimulation Therapy
Perform teaching before the procedure and monitor airway after procedure and mental
status and assist the patient with orienting themselves to person place time and
situation as in any other procedure
This study source was downloaded by 100000903111493 from CourseHero.com on 03-06-2026 12:10:36 GMT -06:00
https://www.coursehero.com/file/92725026/NUR-233-Week-4-Pre-Class-Assignmentdoc/
Pre-Class Assignments: Week 4
Concept: Mood and Affect
Review:
Review the Giddens chapter 33 on Mood and Affect.
Task
Identifying signs and symptoms
Clustering related information
Using professional guidelines (to determine other healthcare provides to work with)
Answer the following questions:
1. As a generalist RN functioning as a staff nurse, what is your role related to the concept of
mood and affect?
Recognize affective instability so that these patients can be managed safely and referred
to advanced practitioners for evaluation and treatment of any possible mood spectrum
disorders.
2. What is the difference between the terms mood and affect?
Mood is the way someone feels and affect is the observable response a person has to
his or her own feelings
3. Who are other healthcare providers you will be working with if you determine the
assessment data indicate there is an issue with this concept?
Advanced practice nurses, psychiatrists, psychologists, counselors
Task
Identifying signs and symptoms
Gathering complete and accurate data
Clustering related information
Comparing and contrasting
Assessment
Review the Mental Status Examination on page 114 in your Halter book. Using the information
in Chapter 33 of the Giddens book, complete the following table contrasting what you might find
for each category for mania and for melancholy.
This study source was downloaded by 100000903111493 from CourseHero.com on 03-06-2026 12:10:36 GMT -06:00
https://www.coursehero.com/file/92725026/NUR-233-Week-4-Pre-Class-Assignmentdoc/
, NUR 233 Mental Health Nursing
Pre-Class Assignments: Week 4
Category of the
Mental Status Exam Possible Findings with Mania Possible Findings with
Melancholy
Appearance Not well put together, Not Very dirty or hasn’t had a lot of
socially acceptable self care
Behavior Gives away money prized Doesn’t want to leave the
possessions and expensive gifts house, doesn’t want to engage
themselves in anything
Speech Very erratic Little to none, very tired
Mood Grandiose Little self confidence
Disorders of the Form Flight of ideas Very Pessimistic
of Thought
Perceptual Thinking of themselves above Thinking of themselves lower
Disturbances others to others
Cognition Not able to stay focused on one Unable to focus on one task- if
task any
Ideas of Harming Self None unless these thoughts Typical of harming themselves
or Others come to them, or if they are
easily agitated
Collaborative Care
Using legal, ethical, professional guidelines (to determine nurse's role)
For each of the collaborative care options, provide a brief description and discuss the nurse's
role in that therapy.
Psychotherapy Options
Reporting to the therapist or doctor of any changes or improvements of behavior or
feelings
Pharmacotherapy
Administering medications safely to patients and giving quick intervention of any toxic
or adverse reactions
Brain Stimulation Therapy
Perform teaching before the procedure and monitor airway after procedure and mental
status and assist the patient with orienting themselves to person place time and
situation as in any other procedure
This study source was downloaded by 100000903111493 from CourseHero.com on 03-06-2026 12:10:36 GMT -06:00
https://www.coursehero.com/file/92725026/NUR-233-Week-4-Pre-Class-Assignmentdoc/
