chapter 1: basic mental health nursing concepts
Study online at https://quizlet.com/_7almou
1. standards of care for MH patients set by:: American nurses association
American psych nurses association
international society of psych-mental health nurses
2. what to use to care for patients?: nursing process
holistic approach
3. holistic approach: biological
social
psychological
spiritual
4. methods for assessing clients: observation
interviewing
physical examination
collaboration
5. assessment: each encounter with a client involves an ongoing assessment
6. psychosocial health: perception own: health, beliefs about illness and wellness
how client passes time: activity/leisures
substance use/substance use disorder
stress level and coping abilities; support systems
7. culture beliefs and practices: assess clients practice, belief, and values
assess what cultural factors will impact pts. care
nurses awareness of culture alleviates stereotyping and stigmatizing
use a trained interpreter when needed
8. spirituality: a client's internal values, sense of morality, and how he views the purpose of life
- pt. might not connect spiritual views with religion
9. religion: a clients belief according to an organized set of patterns of worship and rituals
1/6
, chapter 1: basic mental health nursing concepts
Study online at https://quizlet.com/_7almou
10. alert: pt is responsive and able to fully respond by opening eyes and attending to normal tone of voice and
speech.
- answer questions spontaneously and appropriate
11. lethargic: able to open ayes and respond
pt: drowsy and falls asleep readily
12. stuporous: requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit a brief
response.
- might not be able to respond verbally
13. comatose: unconscious, doesn't respond to painful stimuli
decorticate rigidity
decerebrate rigidity
14. decorticate rigidity: flexion and internal rotation of upper extremity joints and legs
15. decerebrate rigidity: neck and elbow extension, with wrists and fingers flexed
16. physical appearance, assess:: personal hygiene, clothing choice, grooming
normal: well-kept, clean, dressed appropriate for environment
17. behavior, assess:: voluntary and involuntary body movements and eye contact
mood
affect
18. mood: info about emotion pt is feeling
19. affect: objective expression of mood
ex: flat affect - lack of facial expression
20. cognitive and intellectual abilities: orientation to: time, person, place
assess memory: immediate, recent, remote
assess: level of knowledge
assess: ability to calculate
asses: ability to think abstractly
objective- pts. perception of own illness
assess- pts response to a hypothetical question
assess pts. rate and volume of speech and quality of language
- speech should be articulate and responses should be meaningful and appropriate -
2/6
Study online at https://quizlet.com/_7almou
1. standards of care for MH patients set by:: American nurses association
American psych nurses association
international society of psych-mental health nurses
2. what to use to care for patients?: nursing process
holistic approach
3. holistic approach: biological
social
psychological
spiritual
4. methods for assessing clients: observation
interviewing
physical examination
collaboration
5. assessment: each encounter with a client involves an ongoing assessment
6. psychosocial health: perception own: health, beliefs about illness and wellness
how client passes time: activity/leisures
substance use/substance use disorder
stress level and coping abilities; support systems
7. culture beliefs and practices: assess clients practice, belief, and values
assess what cultural factors will impact pts. care
nurses awareness of culture alleviates stereotyping and stigmatizing
use a trained interpreter when needed
8. spirituality: a client's internal values, sense of morality, and how he views the purpose of life
- pt. might not connect spiritual views with religion
9. religion: a clients belief according to an organized set of patterns of worship and rituals
1/6
, chapter 1: basic mental health nursing concepts
Study online at https://quizlet.com/_7almou
10. alert: pt is responsive and able to fully respond by opening eyes and attending to normal tone of voice and
speech.
- answer questions spontaneously and appropriate
11. lethargic: able to open ayes and respond
pt: drowsy and falls asleep readily
12. stuporous: requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit a brief
response.
- might not be able to respond verbally
13. comatose: unconscious, doesn't respond to painful stimuli
decorticate rigidity
decerebrate rigidity
14. decorticate rigidity: flexion and internal rotation of upper extremity joints and legs
15. decerebrate rigidity: neck and elbow extension, with wrists and fingers flexed
16. physical appearance, assess:: personal hygiene, clothing choice, grooming
normal: well-kept, clean, dressed appropriate for environment
17. behavior, assess:: voluntary and involuntary body movements and eye contact
mood
affect
18. mood: info about emotion pt is feeling
19. affect: objective expression of mood
ex: flat affect - lack of facial expression
20. cognitive and intellectual abilities: orientation to: time, person, place
assess memory: immediate, recent, remote
assess: level of knowledge
assess: ability to calculate
asses: ability to think abstractly
objective- pts. perception of own illness
assess- pts response to a hypothetical question
assess pts. rate and volume of speech and quality of language
- speech should be articulate and responses should be meaningful and appropriate -
2/6
