NUR2459 Mental and Behavioral Health Nursing Questions And Answers.

Appearance (observed) - Gait, posture, clothes, grooming Behavior (observed) - Mannerisms, gestures, psychomotor activity, expression, eye contact, ability to follow commands/requests, compulsions Attitude (observed) - Cooperative, hostile, open, secretive, evasive, suspicious, apathetic, easily distracted, focused, defensive Level of Consciousness (observed) - Vigilant, alert, drowsy, lethargic, stuporous, asleep, comatose, confused, fluctuating orientation (inquired) - What is your full name? Where are we at (floor, building, city, county, and state)? What is the full date today (date, month, year, day of the week, and season of year)? How would you describe the situation we are in? Speech and Language (observed) - Quantity-talkative, spontaneous, expansive, paucity, poverty Rate-fast, slow, normal, pressured Volume (tone)-loud, soft, monotone, weak, strong Fluency and Rhythm-slurred speech, with appropriately placed inflections, hesitant, with good articulation, aphasic Mood (inquired) A sustained state of inner feeling - How are your spirits? How are you feeling? Have you been discouraged/depressed/low/blue lately?Have you been energized/elated/high/out of control lately? Have you been angry/irritable/edgy lately? Affect (observed) An observed expression of inner feeling - Appropriateness to situation, consistency with mood, congruency with thought content. Fluctuations-labile, even Range-Broad, restricted Intensity-Blunted, flat, normal intensity Quality-sad, angry, hostile, indifferent, euthymic, dysohoric, detached, elated, euphoric, anxious, animated , irritable. Thought Processes or Thought Form (inquired/observed)-logical, relevance, organization, flow, and coherence of thought in response to general questions during the interview - Linear, goaldirected, circumstantial, tangential , loose associations, incoherent, invasive, racing, blocking, perseveration, neologisms Thought Content (Inquired/observed)- - What do you think about when you are sad/angry? What's been on your mind lately? Do you find yourself ruminating about things? Are there thoughts or images that you have a really difficult time getting out of your bed? Are you worried/scared/ frightened about something or other? Do you have personal beliefs that are not shared by others? Do you ever feel detached/removed/changed/different from others around you? Do things seem unnatural or unreal to you? What do you think about the reports in papers such as the National enquirer? Do you think someone or some group intend to harm you in some way? What do you think they meant by that? Does it ever seem like people are stealing your thoughts, or perhaps inserting thoughts into your head? Does it ever seem like your own thoughts are broadcast out loud?Do you ever see, hear, smell, taste and feel things that are not really there, such as voices or visions? Do you sometimes misinterpret real things that are around you, such as muffled sounds or shadows? Suicidality and Homicidality - Suicidal-Do you ever feel that life isn't worth living? Have you ever thought of doing away with yourself? If so how? What would happen after you were dead? Homicidality-Do you think about hurting others or getting even with people who have wronged you? Have you had desires to hurt others? If so, how? Insight and Judgement (inquired/observed) - What brings you here today? What seems to be the problem? What do you think is causing you problems? How do you understand your problems? How would you describe your role in the situation? Do you think that the thoughts, moods, perceptions are normal? How do you plan on getting help for this problem? What will you do when------occurs? How will you manage if ------happens? If you found a stamped addressed envelope on the street what would you do with it? If you were in a movie theater and smelled smoke, what would you do? Attention (inquired/Observed) - Attend, concentration, distractibility Digit span(forward and reverse) I will recite a series f numbers to you and then I will ask you to repeat them to me, first forward and then backwards Spelling Backwards-Spell the word world and then spell it backwards Calculations-Start with 100 then subtract by 7 Start with 20 and subtract by 3 Add these numbers 15+12+7Multiply 25x6 If something costs 17 cents and you give the cashier a dollar how much change will you get?