NUR 172 Block 2 Psych Exam 1 (MCC)questions with answers
1.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
2.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
3.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
4.Where should you hold the interview with the patient?: Make sure the
envi- ronment is comfortable, private, safe
- make sure the area is quite with few distractions
5.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
,6.What do you assess for in a patient?: History
- Age
- Developmental Stage
- Cultural considerations
- Spiritual beliefs
- Previous history
7.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 wit
the patient
8.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
9.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
10.Psycho-social Assessment components:
11.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)
12.Automatisms: Repeated purposeless behaviors often indicative of
anxiety, such as drumming fingers, twisting locks of hair, or tapping
the foot
13.Psychomotor retardation: Overall slowed movements
14.Waxy flexibility: Maintenance of posture or position over time even
when it is awkward or uncomfortable
15. Neologisms: Invented words that have meaning only for the
, person who created it; usually the client
16.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
17.What does SI stand for?: Suicidal ideations
18.What does HI stand for?: Homicidal ideations
19.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.
20.What are hallucinations?: Sensory impressions without external stimul
21.What are Illusions?: Real stimuli misinterpreted
22.What are delusions?: fixed false beliefs
1.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
2.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
3.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
4.Where should you hold the interview with the patient?: Make sure the
envi- ronment is comfortable, private, safe
- make sure the area is quite with few distractions
5.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
,6.What do you assess for in a patient?: History
- Age
- Developmental Stage
- Cultural considerations
- Spiritual beliefs
- Previous history
7.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 wit
the patient
8.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
9.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
10.Psycho-social Assessment components:
11.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)
12.Automatisms: Repeated purposeless behaviors often indicative of
anxiety, such as drumming fingers, twisting locks of hair, or tapping
the foot
13.Psychomotor retardation: Overall slowed movements
14.Waxy flexibility: Maintenance of posture or position over time even
when it is awkward or uncomfortable
15. Neologisms: Invented words that have meaning only for the
, person who created it; usually the client
16.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
17.What does SI stand for?: Suicidal ideations
18.What does HI stand for?: Homicidal ideations
19.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.
20.What are hallucinations?: Sensory impressions without external stimul
21.What are Illusions?: Real stimuli misinterpreted
22.What are delusions?: fixed false beliefs
