ADVANCED HEALTH ASSESSMENT - COMPREHENSIVE FINAL EXAM WITH 100%

ADVANCED HEALTH ASSESSMENT - n n n




COMPREHENSIVE FINAL EXAM WITH
n n n n




100% PASS!!! n n




COMPONENTS nOF nMENTAL nSTATUS nEXAM nINCLUDE: n- n ncorrect nanswer- nA-B-C-T
n n n n n n n n n n




APPEARANCE; nposture, nbody nmovements, ndress, ngrooming nand nhygiene
n n n n n n n




BEHAVIOR; nLOC, nFacial nexpression, nspeech, nmood nand naffect
n n n n n n n




COGNITION; naddress, nphone#, netc. ndate?, nattention nspan, nrecent nand nremote nmemory, nnew
n n n n n n n n n n n




nlearning
n

,THOUGHT nPROCESS; nperceptions, nshould nbe nlogical nand nconsistent nthis nperson nmake nsense?
n n n n n n n n n n n




how ndo npeople ntreat nyou?, ndo nyou nfeel nyou nare nbeing nwatched, nfollowed nor ncontrolled? nhave
n n n n n n n n n n n n n n n




nyou nheard nyour nname nwhen nalone?
n n n n n n




___________________ nscreens nfor nAnxiety n- n ncorrect nanswer- nGAD- n7 n n n n n n n n n




questions nto nask nfor ndepression nor nsuicidal nideations: n- n ncorrect nanswer- nDepression: n
n n n n n n n n n n n n n




Over nthe npast ntwo nweeks, nhave nyou nfell ndown, ndepressed nor nhopeless?
n n n n n n n n n n n




Over nthe npast n2 nweeks, nhave nyou nfelt nlittle ninterest nor npleasure nin ndoing nthings?
n n n n n n n n n n n n n n




Suicidal:

Have nyou never nfelt nso nblue nyou nthought nof nhurting nyourself?
n n n n n n n n n n




Do nyou nhave na nplan nto nhurt nyourself?
n n n n n n n




How nwould nyou ndo nit?
n n n n




***Must nnot nignore nany ntalk nof nsuicide***
n n n n n n




When nis na nfull nmental nstatus nexam nnecessary? n- n ncorrect nanswer- n* nPatients nwhose ninitial
n n n n n n n n n n n n n n n




nscreening nsuggests nan nanxiety ndisorder nor ndepression
n n n n n n n




* nBehavioral nchanges: nsuch nas nmemory nloss, ninappropriate nsocial ninteraction
n n n n n n n n n




* nBrain nlesions: ntrauma, ntumor, ncerebrovascular naccident nor nstroke
n n n n n n n n




* nAphasia: nimpairment nof nlanguage nability nsecondary nto nbrain ndamage
n n n n n n n n n




* nSymptoms- nof npsychiatric nmental nillness nespecially nwith nacute nonset
n n n n n n n n n




________________ nScreens nfor nAlcoholism. n- n ncorrect nanswer- nCAGE: nScore n2 nor ngreater nhighly n n n n n n n n n n n n n




nsignificant
n




* nHave nyou never nfelt nyou nshould nCUT ndown non nyour ndrinking?
n n n n n n n n n n n




* nHave npeople nANNOYED nyou nby ncriticizing nyour ndrinking?
n n n n n n n n




* nHave nyou never nfelt nbad nor nGUILTY nabout nyour ndrinking?
n n n n n n n n n n

,* nHave nyou never nhad na ndrink nfirst nthing nin nthe nmorning nto nsteady nyour nnerves nor nget nrid nof
n n n n n n n n n n n n n n n n n n n




na nhangover? n(EYE nOPENER)
n n n n




Things nto nConsider nWhen nAssessing nOlder nAdults nmental nstatus ninclude: n- n ncorrect nanswer-
n n n n n n n n n n n n n




nAsk nabout nchronic nillness nand nhow nthey nare nmanaging?
n n n n n n n n n




Sensory nimpairments? n




Polypharmacy n(med nlist nagain!) n n n




Social nisolation n




Physiological nissue n




- nDelirium nvs. nDementia
n n n




- nUTI
n




- nSundowners
n




Delirium nVS nDementia nVS nDepression: n n n n




Onset

course

duration

consciousness

attention

psychomotor nchanges n




reversibility n- n ncorrect nanswer- nDelirium n** nDementia n** nDepression:
n n n n n n n n n




==========================================

O: nAcute ninsidious nAcute nor ninsidious
n n n n n




C: nFluctuating nProgressive nMay nbe nchronic
n n n n n




D: nHrs nto nwks nMos nto nyrs nMos nto nyrs
n n n n n n n n n

, C: nAltered nUsually nclear nclear
n n n n




A: nImpaired nNormal nunless nMay nbe ndecreased
n n n n n n




n nsevere ndementia n




P: nincreased noften nnormal nmay nbe nslowed nin ndecreased nsevere ncases n
n n n n n n n n n n n




R: nusually nirreversible nusually
n n n




Delirium nCauses: n- n ncorrect nanswer- nD- nDementia
n n n n n n n




E- nElectrolyte ndisorders
n n




L n- nLung, nliver, nheart, nkidney, nbrain ndysfunction
n n n n n n n




I- nInfection
n




R- nRx nDrugs n n




I- nInjury, npain, nstress
n n n




U- nUnfamiliar nenvironment
n n




M- nMetabolic n




Adolescent: nheeadsss npsychosocial ninterview: n- n ncorrect nanswer- n- nHome
n n n n n n n n n




- nEducation n& nEmployment
n n n




- nEating
n




- nActivities
n




- nDrugs
n




- nSexuality
n




- nSuicide n& nDepression
n n n




- nSafety n(injury/violence)
n n




When nassessing nchildren nfor nmental nheath ndisorders, nthings nto nconsider: n- n ncorrect nanswer-
n n n n n n n n n n n n n




nDoes nthe nchild nseem nsad, ntired, nrestless?
n n n n n n n