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NURS5085 Questions with Detailed Verified Answers
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Quiz: Mental Health Assessment
Ans: * Structured process of gathering relevant history
* Can be from pt, carer
* Purposeful inquiry to determine what events/factors precipitated current
mental state
* Explores all aspects of a person
* IDs unmet needs, symptoms, supports -> informs collaborative treatment
planning
* Process of therapeutic engagement
* Opportunity for person to tell story
* Conducted on admission; anyone presenting with primary signs/symptoms
(first-onset or relapse); when behaviour includes element of risk; in variety of
settings ED, Pysch Emergency Care Centre, community.
Quiz: Components of MHA
Ans: * ID information
* Reason for referral, sources of info, communication issues
* Hx of presenting problem (current symptoms, time course of current
problems, treatment already received)
* Past psychiatric/MH Hx (past episodes of current or other MH problems,
past treatments and hospitalisations, engagement with care)
* Legal issues (e.g., guardianship, convictions)
* Drug and alcohol Hx
* Family medical/MH history (e.g., MH, addiction, significant physical
problems in parents or relatives) - because people become ill in their social
context, not in a vacuum
* Medical Hx
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,* Allergies
* Current meds, doses
* Developmental and personal Hx (e.g., genogram; family, perinatal,
childhood and adolescent development; social, intellectual) - because
people make sense of present based on past
* Current functioning and supports (e.g., living situation, accommodation
issues; family and other relationships)
* Parental status and/or carer responsibilities + details of children and other
dependents, concerns about their safety
Quiz: Mental State Examination components
Ans: 1. Appearance - physical, height/weight, posture, grooming
2. Behaviour - motor (gestures, mannerisms, facial expressions, eye contact)
and reaction (attentive, responsive, hostile)
3. Mood (how they describe their mood? "SUBJECTIVE")
4. Affect (what is OBSERVED about emotional state - congruency of stated
mood and affect, stability, range)
5. Thought form (how ideas are put together - amount [poverty of, thought
blocking, flight of], rate [slow, rapid], continuity of thoughts [logical],
disturbances in language [neologisms, disorganised])
6. Thought content (delusional, suicidal [intent, plan], preoccupation
[persistent, repetitive], obsessions, phobias, anti-social urges)
7. Speech (type and articulation of language - rate [pressured/rapid/ slow],
volume, quantity [poverty/expansive], quality [coherent, spontaneous], tone
[monotone], rhythm, pitch [whining])
8. Perception (how they perceive world around them - hallucinations,
perceptual disturbances, illusions)
9. Sensorium (LOC, orientation, memory)/cognition (abstract thinking,
attention, concentration)
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, 10. Insight (adherence and participation in care) and judgment (safety and
wellbeing)
Quiz: MSE component: appearance
Ans: How does the person look (physical appearance)? Provide a complete
and accurate description of the person's: physical characteristics (including
distinguishing marks and notable features); apparent age; manner of dress;
personal hygiene.
Quiz: MSE component: mood
Ans: How does the person feel? Use non-leading questions to obtain
SUBJECTIVE data, i.e., how are you feeling? Note how the person describes
their mood/emotional state. Use person's own words (quote verbatim)
whenever possible ('fine', 'ok' ,'down', 'strange', 'sad', 'empty', 'happy'). If the
person finds it difficult to describe their mood, ask them to rate it on a scale
of 1 (lowest it has ever been) to 10 (highest).
Quiz: MSE component: insight and judgment
Ans: How aware is the person of her/his situation? Can they make safe
decisions and judgments? Insight: a consumer's perception of their current
situation. Judgement: a consumer's ability to act safely and with
understanding of possible consequences of their actions. Consider: capacity
of the person to recognise the significance of the present situation and
acknowledge her/his own issues and/or symptoms; the degree of awareness
and understanding of situation/issues; the extent that symptoms are
influencing the person's behaviour and decisions.
Quiz: Possible questions to elicit insight and judgment
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