NURS 144 Exam 1 Mental Health Questions
With Correct Answers
Physical Assessment |
use touch to communicate caring, but respect personal space. Ask
| | | | | | | | | |
questions regarding difficulty sleeping, incontinence, falls or injuries,
| | | | | | | |
depression, dizziness or loss of energy, gather medication history, ask
| | | | | | | | | |
for pt feedback
| |
psychosocial history |
ask pt for perception of own health and beliefs about health and illness,
| | | | | | | | | | | | |
ask about activity and leisure activity, hx of substance abuse, assess
| | | | | | | | | | |
stress level and coping abilities, assess for support systems.
| | | | | | | |
Mental Status Exam (MSE)
| | |
Alert- responsive and able to fully respond by opening their eyes and
| | | | | | | | | | | |
responding to a normal tone of voice.
| | | | | |
Lethargic- able to open eyes and respond but is drowsy and falls asleep
| | | | | | | | | | | | |
easily.
,Stuporous- requires vigorous or painful stimuli to elicit a brief response.
| | | | | | | | | |
Comatose- unconscious and does not respond to painful stimuli
| | | | | | | |
Comatose Posturing |
decorticate rigidity- flexion and internal rotation of upper extremity
| | | | | | | | |
joint and legs.
| |
Decerebrate rigidity- neck and elbow extension wrist and finger flexion.
| | | | | | | | |
HEADSSS assessment tool for children/adolescents
| | | |
home environment
|
education/employment
activities
drugs/ substance abuse
| |
sexuality
suicide/depression
safety
older adult assessment
| |
, functional ability, economic and social status, environmental factors
| | | | | | |
NEED TO KNOW for older adults assessment
| | | | | |
private quiet space with adequate lighting to accommodate for
| | | | | | | | |
impaired vision and hearing, introduction and determine clients name
| | | | | | | | |
preference, stand or sit at the clients level to conduct the interview
| | | | | | | | | | |
Legal rights of mental health clients
| | | | |
same rights as any other citizen.right to refuse treatment,
| | | | | | | | |
confidentiality, written plan of care and discharge follow up,
| | | | | | | | |
communication with people outside the facility, provision of adequate
| | | | | | | | |
interpretive services if needed. | | |
Rights regarding seclusions and restraints
| | | |
seclusion rooms and or restraints can be warranted or authorized in
| | | | | | | | | | |
some cases, can be physical or chemical, pt can voluntarily request a
| | | | | | | | | | | |
temporary time out | |
Before implementing restraints attempt:
| | |
With Correct Answers
Physical Assessment |
use touch to communicate caring, but respect personal space. Ask
| | | | | | | | | |
questions regarding difficulty sleeping, incontinence, falls or injuries,
| | | | | | | |
depression, dizziness or loss of energy, gather medication history, ask
| | | | | | | | | |
for pt feedback
| |
psychosocial history |
ask pt for perception of own health and beliefs about health and illness,
| | | | | | | | | | | | |
ask about activity and leisure activity, hx of substance abuse, assess
| | | | | | | | | | |
stress level and coping abilities, assess for support systems.
| | | | | | | |
Mental Status Exam (MSE)
| | |
Alert- responsive and able to fully respond by opening their eyes and
| | | | | | | | | | | |
responding to a normal tone of voice.
| | | | | |
Lethargic- able to open eyes and respond but is drowsy and falls asleep
| | | | | | | | | | | | |
easily.
,Stuporous- requires vigorous or painful stimuli to elicit a brief response.
| | | | | | | | | |
Comatose- unconscious and does not respond to painful stimuli
| | | | | | | |
Comatose Posturing |
decorticate rigidity- flexion and internal rotation of upper extremity
| | | | | | | | |
joint and legs.
| |
Decerebrate rigidity- neck and elbow extension wrist and finger flexion.
| | | | | | | | |
HEADSSS assessment tool for children/adolescents
| | | |
home environment
|
education/employment
activities
drugs/ substance abuse
| |
sexuality
suicide/depression
safety
older adult assessment
| |
, functional ability, economic and social status, environmental factors
| | | | | | |
NEED TO KNOW for older adults assessment
| | | | | |
private quiet space with adequate lighting to accommodate for
| | | | | | | | |
impaired vision and hearing, introduction and determine clients name
| | | | | | | | |
preference, stand or sit at the clients level to conduct the interview
| | | | | | | | | | |
Legal rights of mental health clients
| | | | |
same rights as any other citizen.right to refuse treatment,
| | | | | | | | |
confidentiality, written plan of care and discharge follow up,
| | | | | | | | |
communication with people outside the facility, provision of adequate
| | | | | | | | |
interpretive services if needed. | | |
Rights regarding seclusions and restraints
| | | |
seclusion rooms and or restraints can be warranted or authorized in
| | | | | | | | | | |
some cases, can be physical or chemical, pt can voluntarily request a
| | | | | | | | | | | |
temporary time out | |
Before implementing restraints attempt:
| | |
