Mental Health Exam 1
therapeutic strategies in the mental health setting *** - counseling
- milieu therapy
- screening
- promotion of self care activities
- psychobiological care
- cognitive and behavioral therapy
- health teaching and promo
- case management
who are professional standards of mental health set by *** ANA, american psychiatric nurses
association, and international society of psychiatric mental health nurses
what are the components of psychosocial assessment *** - cultural considerations, clergy support
- support system
- dietary preferences
- sleep patterns
- depression, anxiety, suicide
- coping mechanisms
- alc/drug use
- perception of health
- home med adherance
- use of vitamins
,what are the components of mental status exam *** - Alert: responsive and able to respond and open
eyes
- Lethargic: opens eyes and respond but drowsy and falls asleep
- Stuporus" respond to painful stimuli
- Comatose: unconscious and does not respond to painful stimuli
· Decorticate rigidity (arms to core)
· Decerebrate rigidity (extended out)
- LOC, appearance, behavior, cognitive/intellectual
- Level of orientation (person, place, time/situation)
- Glasgow coma scale
mini mental state exam *** assess cognitive status by orientation, attention span, counting backward by
7, recalling objects, language
how to assess clients cognitive and intellectual abilities *** - level of orientation
- memory (remote, recent, immediate)
- level of knowledge (what they know about their current illness)
- ability to calculate (count backwards starting from 100 by 7)
- abstract thinking (similarities between car and train)
- clients judgement (what would you do if there was a fire in your room)
- rate, volume, and speech coherence
trauma informed care *** special way to therapeutically take care of someone (ex: sexual assualt victim,
doing a physical assessment, asking if its okay before you touch them)
immediate memory *** repeat a series of numbers
, recent memory *** current admission/appointment, todays events
remote memory *** recollection of past facts *that are verifiable*
how to assess mentally ill children *** HEADSS
- home
- environment
- education
- activities
- drugs and substance use
- sexuality
- suicide
- safety
what tools to use for older adults *** - geriatric depression scale
- michigan alcoholism screening test for geriatric client
what is DSM-5 *** - published by american psychiatric association
- fluid, can be changed
- identifies mental health diagnosis (multiple criteria have to meet to diagnose, clinical judgement,
individua hx, cultural norms)
serious mental illness *** -chronic mental disorders
- remissions and exacerbations
- ability to preform ADLs affected
- often their own lives and/or the lives of others are at risk
therapeutic strategies in the mental health setting *** - counseling
- milieu therapy
- screening
- promotion of self care activities
- psychobiological care
- cognitive and behavioral therapy
- health teaching and promo
- case management
who are professional standards of mental health set by *** ANA, american psychiatric nurses
association, and international society of psychiatric mental health nurses
what are the components of psychosocial assessment *** - cultural considerations, clergy support
- support system
- dietary preferences
- sleep patterns
- depression, anxiety, suicide
- coping mechanisms
- alc/drug use
- perception of health
- home med adherance
- use of vitamins
,what are the components of mental status exam *** - Alert: responsive and able to respond and open
eyes
- Lethargic: opens eyes and respond but drowsy and falls asleep
- Stuporus" respond to painful stimuli
- Comatose: unconscious and does not respond to painful stimuli
· Decorticate rigidity (arms to core)
· Decerebrate rigidity (extended out)
- LOC, appearance, behavior, cognitive/intellectual
- Level of orientation (person, place, time/situation)
- Glasgow coma scale
mini mental state exam *** assess cognitive status by orientation, attention span, counting backward by
7, recalling objects, language
how to assess clients cognitive and intellectual abilities *** - level of orientation
- memory (remote, recent, immediate)
- level of knowledge (what they know about their current illness)
- ability to calculate (count backwards starting from 100 by 7)
- abstract thinking (similarities between car and train)
- clients judgement (what would you do if there was a fire in your room)
- rate, volume, and speech coherence
trauma informed care *** special way to therapeutically take care of someone (ex: sexual assualt victim,
doing a physical assessment, asking if its okay before you touch them)
immediate memory *** repeat a series of numbers
, recent memory *** current admission/appointment, todays events
remote memory *** recollection of past facts *that are verifiable*
how to assess mentally ill children *** HEADSS
- home
- environment
- education
- activities
- drugs and substance use
- sexuality
- suicide
- safety
what tools to use for older adults *** - geriatric depression scale
- michigan alcoholism screening test for geriatric client
what is DSM-5 *** - published by american psychiatric association
- fluid, can be changed
- identifies mental health diagnosis (multiple criteria have to meet to diagnose, clinical judgement,
individua hx, cultural norms)
serious mental illness *** -chronic mental disorders
- remissions and exacerbations
- ability to preform ADLs affected
- often their own lives and/or the lives of others are at risk
