NURS 3320 Exam 2 – Accurate Solutions For Every
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Terms in this set (191)
Chapter 6: Assessing
mental status and
substance abuse
-MS: Client level of cognitive function
Define what mental status
-mental disorder: Condition categorized by cognitive
is. Mental disorder?
and emotional distress, abnormal behavior, impaired
function
-economic, social factors: rapid changes, stress
-lifestyles choices: drug abuse, sedentary life
-exposure to violence
-personality: poor decision making, low self esteem,
Describe some factors
poor self control
affecting mental health
-spirituality
-cultural
-changes/impairment in neuro system: cerebral abnorm,
communication affected, intelligence, emotion
-psychosocial development
Dementia: group of symptoms that causes issues in
Define dementia and memory, thinking and behavior
Alzheimer's disease.
Compare them Alz: causes dementia, gradual destruction of the brain
nerve cells and shrinking brain
, Alz: Can't keep a convo, lose complete track of time,
inability to manage budget, poor judgement and
decision making, misplacing things and cant retrace
What is the difference
steps
between ALZ symptoms
and aging symptoms?
Aging: ocasionally making a bad decision, missing a
monthly payment, forgetting day but remembering later,
lose things from time to time
Non modifiable:
-over age 65
-genetic predispo
-mild cog impair
-increased vascular dz rates (latino, AA)
-Vazcular dzs: diabetes, high bp, high chol
What are some risk factors
for Alz dz?
Modifiable:
-smoking
-head trauma
-ht
-depression
-Hormone therapy: later in life
-wt gain
- challenge their mind
what pt education would -have healthy aging behaviors: healthy wt control,
you provide a patient with healthy diet, no smoking, exercise, social
dementia or alz -avoid head trauma
-hormone therapy at menopause not later
- comsuming mind alt sub with effects on behaviour and
health
what is substance abuse -Addiction: chronic dz: brian altered to affect learning,
judgement, stress, memory
-most at risk: teens and military
, 1. Cage
c: cut back
a: angered annoyed
g: uilt
e: yeopener
-scoring yes on one: possible problem
-more than 1: likely problem exist (further review)
What are some screening
tools for substance abuse?
2. AUDIT: alcohol use disorder ID test
*score from 0-4
-ASK: how often pt drinks, howm many alc drinks per
day, 6 or more often?, how often pt started and not
wanted to stop
- 8 or more= issue
-
-hx of aggression, lack of parental supervision, drug
What are some risk factors
availability, academic competence, self control,
for drug abuse?
antidrug policy at school, history of drug abuse
-Headaches: tension headaches from stress
-Trouble breathing, palps: anx
-insomia: delirium (reversal of sleep-wake cycle)
-waking up early/less sleep= depression
-hallucinations=
Subjective Data: history of
*visual hallucinations= with alc withdrawl
present health concern
*psychotic dz= olfactory, tactile
-mood swings=
*delirium= rapid mood swings, anx, fear
*dementia= agitation, flat affect
*depression= sad, apathetic, irritation, anx, fatigue,
-head in, meningitis, strokej= affects developmental
Subjective Data: Personal
level, mental state, behavior, comms, sleep, physical
health history
changes,
Subjective Data: fam hx -hx of= alz, schitzo, anx, bipolar, depression,
, 1. nuero and mental illness can alter adl completion,
energy levels
-EX:
* anxious: restless
*depression: fatigue
*ocd: fatigued
2. diet= poor diet with dep, lose weight with dementia,
3. bowel elim: ibs, pud associated with psychological dz
4. sleep:
*insomnia: dep, anx, bipolar, sub abuse
*hypersomnolence= depression
5. caffine: high amounts results in stress
6. opioids= ppl may be at risk of oud
* hx of drug abuse , increased opioid doses, mental
disorders
7. Alc use:
*excess: cancer, liver dz, immune sys disorders, brain
dmg,
Subjective Data: Lifestyle
* aggravate: osteoporosis, diabetes, ht, ulcers
and health practices
*SBIRT (screening brief intervnetion referal to
treatment): id, pre, alc and drug abuse
*CAGE
*AUDIT
8. Recreational drugs/Med MJ= affects mood, cognition,
behavior, increased risky behavior,
*Teens: impaired thinking and memory, verbal ability
9. CBD: use linked to liver dmg, effects drug
metabolism, interactions with other drugs and CNS
depression
10. relationships/self esteem:
*low esteem: eating disorders, suicidal, depression, sub
abuse, cant maintain relationships
*PHQ2: screen for depression, = 2 plus depression
*phq9: further assess for depression: 10 plus
Question
Save
Terms in this set (191)
Chapter 6: Assessing
mental status and
substance abuse
-MS: Client level of cognitive function
Define what mental status
-mental disorder: Condition categorized by cognitive
is. Mental disorder?
and emotional distress, abnormal behavior, impaired
function
-economic, social factors: rapid changes, stress
-lifestyles choices: drug abuse, sedentary life
-exposure to violence
-personality: poor decision making, low self esteem,
Describe some factors
poor self control
affecting mental health
-spirituality
-cultural
-changes/impairment in neuro system: cerebral abnorm,
communication affected, intelligence, emotion
-psychosocial development
Dementia: group of symptoms that causes issues in
Define dementia and memory, thinking and behavior
Alzheimer's disease.
Compare them Alz: causes dementia, gradual destruction of the brain
nerve cells and shrinking brain
, Alz: Can't keep a convo, lose complete track of time,
inability to manage budget, poor judgement and
decision making, misplacing things and cant retrace
What is the difference
steps
between ALZ symptoms
and aging symptoms?
Aging: ocasionally making a bad decision, missing a
monthly payment, forgetting day but remembering later,
lose things from time to time
Non modifiable:
-over age 65
-genetic predispo
-mild cog impair
-increased vascular dz rates (latino, AA)
-Vazcular dzs: diabetes, high bp, high chol
What are some risk factors
for Alz dz?
Modifiable:
-smoking
-head trauma
-ht
-depression
-Hormone therapy: later in life
-wt gain
- challenge their mind
what pt education would -have healthy aging behaviors: healthy wt control,
you provide a patient with healthy diet, no smoking, exercise, social
dementia or alz -avoid head trauma
-hormone therapy at menopause not later
- comsuming mind alt sub with effects on behaviour and
health
what is substance abuse -Addiction: chronic dz: brian altered to affect learning,
judgement, stress, memory
-most at risk: teens and military
, 1. Cage
c: cut back
a: angered annoyed
g: uilt
e: yeopener
-scoring yes on one: possible problem
-more than 1: likely problem exist (further review)
What are some screening
tools for substance abuse?
2. AUDIT: alcohol use disorder ID test
*score from 0-4
-ASK: how often pt drinks, howm many alc drinks per
day, 6 or more often?, how often pt started and not
wanted to stop
- 8 or more= issue
-
-hx of aggression, lack of parental supervision, drug
What are some risk factors
availability, academic competence, self control,
for drug abuse?
antidrug policy at school, history of drug abuse
-Headaches: tension headaches from stress
-Trouble breathing, palps: anx
-insomia: delirium (reversal of sleep-wake cycle)
-waking up early/less sleep= depression
-hallucinations=
Subjective Data: history of
*visual hallucinations= with alc withdrawl
present health concern
*psychotic dz= olfactory, tactile
-mood swings=
*delirium= rapid mood swings, anx, fear
*dementia= agitation, flat affect
*depression= sad, apathetic, irritation, anx, fatigue,
-head in, meningitis, strokej= affects developmental
Subjective Data: Personal
level, mental state, behavior, comms, sleep, physical
health history
changes,
Subjective Data: fam hx -hx of= alz, schitzo, anx, bipolar, depression,
, 1. nuero and mental illness can alter adl completion,
energy levels
-EX:
* anxious: restless
*depression: fatigue
*ocd: fatigued
2. diet= poor diet with dep, lose weight with dementia,
3. bowel elim: ibs, pud associated with psychological dz
4. sleep:
*insomnia: dep, anx, bipolar, sub abuse
*hypersomnolence= depression
5. caffine: high amounts results in stress
6. opioids= ppl may be at risk of oud
* hx of drug abuse , increased opioid doses, mental
disorders
7. Alc use:
*excess: cancer, liver dz, immune sys disorders, brain
dmg,
Subjective Data: Lifestyle
* aggravate: osteoporosis, diabetes, ht, ulcers
and health practices
*SBIRT (screening brief intervnetion referal to
treatment): id, pre, alc and drug abuse
*CAGE
*AUDIT
8. Recreational drugs/Med MJ= affects mood, cognition,
behavior, increased risky behavior,
*Teens: impaired thinking and memory, verbal ability
9. CBD: use linked to liver dmg, effects drug
metabolism, interactions with other drugs and CNS
depression
10. relationships/self esteem:
*low esteem: eating disorders, suicidal, depression, sub
abuse, cant maintain relationships
*PHQ2: screen for depression, = 2 plus depression
*phq9: further assess for depression: 10 plus
