What are the 4 components of mental status examination?
1. Person
2. Place
3. Time
4. Self
How to assess new memory in patients?
4 Unrelated Word Test
What is a Four Unrelated Word Test?
Give patient 4 words to remember and follow up 30 minutes later.
How to evaluate a suicide risk patient?
SAFE-T
How do you assess orientation of a patient?
Ask simple and direct questions
How do you assess a Level of Consciousness?
Glasgow Coma Scale (eye, verbal, motor)
What do different pupil sizes represent?
PERRLA; What is going on in the body
What are the assessment findings for adolescents that use drugs?
Behavioral changes
Academic and social problems
What is a CAGE assessment?
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, NSG 3009 EXAM 1 LATEST
Brief alcohol screening tool
What are risk use patterns in substance use assessment?
- Frequency
- Route
- Quantity
- Location
How do you do an assessment for alcohol use?
AUDIT
Alcohol
Use
Disorders
Identification
Test
What are some assessment findings for withdrawal for opioids?
Drug cravings, anxiety, diaphoresis, tachycardia
What is a CIWA assessment? What is it for?
Assessment for alcohol withdrawal
What must be present to report abuse in children/adults?
injuries, behavioral changes
What are some signs and symptoms of patient neglect?
Bedsores, dehydration, malnutrition, unexplained injuries
What is intimate partner violence(IPV)?
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