NUR2092 HEALTH ASSESMENT Exam 2 STUDY GUIDE 2022/2023

NUR2092 HEALTH ASSESMENT Exam 2 STUDY GUIDE 2022/2023 Exam 2 Module 3 thru Module 5 (chps 5,8,9,10,11,12) 75 questions Mental Status Assessment: Main headings (components) of the mental status assessment: A, B, C, T  Appearance  Behavior  Cognition  Thought process Orientation status The awareness of the objective world in relation to the self, including person, place, and time. 4 unrelated words test This tests the person's ability to lay down new memories. It is a highly sensitive and valid memory test. It requires more effort than does the recall of personal or historic events. It also avoids the danger of unverifiable material. Denver II screening test The Denver II is designed to detect developmental delays in infants and preschoolers within four functions: gross motor, language, fine motor–adaptive, and personal-social skills. For mental status assessment, the Denver II helps identify young children who may be slow in development in behavioral, language, cognitive, and psychosocial areas. The test has 125 items arranged in chronologic order and displayed in groupings corresponding to recommended ages for healthmaintenance visits. MMSE-what does it test? Mini cog tests The Mini-Cog is a reliable, quick, and easily available instrument to screen for cognitive impairment in otherwise healthy older adults. It can be used with various cultural groups and literacy levels and takes only 3 to 5 minutes to administer. The Mini-Cog is not influenced by educational level or health literacy of the patient and can be used in a variety of settings, including the hospital. The Mini-Cog consists of a 3-item recall test and a clock-drawing test. Begin by asking the older adult to listen carefully to, remember, and then repeat three words that you will say. A score of <3 is indicative of dementia although some cognitive impairment cannot be ruled out with scores of 3, 4, or 5 CAGE test Affect versus Mood Both of these element deal with the prevailing feelings. Affect is a temporary expression of feelings or state of mind. Mood is more durable, a prolonged display of feelings that color the whole emotional life. Suicide attempt risk screening Abnormal findings:  Depression is a long-term depressed mood (>2weeks) with lack of pleasure; disturbed sleep and appetite; feeling of hopelessness, guilt, worthlessness, sadness, loneliness, and despair; suicide ideation.  hallucination  GAD-general anxiety disorder screenings Know what the following disorders are: Social Phobia, Compulsive disorder, PTSD, Anxiety  Social Phobia (Social Anxiety Disorder) is a persistent and irrational fear of being in social situations. Person anticipates being judge or criticized, feeling, or looking foolish, feeling embarrassment, being unable to answer questions, or being unable to remember the lines or notes. Person studiously avoids social situations or endures them with intense anxiety.  Compulsive Disorder (Obsessive Compulsive Disorder or OCD) is a pattern of recurrent obsessions (intrusive, uncontrollable thoughts) and compulsions (repetitive ritualistic actions) done to decrease anxiety and prevent catastrophe (ex. Contamination (fear of germs), violence, perfectionism, and superstitions). Intrusive thoughts and actions are time consuming, interfere with daily activities and make the person feel humiliated or ashamed for giving in to them.  Posttraumatic Stress Disorder (PTSD) follows a traumatic event outside the range of unusual human experience involving actual or threatened death (ex. Military combat, natural disaster (flood, tornado, earthquake), plane or train accident, violence (rape, mugging, bombing). The person relieves the trauma many times, intrusively and unwillingly. The same feelings of helplessness, fear, or horror recur. Avoidance of any trigger associated with the trauma occurs, and the person has hypervigilance, sleep problem, and difficulty concentrating, leaving to the feelings of being permanently damaged.  Anxiety —Worried, uneasy, apprehensive from the anticipation of a danger whose source is unknown. Know how to assess mental status in children Level of consciousness range Know the difference between aphasia, epistaxis, anorexia, and dysphagia  Anorexia is intense fear of weight gain, distorted body image  Aphasia is a speech disorder (language comprehension and production secondary to brain damage), true language disturbance; defect in word choice and grammar or defect in comprehension; defect is in higher integrative language processing.  Epistaxis- nosebleed  Dysphagia- difficulty swallowing What is Sundown syndrome /Delirium /Dementia?  Sundown syndrome