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In documenting nursing diagnoses for mental health patients... |
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Definition
...one must cite their sources if a reference is used |
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Of the following questions which is NOT applicable to a primary meeting? a. Can you tell me why you're in the hospital (in your own words)? b. What medications are you currently on? c. When did you stop this particular medication? d. Would you consider yourself an abuse victim? |
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True or False: Most MHCs have little to no physical manifestation |
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Definition
False, most MHCs present physically as well as mentally |
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Specific/current issues which lead to admission |
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Purpose of the Mental Status Exam (MSE) |
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Definition
to provide common language for the documentation of mental health conditions upon admission |
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Consideration for Recording General Appearance |
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Definition
be COMPLETELY OBJECTIVE describe what they're wearing, not how you think they look |
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This is the question that the Interaction portion of the MSE answers |
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Definition
What is the patient doing during the assessment? |
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Three questions to answer when assessing the Speech portion of the MSE |
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Definition
how FAST are they talking? how MUCH are they talking? how CLEAR is their speech? |
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objective vs. subjective pt's facial expressions/body language vs. how pt says they feel must compare the two for congruence |
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quickly changing (as in affect) |
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sensing something which does not exist visual and auditory hallucinations are common where olfactory and tactile hallucinations are uncommon |
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false fixed beliefs (paranoia, etc.) |
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parroting of others' speech which is inappropriate |
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extremely detailed and lengthy discourse about a topic |
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absence of normal connectivity between topics |
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pt logically changes the topic from one to the next, but the original point of the conversation is lost as they do so |
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extreme tangentiality where the topic is changed rapidly often after only one sentence or phrase |
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strings of words that aren't connected in any way |
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made-up words with no understood meaning |
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unrealistic suspicions and guardedness |
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belief that neutral stimuli have special direct meaning to the individual |
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restricts thinking to the literal and immediate so that the individual develops a system of rules and logic that make no sense to anyone but themselves |
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inability to think abstractly: sarcasm, jokes, and hypotheticals are incomprehensible (common in Asperger's) |
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senseless repetition of words or phrases |
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use of words interchangeably with similar meanings |
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rapid verbalization of words which are similar in sound, but make no sense together (right, light, might, tight, fight, bite, trite, sight, white...) |
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overly and inappropriately artificial formal language |
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speaking as if the words must be forced out |
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ability to make decisions |
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understanding of the nature of things (like why the pt is in the hospital, their illness, etc) |
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when assessing whether a client is at risk for harm to themselves or others, what information must be gleaned? |
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Definition
How.. Specific (do they have a plan?) Lethal (does it involve killing?) Accessible (are they capable?), and Proximal (do they have what they need?) are their plans? |
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Definition
One that is Specific, Measurable, Applicable, Realistic, and Timely. |
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