NR548/ NR 548 EXAM 2 NEW LATEST UPDATE 2024/ 2025
PSYCHIATRIC ASSESSMENT FOR THE PSYCHIATRIC MENTAL
HEALTH NURSE PRACTITIONER
mood - more durable, a prolonged display of feelings that color the whole emotional life.
Orientation - The awareness of the objective world in relation to the self. Able to name
own person, place, and time
Attention - The power of concentration, the ability to focus on one specific thing without
being distracted by many environmental stimuli.
Memory - The ability to lay down and store experiences and perceptions for later recall.
Recent memory - evokes day-to-day events
remote memory - brings up years' worth of experiences.
Abstract reasoning - Pondering a deeper meaning beyond the concrete and literal.
Thought process - The way a person thinks; the logical train of thought.
Thought content - What the person thinks—specific ideas, beliefs, the use of words.
Perceptions - An awareness of objects through the five senses.
Mental Status - defined as "a state of well-being in which every individual realizes his or
her own potential, can cope with normal stresses of life, can work productively and
fruitfully, and is able to make a contribution to her or his community"
Consciousness - Being aware of one's own existence, feelings, and thoughts and of the
environment. This is the most elementary of mental status functions.
Language - Using the voice to communicate one's thoughts and feelings. This is a basic
tool of humans, and its loss has a heavy social impact on the individual.
Mood and affect - Both of these elements deal with the prevailing feelings.
Affect - temporary expression of feelings or state of mind
The mental status exam (MSE) - is the best tool for establishing a psychiatric diagnosis.
, The MSE includes - a combination of observations, impressions, and the interpretation
of client responses and is analogous to the physical exam in the formulation of an
accurate diagnosis.
Components of the mental status exam include - •: appearance• behavior• speech•
mood• affect• thought process• thought content• cognition• insight/judgment
appearance - provides important clues about their mental status.
Assessment of appearancce - involves the observation and documentation of posture,
dress, grooming, physical appearance (including distinguishable markings such as
scars or tattoos), facial expressions, level of alertness, and attitudes.
Cultural Considerations - A client's dress or tattoos can reflect culture. For example, in
the Samoan and Hawaiian cultures, men sometimes wear a pareo which resembles a
skirt. Tattoos may symbolize a client's cultural identity or beliefs
Behavior - refers to how the client presents themselves during the examination.
Assessment of behavior - eye contact, psychomotor activity (increased or decreased),
movements, mannerisms, stereotypies, and posturing. Behavioral assessment: Observe
how the client responds to the exam. Are their responses appropriate to the topics? Can
they sit still
through the exam? Observe the client's gait as they walk into the office. Are their
movements coordinated, slowed, or excessive? -
Speech - Speech is an important diagnostic indicator.
Assessment of speech - general speech qualities including rate, rhythm, latency,
volume, and content.
Is the speech fast or slow? - rate
Is the speech monotone or slurred? - rhythm
Are there increased or decreased pauses between questions and answers? - latency
Is the speech soft, normal, or loud? - volume
Speech patterns - diagnostic indicators of a mental health issue when considered in the
context of other assessment findings.
For example, an individual who presents with an extremely rapid and pressured speech
with constant interruptions may be experiencing ＿＿＿ or ＿＿＿ - hypomania or mania
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