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Flashcards in Psych Assessment Deck (30)
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1
Q

What is the purpose of a psychosocial assessment?

A
  • Picture of current emotional state, mental capacity, and behavioral function
  • Basis for developing plan of care
  • Clinical baseline to evaluate effectiveness of treatment or measure patient’s progress
2
Q

What are some factor’s that could influence the assessment?

A
  • Patient participation and feedback
  • Client health status
  • Client’s previous experiences/misconceptions about health care
  • Client’s ability to understand
  • Nurses attitude/approach
3
Q

What type of environment should the assessment be conducted in?

A

A comfortable, private, and safe environment for both the client and the nurse

4
Q

What is included in the background assessment of the client?

A
  • Age
  • Developmental stage
  • Cultural considerations
  • Spiritual beliefs
  • Previous history
5
Q

What does the nurse asses for the clients overall appearance?

A
  • Hygiene/grooming
  • Appropriate dress
  • Posture
  • Eye contact
  • Unusual movements/mannerisms
  • Speech
6
Q

Neologisms

A

invented words that have meaning only to the client

7
Q

Mood

A

refers to the client’s pervasive and enduring emotional state

8
Q

Affect

A

the outward expression of the client’s emotional state

9
Q

What are some common terms used in assessing affect?

A
  • Blunted
  • Broad
  • Flat
  • Inappropriate
  • Restricted
10
Q

Blunted Affect

A

showing little or slow to respond facial expression

11
Q

Broad Affect

A

displaying a full range of emotional expression

12
Q

Flat Affect

A

showing no facial expression

13
Q

Inappropriate Affect

A

displaying a facial expression that is incongruent with mood or situation; often silly or giddy regardless of circumstances

14
Q

Restricted Affect

A

displaying one type of expression; usually serious or somber

15
Q

Thought Process

A

refers to how the client thinks

16
Q

Thought Content

A

is what the client actually says

17
Q

Circumstantial Thinking

A

a client eventually answers a question but only after giving excessive unnecessary detail

18
Q

Delusion

A

a fixed false belief not based in reality

19
Q

Flight of Ideas

A

excessive amount and rate of speech composed of fragmented or unrelated ideas

20
Q

Ideas of Reference

A

client’s inaccurate interpretation that general events are personally directed to him or her

21
Q

Loose Associations

A

disorganized thinking that jumps from one idea to another with little or no evident relation between thoughts

22
Q

Tangential thinking

A

wandering off the topic and never providing the information requested

23
Q

Thought Blocking

A

stopping abruptly in the middle of a sentence or train of thought; sometimes unable to continue the idea

24
Q

Thought Broadcasting

A

a delusional belief that others can hear or know what the client is thinking

25
Q

Thought insertion

A

a delusional belief that others are putting ideas or thoughts into the clients head

26
Q

Thought Withdrawal

A

a delusional belief that others are taking the client’s thoughts away and the client is powerless to stop it

27
Q

Word Salad

A

flow of unconnected words that convey no meaning to the listener

28
Q

Judgement

A

refers to the ability to interpret one’s environment and situation correctly and to adapt one’s behavior and decisions accordingly

29
Q

Insight

A

the ability to understand the true nature of one’s situation and accept some personality responsibility for that situation

30
Q

Self-Concept

A

the way one views oneself in terms of personal worth and dignity