Flashcards in Chapter 6 Assessing mental status Deck (16):
What does mental health refer to?
cognitive and emotional functioning
What is cognitive functioning?
thinking, knowledge, and problem solving
What is emotional functioning?
feelings, mood, behaviors, and stability
What is the World Health Organization definition of mental health?
Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
What factors affect mental health?
economic and social factors
unhealthy lifestyle choices
exposure to violence
changes or impairments in structure and function of the neurologic system
psychosocial development level and issues
Features of a mental disorder
behavioral psychological syndrome or pattern that occurs in an individual
reflects an underlying psychobiologic dysfunction
consequences of which are clinically significant distress or disability
must not be merely an expectable response to stressors and losses or a culturally sanctioned response to a particular event
that is not primarily a result of social deviance or conflicts with society
How to asses mental status
observe the client's level of consciousness/orientation
use Glasgow Coma Scale
observe posture, gait, and body movements
observe behavior and affect
observe dress and grooming
observe mood, feelings, and expressions
observe thought processes and perceptions
assess concentration, recent memory, and remote memory
client opens eyes answers questions and falls back asleep
client opens eyes to loud voice, responds slowly with confusion and seems aware of environment
client awakens to vigorous shake or painful stimuli but returns to unresponsive sleep
Client remains unresponsive to all stimuli eyes stay closed
voice volume disorder caused by laryngeal disorders or impairment of cranial nerve X (vagus nerve)
Define cerebellar dysarthria
irregular, uncoordinated speech caused by multiple sclerosis (MD)
difficulty producing or understanding language, caused by motor lesions in the dominant cerebral hemisphere
Define Wernicke's aphasia
rapid speech that lacks meaning, caused by a lesion in the posterior superior temporal lobe