Mental Health Assessment

Question 1

Definition of mental heath according to ‘WHO’

Answer 1

mental health is a relative and ongoing state of wellbeing in which:
- individual realize their ability
- cope with the normal stresses of life
- work productively
- contribute meaningfully to the community

Question 2

3 factors that support resilience(being able to cope with challenges)

Answer 2

• estabity social network/connection
• engaging in activities that promote heath
• establing psychological coping strategies

Question 3

what is cocurrent disorder

Answer 3

combination of mental health disorder and substance use abuse

Question 4

component of mental health history

Answer 4

• interview
• observation
• examination interview
• collaboration with health care team

Question 5

what is a mental health examination?

Answer 5

its an integral subset of comprehensive mental health nursing assessment which involves sequence of steps that form a hierarchy in which the most basic function are assessed first.

Question 6

Components of a mental status examination (ABCT)

Answer 6

(ABCT)
- appearance
- behaviour
- cognitive (consciousness, memory, concentration)
- thinking

Question 7

• Abstract thinking (the ability to consider a hypothetical situation) usually develops between ages?

Answer 7

12-15 years old

Question 8

• The concept of language has a social tool of communication occurs around ?

Answer 8

3 to 5 years of age

Question 9

7. Describe the Montreal Cognitive Assessment tool used to differentiate dementia & delirium from psychiatric mental illness.

Answer 9

• Montreal Cognitive Assessment (MoCA) tool is used and was developed to enable earlier detection of mild cognitive impairment (MCI). Scores on the MoCA range from 0 to 30, with a score of 26 and higher generally considered normal.

Question 10

during a suicide risk assessment, you ask general questions first before asking specific question. true or false?

Answer 10

true

Question 11

describe the the mini-mental state exam

Answer 11

• The Mini-Mental State Examination (MMSE) can be used instead of the full mental status examination when time is limited
• The Folstein Mini-Mental State Examination (MMSE) is fre¬quently used to evaluate a person’s cognitive and mental function and initially was designed as a screening test for dementia.
• is an 11-question measure that tests five areas of cognitive function: orientation, registration, attention and calculation, recall, and language.
• The maximum score is 30. A score of 23 or lower is indicative of cognitive impairment

Question 12

——- is a screening tool designed to help parent/caregiver monitor children development from birth to 6 years

Answer 12

Nipissing district development screen

Question 13

a reliable screening instrument for aged 4 to 18 years

Answer 13

Pediatric Symptom checklist

Question 14

what is set test?

Answer 14

its a test developed specifically for older adult to sceen dementia.
the patient name 10 items in each og the four categories (fact)
- fruit
- animal
- color
- town

Question 15

what is a clock test?

Answer 15

its when the patient is asked to draw clock face to depict a specific time

Question 16

unconscious, responds to vigorious shake, confused when woken up

Answer 16

Stupor (semi-coma) level of consciousness

Question 17

Not fully alert, can be woken with name calling

Answer 17

lethargic or somnolent level of consciousness

Question 18

transition betweern stupor and lethargic

Answer 18

obtunded level of consciousness