Mental Health Assessment (FINALS KASALI)

Question 1

repeated purposeless behaviors often indicative of
anxiety, such as drumming fingers, twisting locks of hair, or tapping
the foot

Answer 1

Automatism

Question 2

overall slowed movements

Answer 2

Psychomotor Retardation

Question 3

maintenance of posture or position over time even
when it is awkward or uncomfortable

Answer 3

Waxy Flexibility

Question 4

Invented words that have meaning only for the client

Answer 4

Neologism

Question 5

Client’s pervasive and enduring emotional state.
Subjective

Answer 5

Mood

Question 6

Outward expression of the client’s emotional state.
Objective

Answer 6

Affect

Question 7

showing little or a slow-to-respond facial expression

Answer 7

Blunted Affect

Question 8

displaying a full range of emotional expressions

Answer 8

Broad Affect

Question 9

showing no facial expression

Answer 9

Flat Affect

Question 10

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

Answer 10

Inappropriate Affect

Question 11

displaying one type of expression, usually serious or somber

Answer 11

Restricted Affect

Question 12

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

Answer 12

Circumstantial Thinking

Question 13

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

Answer 13

Flight of Ideas

Question 14

client’s inaccurate interpretation that general events are personally directed to him or her, such as hearing a speech on the news and believing the message had personal meaning

Answer 14

Ideas of Reference

Question 15

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

Answer 15

Loose Associations

Question 16

wandering off the topic and never providing the information requested

Answer 16

Tangential Thinking

Question 17

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

Answer 17

Thought Blocking

Question 18

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

Answer 18

Thought Broadcasting

Question 19

a delusional belief that others are putting ideas or thoughts into the client’s head—that is, the ideas are not those of the client

Answer 19

Thought Insertion

Question 20

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

Answer 20

Thought Withdrawal

Question 21

flow of unconnected words that convey no meaning to the listener

Answer 21

Word Salad

Question 22

a fixed false belief not based in reality

Answer 22

Delusion

Question 23

s involve the client’s belief that “others” are planning to harm the client or are spying, following, ridiculing, or belittling the client in some way.

Answer 23

Persecutory/paranoid delusions

Question 24

are characterized by the client’s claim to association with famous people or celebrities, or the client’s belief
that he or she is famous or capable of great feats.

Answer 24

Grandiose Delusion

Question 25

often center around the second coming of Christ or another significant religious figure or prophet.

Answer 25

Religious Delusion

Question 25

often center around the second coming of Christ or another significant religious figure or prophet.

Answer 25

Religious Delusion

Question 26

are generally vague and unrealistic beliefs about the client’s health or bodily functions. Factual information or diagnostic testing does not change these beliefs.

Answer 26

Somatic Delusion

Question 27

involve the client’s belief that his or her sexual behavior is known to others; that the client is a rapist, prostitute, or pedophile or is pregnant; or that his or her excessive masturbation has led to insanity.

Answer 27

Sexual Delusion

Question 28

are the client’s belief that his or her organs aren’t functioning or are rotting away, or that some body part or feature is horribly disfigured or misshapen.

Answer 28

Nihilistic delusions

Question 29

Involve the client’s belief that television broadcasts, music, or newspaper articles have special meaning for him or her.

Answer 29

Referential delusion or ideas of reference

Question 30

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

Answer 30

Judgment

Question 31

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

Answer 31

Insight

Question 32

Factors Influencing Assessment

Answer 32

Client participation/feedback Clients health status Client’s previous experience/misconception about health care Clients ability to understand Nurse’s attitude and approach

Question 33

Contents of the Mental Health Assessment

Answer 33

History General appearance and motor behavior Mood and affect Thought process and content Sensorium and intellectual processes Judgment and insight Self-concept Roles and relationships Physiologic and self-care concerns

Question 34

Mood Descriptions

Answer 34

Happy Sad Depressed Euphoric Anxious Angry Labile (Rapidly changing)

Question 35

Client's recognition of person, place, and time.

Answer 35

Orientation

Question 36

recent and remote, by asking questions with verifiable answers

Answer 36

Memory

Question 37

Sensorium and Intellectual Processes Assessment

Answer 37

Ability to concentrate Abstract thinking Intellectual abilities

Question 38

What are the types of hallucinations?

Answer 38

Visual hallucinations - sight Olfactory hallucinations - smell Gustatory hallucinations - taste Auditory hallucinations - hearing Tactile hallucinations - touch

Question 39

10 stimulus cards of inkblots; client describes perceptions of inkblots; narrative interpretation discusses areas such as coping styles, interpersonal attitudes, characteristics of ideation

Answer 39

Rorschach Test

Question 40

20 stimulus cards with pictures; client tells a story about the picture; narrative interpretation discusses themes about mood state, conflict, quality of interpersonal relationships

Answer 40

Thematic Apperception Test (TAT)

Question 41

Client completes a sentence from beginnings such as "I often wish," "Most people," and "When I was young."

Answer 41

Sentence Completion Test

Question 42

What is the purpose of psychosocial assessment?

Answer 42

to construct a picture of the client’s current emotional state, mental capacity, and behavioral function.

Question 43

What areas that are often difficult for nurses to assess?

Answer 43

sexuality and self-harm behaviors and suicidality