Flashcards in Psych Assessment Deck (30)
What is the purpose of a psychosocial assessment?
-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
What are some factor's that could influence the assessment?
-Patient participation and feedback
-Client health status
-Client's previous experiences/misconceptions about health care
-Client's ability to understand
What type of environment should the assessment be conducted in?
A comfortable, private, and safe environment for both the client and the nurse
What is included in the background assessment of the client?
What does the nurse asses for the clients overall appearance?
invented words that have meaning only to the client
refers to the client's pervasive and enduring emotional state
the outward expression of the client's emotional state
What are some common terms used in assessing affect?
showing little or slow to respond facial expression
displaying a full range of emotional expression
showing no facial expression
displaying a facial expression that is incongruent with mood or situation; often silly or giddy regardless of circumstances
displaying one type of expression; usually serious or somber
refers to how the client thinks
is what the client actually says
a client eventually answers a question but only after giving excessive unnecessary detail
a fixed false belief not based in reality
Flight of Ideas
excessive amount and rate of speech composed of fragmented or unrelated ideas
Ideas of Reference
client's inaccurate interpretation that general events are personally directed to him or her
disorganized thinking that jumps from one idea to another with little or no evident relation between thoughts
wandering off the topic and never providing the information requested
stopping abruptly in the middle of a sentence or train of thought; sometimes unable to continue the idea
a delusional belief that others can hear or know what the client is thinking
a delusional belief that others are putting ideas or thoughts into the clients head
a delusional belief that others are taking the client's thoughts away and the client is powerless to stop it
flow of unconnected words that convey no meaning to the listener
refers to the ability to interpret one's environment and situation correctly and to adapt one's behavior and decisions accordingly
the ability to understand the true nature of one's situation and accept some personality responsibility for that situation