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Flashcards in Psych Assessment Deck (30)
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1

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

2

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
-Nurses attitude/approach

3

What type of environment should the assessment be conducted in?

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

4

What is included in the background assessment of the client?

-Age
-Developmental stage
-Cultural considerations
-Spiritual beliefs
-Previous history

5

What does the nurse asses for the clients overall appearance?

-Hygiene/grooming
-Appropriate dress
-Posture
-Eye contact
-Unusual movements/mannerisms
-Speech

6

Neologisms

invented words that have meaning only to the client

7

Mood

refers to the client's pervasive and enduring emotional state

8

Affect

the outward expression of the client's emotional state

9

What are some common terms used in assessing affect?

-Blunted
-Broad
-Flat
-Inappropriate
-Restricted

10

Blunted Affect

showing little or slow to respond facial expression

11

Broad Affect

displaying a full range of emotional expression

12

Flat Affect

showing no facial expression

13

Inappropriate Affect

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

14

Restricted Affect

displaying one type of expression; usually serious or somber

15

Thought Process

refers to how the client thinks

16

Thought Content

is what the client actually says

17

Circumstantial Thinking

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

18

Delusion

a fixed false belief not based in reality

19

Flight of Ideas

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

20

Ideas of Reference

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

21

Loose Associations

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

22

Tangential thinking

wandering off the topic and never providing the information requested

23

Thought Blocking

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

24

Thought Broadcasting

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

25

Thought insertion

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

26

Thought Withdrawal

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

27

Word Salad

flow of unconnected words that convey no meaning to the listener

28

Judgement

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

29

Insight

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

30

Self-Concept

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