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Psychiatric Nursing ProcessPsychiatric Nursing: Contemporary Practice

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Question Answer
A person who expresses emotions consistent with their stated feelings and content being expressed is described as having what range of affect?
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Full range
Why is assessment of a patient's speech important?
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Speech provides clues about a patient's thoughts, emotional patterns and cognitive organization.
What terms are used to describe a patient's speech?
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Pressured, fast, slow or fragmented
How does a nurse assess a patient's comprehension?
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Ask the patient to name objects
How does a nurse assess a patient's cognition?
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By using memory, calculation and reasoning tests to identify specific areas of impairment.
What are the components of cognition that are assessed by the nurse?
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Attention & Concentration, Abstract Reasoning & Comprehension, Memory and Insight
What test is used to assess for a patient's concentration/attention?
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Ask the patient to subtract 7 from 100 until they reach 65, or subtract 3 from 20 until they reach 0.
What test is used to assess for a patient's abstract reasoning and comprehension?
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Ask them to interpret a proverb like A penny saved is a penny earned.
What test is used to assess a patient's immediate and short term memory?
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Give the patient three unrelated words and ask them to repeat them immediately, in 5 minutes, and again in 15 minutes.
_________ is a person's awareness of his/her own thoughts and feelings and ability to compare them with the thoughts and feelings of others.
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Insight
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_________ is the ability to reach a logical decision about a situation and to choose a course of action after examining and analyzing various possibilities.
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Judgment
What should a nurse attempt to identify when assessing a patient's behavior?
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Patterned behaviors in relation to specific events
_______ develops over a lifetime and is comprised of a person's total beliefs about their body image, self-esteem and personal identity.
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Self-concept
How is self-concept assessed?
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By eliciting a patient's thoughts about themselves and their ability to navigate the world or asking them to draw a self-portrait and then analyzing the details of the drawing
What is a clear indication of a poor self-concept?
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A disheveled, sloppy appearance outside of cultural norms and/or negative self-statements (I'm so stupid),.
What are indicators of a low self-esteem when analyzing a self-portrait?
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Small size, lack of color variation and sparse details.
What are indicators of powerlessness and feelings of inadequacy when analyzing a self-portrait?
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Lack of a head, mouth, arms, feet or eyes
What indicates feelings of insecurity and inadequacy when analyzing a patient's self-portrait?
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A lack of symmetry
________ is a person's beliefs and attitudes about his or her body and includes such dimensions as size and attractiveness.
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Body image
What are nonverbal behaviors that indicate problems with body image?
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Avoiding looking at or touching a body part, hiding the body in oversized clothing or bandaging an area of dislike like a mole on the face.
________ is a person's attitude and satisfaction about one's self.
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Self-esteem
  
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