NR 509 Week 8 Final Exam Study Guide (Collection)
NR 509 Week 8 Final Exam Study Guide
NR509 Week 8 Group Final Exam Study Guide
Behavior/Mental Health Assessment and Modification for Age
- Unexplained conditions lasting >6weeks should prompt screening for depression, anxiety, or both
- PRIME-MD (Primary Care Evaluation of Mental Disorders). 26 questions and take 10 minutes to complete. Used for the 5 most common=anxiety, depression, alcohol, somatoform, and eating disorders.
- Patient indications for Mental Health Screening:
- Medically unexplained physical symptoms-more than half have depression and anxiety disorders
- Multiple physical or somatic symptoms or high symptom count
- High severity of the presenting somatic symptoms, chronic pain
- Symptoms for more than 6 weeks
- Physician rating as a “difficult encounter”
- Recent stress
- Low-self rating of overall health
- Frequent use of health care services
- Substance abuse.
- CAGE=substance-related and addictive disorders
Name: Jennifer Lucas
Status: Online ⬤
Classes Taken: 3878
Modification for Age
- Complain of memory problems but usually is due to benign forgetfulness
- Retrieve and process data more slowly and take longer to learn new information
- Slower motor responses and their ability to perform complex task may diminish
- Important to distinguish age-related changes from manifestations of mental disorders
- More susceptible to delirium which can be the first sign of infection, problems with medications, or impending dementia
Infant: Assess mental status of a newborn=observing newborn activities
- Look at human faces and turn to parents voice
- Ability to shout out repetitive stimuli
- Bond with caregiver
Normal VS. Abnormal Findings and Interpretation
- Lethargic: drowsy, but open their eyes and look at you, respond to questions, and then fall asleep.
- Obtunded: open their eyes and look at you, but respond slowly and are somewhat confused.
- Agitated depression: crying, pacing, and hand-wringing
- Depression: the hopeless slumped posture and slowed movements.
- Grooming and personal hygiene may deteriorate: Depression, schizophrenia, and dementia
- Manic Episode: the agitated and expansive movement of a manic episode