Active Learning Template Nursing Skill Assessment of mental status PDF

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Summary

Assessing a patient's mental status...

Description

ACTIVE LEARNING TEMPLATE:

Nursing Skill

Lynch STUDENT NAME Abby _____________________________________ of mental status SKILL NAMEAssessment ____________________________________________________________________________

REVIEW MODULE CHAPTER ___________

Description of Skill Physical assessment for client condition, Psychosocial history, cultural beliefs & practices, Spiritual & religious beliefs, LOC, Physical appearance, Behavior, Cognitive & intellectual abilities.

Indications Client is having periods of normal functioning alternating with periods of illness, and some are not able to maintain full occupational and social functioning. May be exhibiting psychotic, paranoid, and bizarre behavior.

Outcomes/Evaluation Able to state positive coping behaviors; Identify maladaptive coping behaviors; Participate in community resources; List stress reduction techniques; Maintain housing and employment.

Potential Complications Relapse: Use of substances (alcohol, cocaine, caffeine) can lead to episodes, sleep disturbances can come before, be associated with, or be brought on, psychological stressors can triggers episodes; Not adhering to medication and psychotherapy groups.

ACTIVE LEARNING TEMPLATES

CONSIDERATIONS

Nursing Interventions (pre, intra, post) Include questions during physical assessment relating to difficulty sleeping, incontinence, falls/injuries, depression, dizziness, and loss of energy; Detailed medical Hx; Assess clients perception of own health, beliefs about illness and wellness; Activity/leisure activities; Clients stress level and coping abilities; Cultural factors that impact clients

Client Education Providing teach to client/family about medications; Monitoring for adverse effects and effectiveness of pharmacological therapy; Teaching social and coping skills; Case management to provide follow-up for client and family; Group, family, and individual psychotherapy; Benefits of psychotherapy and support groups

Nursing Interventions Using therapeutic communication; Assisting with problem solving; crisis intervention; stress management; orienting client to the physical setting; Ensuring safe environment; Assisting client to participate in activities; Offering assistance with self-care tasks; Setting incentives; Administering prescribed medications.

THERAPEUTIC PROCEDURE

A9...