Mental Health notes

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Chapter 1: Basic Mental Health Nursing Concepts Various methods to assess clients: observation, interviewing, physical examination and collaboration Care is based on standards set by the American N... urses Association, American Psychiatric Nurses Association and the International Society of Psychiatric­Mental Health Nurses Mental Status Examination MSE Level of consciousness may be described using following terms: Alert Lethargy Obtundation­ shaken to elicit response, confused and slow to respond Stupor­requires painful stimuli Coma Decorticate rigidity­ flexion and internal rotation of upper­extremity joints and legs Decerebrate rigidity­ neck and elbow extension, wrist and finger flexion Affect­ objective expression of mood Mini­Mental State Examination Objectively assess a client’s cognitive status by evaluation: orientation to place and time, counting backward by seven, recalling of objects and language Glasgow Coma Scale Baseline assessment of a client’s level of consciousness for ongoing assessment. Eye movement, motor response, verbal is all evaluated. Highest point value is 15= awake and responding appropriately. 3=coma [Show More]

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