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psych prelims
week 4
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Psychosocial
Assessment
is an evaluation of an individual's mental health and social well-being.
Psychosocial Assessment assesses
self-perception
and the individual's ability to
function
in the community.
component of psychosocial assessment: client (i)
initial
information
component of psychosocial assessment: presenting (p)
problem
component of psychosocial assessment: (p)
present
and (p)
past
health history
component of psychosocial assessment: relevant (f)
family
history
component of psychosocial assessment: (r)
response
to mental health problems
component of psychosocial assessment: risk assessment on (s)
suicide
or (h)
homicide
component of psychosocial assessment: (p)
psychosocial
development of the patient
Manifestations Seen in Patients with Mental Disorders: disturbance in (a)
affect
Manifestations Seen in Patients with Mental Disorders: disturbance in (t)
thoughts
Manifestations Seen in Patients with Mental Disorders: disturbance in (p)
perception
Manifestations Seen in Patients with Mental Disorders: disturbance in (m)
motor
(b)
behavior
Manifestations Seen in Patients with Mental Disorders: disturbance in (m)
memory
component of psychosocial assessment: Client
Initial
Information
patient’s name, address, age, gender
component of psychosocial assessment:
Present
and
Past
Health History
existing and past medical & mental illness
hospitalizations
medications and other treatment
physiologic and self-care problem
component of psychosocial assessment: Relevant
Family
History
family’s physical and mental health problems
use and abuse of recreational drugs by the family
component of psychosocial assessment: Response to Mental Health Problems
relationship
changes
role change
lifestyle change
self-concept change
component of psychosocial assessment: Risk Assessment on Suicide or Homicide
ideation
: “are you thinking about killing yourself?”
component of psychosocial assessment: Risk Assessment on Suicide or Homicide
plan
: “do you have a plan of killing yourself?”
component of psychosocial assessment: Risk Assessment on Suicide or Homicide
method
: “how do you plan to kill yourself?”
component of psychosocial assessment: Risk Assessment on Suicide or Homicide
access
: “how would you carry out this plan?”
component of psychosocial assessment: Risk Assessment on Suicide or Homicide
where
: “where would you kill yourself?”
component of psychosocial assessment: Risk Assessment on Suicide or Homicide
when
: “when do you plan to kill yourself?”
component of psychosocial assessment: Risk Assessment on Suicide or Homicide
timing
: “what day or time of day do you plan to kill yourself?”
component of psychosocial assessment: Psychosocial Development of the Patient
childhood.
describe nurturing done by their primary caregivers
component of psychosocial assessment: Psychosocial Development of the Patient
adolescence.
describe peer group
normal state of affect:
euthymic
inappropriate
affect: disharmony between thought and emotional response
flat affect – no emotion attached to the content of speech
blunt
affect – decreased emotional response
elated affect – extreme and inappropriate joyfulness associated with increased motor activity and speech
depressed or dysphoric affect – pathologic feeling of sadness
anger
or
aggression
– pathologic feeling of hostility
anxious
– grieve feeling of apprehension
labile
affect – change of emotion from happiness to tearfulness in a very short span of time
(d)
delusion
– false belief that cannot be corrected by reasons.
(p)
persecutory
– false belief that others are against them or will harm them
(n)
nihilistic
– false belief that one denies existence of self or part of self
(b) thought
broadcasting
– false belief that one’s thought can be read by others
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