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Health Assesment
Chapters 5-8
32
Nursing
Undergraduate 2
07/15/2012

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Term
MENTAL STATUS
Definition
A PERSON'S EMOTIONAL(FEELING) AND COGNITIVE(KNOWING) ALLOWS A PERSON TO FUNCTION SOCIALLY AND OCCUPATIONALLY.
Term
MENTAL DISORDER
Definition
APPERENT WHEN A PERSON'S RESPONSE IS MUCH GREATER THAN THE EXPECTED REACTION TO A TRAMATIC LIFE EVENT.
Term
ORGANIC DISORDERS
Definition
DISORDERS DUE TO BRAIN DIESASE OF KNOWN SPECIFIC ORGANIC CAUSE(E.G.,DELIRUM, DEMENTIA, ALCHOLOL AND DRUG INTOXICATION AND WITHDRAWAL).
Term
PSYCHIATRIC MENTAL ILLNESS
Definition
WHEN AN ORGANIC ETIOLOGY HAS NOT YET BEEN ESTABILISHED(E.G., ANXITY DISORDER OR SCHIZOPHRENIA).
Term
MENTAL STATUS ASSESSMENT
Definition
DOCUMENTS A DYSFUNTION AND DETERMINES HOW THAT DYSFUNTION AND DETERMIES HOW THAT DYSFUNCTION AND DETERMINES HOW THAT DYSFUNTION AFFECTS SELF-CARE IN EVERYDAY LIFE.
Term
CONSCOUSNESS
Definition
BEING AWARE OF ONE'S OWN EXSTENCE, FEELINGS, AND THOUGHT AND AWARE OF THE ENVIROMENT. THIS IS THE MOST ELEMENTARY OF MENTAL STATUS FUNCTIONS.
Term
LANGUAGE
Definition
USING THE VOICE TO COMMUNICATE ONE'S THOUGHTS AND FEELINGS. THIS IS A BASIC TOOL OF HUMANS, AND ITS LOSS HAS A HEAVY SOCIAL IMPACT ON THE INDIVIDUAL.
Term
MOOD AND AFFECT
Definition
BOTH OF THESE ELEMENTS DEAL WITH THE PREVAILING FEELINGS
Term
AFFECT
Definition
A TEMPORARY EXPESSION OF FEELINGS OR STATE OF MIND
Term
MOOD
Definition
MORE DURABLE, A PROLONGED DISPLAY OF FEELINGS THAT COLOR THE WHOLE EMOTIONAL LIFE.
Term
ORIGINATION
Definition
THE AWARENESS OF THE OBJECTIVE WORLD IN RELATION TO THE SELF.
Term
ATTENTION
Definition
THE POWER OF CONCENTRATION, THE ABILTY TO FOCUS ON ONE SPECIFIC THING WITHOUT BEING DISTRACTED BY MANY ENVIRONMENTAL STIMULI.
Term
MEMORY
Definition
THE ABILITY TO LAY DOWN AND STORE EXPERIENCES AND PERCEPTIONS FOR LATER RECALL.
Term
RECENT MEMORY
Definition
MEMORY THAT EVOKES DAY-TO-DAY EVENTS
Term
REMOTE MEMORY
Definition
MEMORY THAT BRINGS UP YEARS' WORTH OF EXPERIENCE.
Term
ABSTRACT MEMORY
Definition
PONDERING A DEEPER MEANING BEYOND THE CONCRETE AND LITERAL.
Term
THOUGHT PROCESS
Definition
THE WAY A PERSON THINKS, THE LOGICAL TRAIN OF THOUGHT.
Term
THOUGHT CONTENT
Definition
WHAT THE PERSON THINKS-SPECIFIC IDEAS, BELIEF, THE USE OF WORDS.
Term
PERCEPTION
Definition
AN AWARENESS OF OBJECTS THROUGH THE FIVE SENSES.
Term
FULL MENTAL STATUS EXAMINATION
Definition
A SYSTEMATIC CHECK OF EMOTIONAL AND COGNITIVE FUNCTIONING
Term
COMPONENTS OF THE MENTAL HEALTH STATUS EXAMINATION
Definition
A-PPEARANCE
B-EHAVIOR
C-OGNITION
T-HOUGHT PROCESS
Term
OBJECTIVE DATA-
APPEARANCE-
POSTURE
Definition
POSTURE IS ERECT, AND POSITION IS RELAXED.
Term
OBJECTIVE DATA-
APPEARANCE-
BODY MOVEMENT
Definition
BODY MOVEMENT ARE VOLUNTARY, DELIBERATE, COORDINATED AND SMOOTH AND EVEN.
Term
OBJECTIVE DATA-
APPEARANCE-
DRESS-
Definition
DRESS IS APPROPRIATE FOR SETTING, SEASON, AGE, GENDER, AND SOCIAL GROUP. CLOTHING FITS AND IS PUT ON APPROPRIATELY.
Term
OBJECTIVE DATA-
APPEARANCE-
GROOMING AND HYGIENE
Definition
THE PERSON IS CLEAN AND WELL GROOMED; HAIR IS NEAT AND CLEAN; WOMEN HAVE MODERATE OR NO MAKEUP; MEN ARE SHAVED, OR BEARED OR MUSTACHE IS WELL GROOMED. NAILS ARE CLEAN UNLESS JOBS LEAVE NAILS CHRONICALLY DIRTY. NOTE: A DISHEVELED APPEARANCE IN A PREVIOUSLY WELL-GROOMED PERSON IS SIGNIFICANT. USE CARE IN INTERPRETING CLOTHING THAT IS DISHEVELED,BIZARRE, OR IN POOR REPAIR PIERCING, AND TATTOOS, BECAUSE THESE SOMETIMES REFLECT THE PEARSON'S ECONOMIC STATUS OR A DELIBERATE FASHION TREND(ESPECIALLY AMONG ADOLESCENTS)
Term
OBJECTIVE DATA-
BEHAVIOR-
LEVEL OF CONSCIOUSNESS
Definition
THE PERSON IS AWAKE, ALERT, AWARE OF STIMULI FROM THE ENVIRONMENT AND WITHIN THE SELF, AND RESPONDS APPROPRIATELY AND REASONABLY SOON TO STIMULI.
Term
OBJECTIVE DATA-
BEHAVIOR-
FACIAL EXPRESSION
Definition
THE LOOK IS APPROPRIATE TO THE SITUATION AND CHANGES APPROPRIATELY WITH THE TOPIC. THERE IS COMFORTABLE EYE CONTACT UNLESS PRECLUDED BY THE CULTURAL NORM.
Term
OBJECTIVE DATA-
BEHAVIOR-
SPEECH
Definition
JUDGE THE QUALITY OF SPEECH BY NOTING THAT THE PERSON MAKES LARYNGEAL SOUNDS EFFORTLESSLY AND SHARE CONVERSATION APPROPRIATELY.
THE PACE OF THE CONVERSATION IS MODERATE AND STREAM OF TALKING IS FLUENT.
ARTICULATION(ABILITY TO FORM WORDS) IS CLEAR AND UNDERSTANDABLE.
WORD CHOICE IS EFFORTLESS AND APPROPRIATE TE EDUCATIONAL LEVEL. THE PERSON COMPLETES SENTENCES PAUSING TO THINK.
Term
OBJECTIVE DATA-
BEHAVIOR-
MOOD AND AFFECT
Definition
JUDGE THIS BY BODY LANGUAGE AND FACIAL EXPRESSION AND ASKING DIRECTLY, "HOW DO YOU FEEL TODAY," OR "HOW DO YOU USUALLY FEEL?" THE MOOD SHOULD BE APPROPRIATE TO THE PERSON'S PLACE AND CONDITION AND CHANGE APPROPRIATELY WITH TOPICS. THE PERSON IS WILLING TO COOPERATE WITH YOU.
Term
OBJECTIVE DATA-
COGNITIVE FUNCTION-
ORIENTATION
Definition
TIME:DAY OF THE WEEK, DATE, YEAR, SEASON
PLACE: WHERE A A PERSON LIVES, PRESENT LOCATION, TYPE OF BUILDING, NAME OF CITY AND STATE
PERSON: OWN NAME, AGE WHO EXAMINER IS, TYPE OF WORKER
Term
OBJECTIVE DATA-
COGNITIVE FUNCTION-
ATTENTION SPAN
Definition
A PERSON'S ABILITY TO COMPLETE A THOUGHT WITHOUT WANDERING.
Term
OBJECTIVE DATA-
COGNITIVE FUNCTION-
RECENT MEMORY
Definition
ASSESS RECENT MEMORY IN THE CONTEXT OF THE INTERVIEW BY THE 24-HOUR DIET RECALL OR BY ASKING THE TIME THE PERSON REPORTED TO THE AGENCY.
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