NR 509 FINAL EXAM STUDY GUIDE
Chapter 5 Ashley (1-6)/ Catlin (7-9)
Behavior/Mental Health Assessment and Modification for Age
-Unexplained conditions lasting >6weeks should prompt screening for depression, anxiety,
...
NR 509 FINAL EXAM STUDY GUIDE
Chapter 5 Ashley (1-6)/ Catlin (7-9)
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:
1.Medically unexplained physical symptoms-more than half have depression and anxiety disorders
2.Multiple physical or somatic symptoms or high symptom count 3.High severity of the presenting somatic symptoms, chronic pain 4.Symptoms for more than 6 weeks
5.Physician rating as a “difficult encounter”
6.Recent stress
7.Low-self rating of overall health 8.Frequent use of health care services 9.Substance abuse.
-CAGE=substance-related and addictive disorders
Modification for Age
Elderly:
-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 1.Look at human faces and turn to parents voice
2.Ability to shout out repetitive stimuli
3.Bond with caregiver 4.Self-soothe
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