Download - Mental Health Biologic And Social Assessment
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Judith D. Hiett, MSN, RN
Conditions of Use: Creative Commons Attribution-Noncommercial 3.0
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Appearance◦ Behavior, mood, grooming, relaxed state,
confidence Level of consciousness
◦ Oriented to time, place, person◦ Memory intact◦ Able to think abstractly
Speech◦ content, thought processes◦ Insight and judgment◦ Self-perception
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Understand how stress might alter a client’s internal body functioning◦ Physical exam◦ Neurologic exam◦ Lab results◦ Activities, ability to function, exercise
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Sleep patterns disruptions, inability to fall &/or stay asleep, constant
sleeping Nutritional assessment
Lack of appetite, failure to enjoy food, overeating, eating disruptions
Pharmacological assessment What meds is client currently taking that may account
for behavior?
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Family history, client lifestyle, life-changing events, presence of social support systems◦ Cultural practices◦ Community resources◦ Spiritual concerns◦ Occupational assessment
Can client continue to work?◦ Economic status
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Interaction with others◦ Family communication patterns, level of cohesion,
flexibility, function , and general support◦ Satisfying interpersonal relationships◦ Ability to cope with stress◦ Ability to trust
Conditions of Use: Creative Commons Attribution-Noncommercial 3.0