Appearance
A neat and clean appearance.
What is a well-kempt appearance.
Impairment of the ability to produce language (spoken, manual, or written), although comprehension generally remains intact.
What is expressive aphasia?
The meaning of oriented x 4.
Oriented to person, place, time, and situation.
The process of gradually departing from the topic being discussed.
What is tangentiality?
A loss of contact with reality, and difficulty differentiating between what is real and what is not.
What is psychosis?
Characteristics that can help people react to difficult situations with resilience and reduce risk for negative outcomes.
What are protective factors?
An untidy or poorly groomed appearance.
What is disheveled.
Involuntary, sudden, and repetitive movements or sounds.
What are tics?
Understanding and awareness of the situation one is in.
What is insight?
A thought disorder that involves rapid jumps from one topic to the next.
What is a flight of ideas?
A type of hallucination characterized by a feeling of movement or physical contact in the body that isn't real.
What are tactile hallucinations?
The assessment tool used to identify fall risk in AHS acute care settings.
What is the Schmid Fall Risk Assessment?
The presence of visible tattoos, birthmarks, scars, etc. that can help identify a person.
What are distinguishing marks?
How a nurse might describe a patient's attitude if they exhibit a lack of trust, for example, they refuse to be examined?
What is guarded?
An affect that is appropriate but diminished in intensity or range.
What is restricted affect?
This type of delusion involves the belief that one has exceptional abilities or status.
What is a grandiose delusion?
A misinterpretation of external stimuli.
What is an illusion?
A set of strategies developed to prevent the transmission of blood borne pathogens.
What are universal precautions?
An inability to tend to one's ADLs that may result in an unkempt appearance and/or poor hygiene.
What is a self-care deficit?
Excessive, rapid, and intense speech that presents as urgent.
What is pressured speech?
Unpredictable shifts in emotional state.
What is labile affect?
Abrupt stoppage of speech in the middle of a sentence without explanation.
What is thought blocking?
Auditory hallucinations that instruct the listener to act in specific ways.
What are command hallucinations?
Risk of a patient leaving their unit or facility without notice and/or approved leave.
What is elopement risk?
You are assessing your instructor- describe their appearance as if you were writing a nursing note.
Hopefully something amusing, but factual will do!
Inner restlessness and inability to sit still.
What is akathesia?
When one's stated mood and affect are not aligned.
What is incongruency?
A lack of connection between ideas.
What are loose associations?
Feeling like you are disconnected from your body or thoughts.
What is depersonalization?
Wishing for or pre-occupation with one's death without plan or intent.
What is passive suicidal ideation?