Thought Processes
Term-cumbersome detail, often unnecessary detail, but return to the point
Circumstantial Communication
Term-believes thoughts are aired outside of head
Thought Broadcasting
Term-obsessed with religion and may believe they are favored by a higher being or an instrument of that being
Religious Delusion
Term-things heard, seen, felt, smelled, or tasted that are not real, but are very real to the patient
Hallucination
This tool can be used to gather assessment data
Mental Status Exam
Term- word selected are determined by sound or rhyme
Clang Associations
Term-believes thoughts are placed in one's head by outside people or influences
Thought Insertion
Term-false beliefs about the body or it's functioning
Somatic
Term-misinterpretation of a stimulus
Illusion
These are barriers to consider when performing a mental status exam.
Cannot pay attention
Completely unable to speak
Unconscious
Language Barrier
Term-takes things literally.
Concrete communication or thinking.
Term-believes thoughts are withdrawn from one's mind
Thought withdrawal
Term-believe they are important or possess greatness or special powers
Grandiose Delusions
Term-words created by the client that appear to have meaning only to them
Neologisms
These are strategies to develop a rapport
Provide privacy and physical comfort
Welcome the client to the meeting
State the purpose of the meeting
Ask them permission to talk to them or ask questions
Use a calm and respectful demeanor
Encourage open communication
Acknowledge and validate patients concerns
Demonstrate care and concern for their situation
Term-fast speech with rapid changes of topic
Flight of Ideas
Term-feeling of having lost identity and that things arounds are different, strange, or unreal
Depersonalization
Term-extreme suspiciousness or distrust of others, thinks some is out to get them.
Paranoid Delusion
Term-Involuntary, excessive continuation or repetition of a single response, activity, idea, speech, or movement
Perseveration
These are strategies for therapeutic communication
Ask open ended questions
Allow the client to explain things in his/her own words
Encourage the client to explain and elaborate
Avoid interrupting the client
Guide the interview as necessary
Avoid asking "Why" questions
Listen for verbal cues and watch non-verbal cues
Term-ideas are irrelevant and shift from one unrelated subject to another
Loose Associations
Term-somatic concern and morbid attention to details of body and bodily functions; illness with no pathology
Hypochondriasis
Term-believes someone of higher status is in love with him or her
Erotomania
Term-never returns to central point or answers original question
Tangential Communication
The hallmark of psychiatric disorders in children is _________.
Regression
Term-persistently repeating what others say
Echolalia
Term-belief that they are being talked about or laughed about by others
Ideas of Reference
Term-feels threatened and believes that others are out to get them
Persecution Delusion
Term-marked and persistent fears that are excessive and unreasonable
Phobias
Adolescents are concerned with ___________ and __________.
confidentiality and privacy
Term-speaks little, monosyllables
Poverty of Speech
Term-belief that thinking equals doing. "If I think it-it will happen."
Magical Thinking
Term-Everything in the environment refers to them
Reference Delusion
Term-vague statements
Poverty of Content
Rule out any physical causes of psychiatric symptoms
Term-absence of talking but appears to know what is being said to them
Term-persistent unwanted thoughts, ideas, emotions, impulses or images that cannot be controlled by the person's will
Obsessions
Term-false idea that self, part of self, or others in the world are nonexistent
Nihilistic
Term-thoughts are harming self
Suicidal Ideation
What cultural consideration should the nurse consider in information gathering (during assessment)?
What is primary language?
Health care practices or beliefs that will impact the care of the patient?
How would you describe your cultural background?
Are there any special foods that you eat or cannot eat?