Mental Health Assessment

Which 6 mental health problems are commonly assessed for during an initial patient admission?

depression, anxiety, alcohol use, recreational drugs, interpersonal violence, and past mental illness treatment.

Which 4 things are commonly assessed for during an initial patient problem-based history?

stressors, anger, self-concept, and interpersonal relationship issues

Which 3 mental health problems are commonly assessed for during an initial patient family history?

mental illness, alcoholism, and drug abuse

What are 5 additional common mental health problems?

mood disorders, psychotic disorders, anxiety disorders, substance use disorders, and neurocognitive disorders

What are 3 kinds of mood disorders?

major depression, postpartum depression, and bipolar

What are 3 kinds of anxiety disorders?

GAD, OCD, and PTSD

What are 2 neurocognitive disorders?

delirium and dementia

What are 6 ways that observable findings?

• _____, ________ and movement

• level of ____________ and _______

• dress and ________

• facial expression, ______ of voice, and _______.

• ___________, and muscle _______ (stress response)

• _______

gait, posture, consciousness, affect, hygiene, tone, speech, perspiration, tension, vitals

Mental Health Efffects… (3)

cognition, functional ability, and clear communication

What are 4 components of cognition?

orientation, memory, judgement, and reasoning

What physical assessment findings MAY be present in a patient suffering from depression?

• poor _______, disheveled appearance

• _____ _______, slowed speech, and dec. _____ contact

• low ______, changes in _______ or _______.

hygiene, flat affect, eye, energy, weight, sleep

What 7 physical assessment findings MAY be present in people suffering from drug/alcohol abuse?

alcohol odor, tremors, sweating, elevated BP/HR, agitation or slow movements, poor coordination, injuries

What physical assessment findings MAY be a sign that someone is suffering from interpersonal violence?

• ______, wounds, abrasions in various stages of healing

• _________ eye contact

• nervousness/__________

• ___________ injury explanations

bruises, avoidant, fearfulness, inconsistent

What are some Risk Factors for Depression and Suicide?

• past mental _______

• family history of mental illness, alcholoism, and drug abuse

• recent ________, major life _______

• poor ____-_______

• problems in ____________

• substance use

• mood disorders

• feelings of __________

• history of ___________ or ________

• _______ illnesses

illness, stressors, changes, self-esteem, reltionships, hopelessness, violence, trauma, chronic

What screening tool is used to test depression?

PHQ-2/PHQ-9

What screening tool is used to test anxiety?

GAD-7

What 2 screening tools are used to test for alcohol use?

CAGE and AUDIT

What screening tool tests for drug use?

DAST-10

What screening tool tests for interpersonal violence?

HITS or danger assessment

What are characteristics of Communications are employed in a mental health assessment?

• _____-_______ questions

• ____________, therapeutic phrasing

• ________, and ______ listening

• ___________

• ___________- giving

• direct, simple, and clear questions

• avoid __________ questions

• assure _______.

open, ended, nonjudgemental, empathy, active, normalization, permission, leading, privacy

If a patient test positive for depression, what type of follow-up is required?

perform a full mental status assessment, ask about suicidal ideation, notify provider immediately

If patient tests positive for suicidal ideation, what follow-up is required? (4)

don’t leave patient alone, notify provider, follow hospital suicide precautions, and emergency psych eval

If a patient tests positive for alcohol or drug abuse what follow-up is required? (5)

perform substance abuse assessment, notify provider, asses withdrawal risk, implement safety precautions, and provide resources/referrals

If a patient tests positive for interpersonal violence what follow-up is required? (5)

ensure privacy and safety, assess immediate danger, follow protocols for mandatory reporting, connect to resources, document EXACT statements.

Speech jumping rapidly from one topic to the other

flight of ideas

How do you test a client’s risks of alcohol abuse? (they drink 6 beers nightly)

perform CAGE