mental, pain, nutrition, spirituality, violence

mental status examination

assessment of current mental capacity through evaluation of general appearance

nutritional status

poor nutrition can result from medical or psychiatric disorders

anorexia nervosa

pt. is emaciated but still thinks she is fat

hygiene and dress

self care and cleanliness reflects pt.’s awareness and activity level

people usually maintain eye contact when they speak and track movement & gestures of interviewer

eye contact

psychomotor behavior

psychomotor activity
posture
facial expression
activity level

mood

pervasive and sustained emotion that colors the person’s perception of the world

affect

external expression of emotional responsiveness

speech

amount of speech
speed
articulation
rhythm

dysarthria

speech can be slurred

thought process

the way pt. puts thoughts together and associates between them

delusions

fixed false beliefs held by pt. and not shared by persons in his cultures

overvalued ideas

unreasonable sustained false beliefs held less firmly than delusions

phobias

unreasonable fear of exposure to specific objects or situations

hypochondria

exaggerated concern over one’s health based on false interpretation of physical signs

preception

interpretation of events

level of consciousnes

pt.’s awareness of and responsiveness to his internal and external enviroments

orientation

pt.’s awareness of his time, place, and person

concentration

ability to keep one’s attention on a certain task

memory

ability to recall information
- immediate, short & long term, remote

insight

degree of pt.’s awareness that he is ill

judgement

ability to choose appropriate goals and appropriate goals means to reach them

pain

an unpleasant sensory and emotional experience associated with actual or potential tissue damage

superficial

irritation to peripheral nerve endings

segmental

occurs in particular dermatome supplied by particular sensory nerve root

deep

irritation of deepest pain conveyed to brain

psychogenic

functional, emotional, lesion in spinothalamic tract

wong bakers facial pain rating scale

each facial feature is given a number 0 to 5 happy smiling face to a sad, teary face

violence

actual, attempted, or threatened physical harm that’s deliberate and nonconsenting

bullying

a reptitive horizontal or lateral violence and can be detrimental to a person’s physical or mental well being

culture assimilation

when minority groups living within the dominant group

stereotyping

involves assigning characteristics to a group of people without considering specific individuality

cultural imposition

everyone should conform to the majority belief system

cultural conflict

when one ridicules other beliefs

ethnicity

sense of identification that a cultural group collectiveley has

race

subculture of people characterized by specific characteristics

culture poverty

highest risk families are headed by one income single females

culture shock

feelings an individual experiences when placed in a different and often strange culture

folk healers

less expensive, more accessible

religion

organized system of beliefs

belief

commitment to something

hope

concept that incorporates spirituality

transcendence

often used interchangeably with self-transcendence

forgiveness

many clients feel a sense of shame or guilt

nutritional assessment

systematic process of collecting and interpreting information in order to make decisions about the nature and cause of nutrition related health issue

nutrition

plays a major role in the way and individual looks, feels, behaves

nutritional status

the body’s ability to fight disease greatly depends on the individual’s __

anthropometric measurement

measurement of size, weight, and proportions of human body

bmi (body mass index)

divide your weight in kilograms by your height in meters then divide the answer by your height again to get your bmi

biochemical measurement

useful in indicating malnutrition or the development of diseases as a result of over consumption of nutrients
serum & urine are commonly used