mental health biologic and social assessment
TRANSCRIPT
Judith D. Hiett, MSN, RN
Conditions of Use: Creative Commons Attribution-Noncommercial 3.0
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
Understand how stress might alter a client’s internal body functioning◦ Physical exam◦ Neurologic exam◦ Lab results◦ Activities, ability to function, exercise
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?
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
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