NR 509 FINAL EXAM STUDY GUIDE

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NR 509 FINAL EXAM STUDY GUIDE Chapter 5 Ashley (1-6)/ Catlin (7-9) Behavior/Mental Health Assessment and Modification for Age -Unexplained conditions lasting >6weeks should prompt screening for d... epression, anxiety, or both -PRIME-MD (Primary Care Evaluation of Mental Disorders). 26 questions and take 10 minutes to complete. Used for the 5 most common=anxiety, depression, alcohol, somatoform, and eating disorders. -Patient indications for Mental Health Screening: 1.Medically unexplained physical symptoms-more than half have depression and anxiety disorders 2.Multiple physical or somatic symptoms or high symptom count 3.High severity of the presenting somatic symptoms, chronic pain 4.Symptoms for more than 6 weeks 5.Physician rating as a “difficult encounter” 6.Recent stress 7.Low-self rating of overall health 8.Frequent use of health care services 9.Substance abuse. -CAGE=substance-related and addictive disorders Modification for Age Elderly: -Complain of memory problems but usually is due to benign forgetfulness -Retrieve and process data more slowly and take longer to learn new information -Slower motor responses and their ability to perform complex task may diminish -Important to distinguish age-related changes from manifestations of mental disorders -More susceptible to delirium which can be the first sign of infection, problems with medications, or impending dementia Infant: Assess mental status of a newborn=observing newborn activities 1.Look at human faces and turn to parents voice 2.Ability to shout out repetitive stimuli 3.Bond with caregiver 4.Self-soothe [Show More]

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