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Mental health is an essential part of ones total health and is more than just the
absence of mental disabilities or disorders. It is defined as state of well-being on
which the individual realizes his or her own abilities, can cope with the normal
stresses of life, can work productively and is able to make a contribution to his or
her community. Is reflected to the following elements.
Outline of a Mental Status Assessment: The following elements may be
included in a mental status assessment:
Appearance
Motor
Speech
Affect
Thought Content
Thought Process
Perception
Intellect
Insight
FACTORS AFFECTING MENTAL HEALTH factors that may influence the clients
mental health or put him or her at risk for impaired mental health.
MENTAL DISORDER is a disorder that has the following features (APA, 2012):
That is not primarily the result of social deviance or conflicts with society
Appearance:
Sex, Race
o
Elevated shoulders towards ears and hold body stiffly client is tense or
anxious
Not alert to person, place day or time; does not respond appropriately
Motor:
Speech:
Ask the client to read from printed material appropriate for his
or her educational level
Spontaneity
Affect:
Thought Process:
Thought Content:
Ruminations
Magical ideation
Overvalued ideas
Perception:
Depersonalization
Dj vu, Jamais vu
Intellect:
Insight:
Awareness of illness
Explain the purpose of assessing mental status explain that some questions
sound silly or irrelevant but it will help
Ensure confidentiality and respect for all that the clients share with you
Keep in mind that problems with other body systems may affect mental
status
BIOGRAPHICAL DATA
What is your name, address and telephone number? provide baseline data
How old are you? What is your date of birth? Note if the client is male or female.
to determine a reference point for clients psychosocial developmental level and
appearance
What is your marital status? relationships
What is your educational level and where are you employed? healthy lifestyles
influence ones ability to more effectively cope with mental disorders
ACTIVITY:
1. GO TO A COMMUNITY SHOPPING MALL DURING A BUSY TIME OF THE
DAY. SIT AND OBSERVE THOSE WHO PASS BY NOTING THEIR HYGIENE,
BEHAVIORS, FACIAL EXPRESSIONS, MANNERISMS AND SPEECH.
2. PAIR UP WITH A PEER AND TAKE TURNS ROLE-PLAYING THE VARIOUS
LOC: LETHARGY, OBTUNDED, STUPOR, AND COMA. WHILE ONE PERSON
PORTRAYS THESE VARIOUS LEVELS AS THE CLIENT, THE OTHER WILL
BE THE NURSE WHO WILL ASSESS AND RECORD THE CLIENTS LOC