Maladaptive Patterns of Behavior

THE IMPORTANCE OF SELF-AWARENESS
 It empowers you to make changes and build on your areas of strength and
identify areas where you would like to make improvements.
 It helps you create what you want and master your feelings, behavior and
actions.
 It is often a first step to goal setting.
WHAT PREVENTS YOU TO GROW IN LIFE?

Limits and Limitations
 Limits are physical impossibilities in a person.
 Limitations are usually psychological barriers, feelings of inadequacy,
unworthiness, believing one will fail-and they do fail.
WAYS TO DEVELOP YOURSELF

Be responsible for your actions
 Avoid negative people
 Read autobiography of successful people
 Attend seminars/ workshops
 Join and participate in school or community organization/s and activities
Balance your time between Personal and Academic
 Offer help to people
Psychiatric Assessment
 Referred to as psychosocial assessment in psychiatric mental health nursing

 Construct a picture of the client’s current emotional state, mental capacity and
behavioral function
Factors Influencing Assessment

 Client participation and feedback
 Client’s health status
 Client’s previous experiences/ misconceptions about health care
 Client’s ability to understand
 Nurse’s attitude and approach
How to conduct the interview

 ENVIRONMENT
 Comfortable, private, safe for client and nurse
 Fairly quiet with few distractions
 Isolated location
 INPUT FROM FAMILY AND FRIENDS
 The nurse must conduct at least part of the assessment without others
 Make effort to assess client in privacy in cases of suspected abuse
 HOW TO PHRASE QUESTIONS
 Use open-ended questions
 Use direct questions if client cannot organize thoughts
 Use nonjudgmental tone and language
Rapport
 how the interviewer and his patient relate
HOW TO ESTABLISH RAPPORT
 Put the patient and yourself at ease
Small talk
Recognize the signs: territorial (movement in the new territory), behavioral,
emotional (posture, facial expression, gestures, eye contact, tone of voice),
verbal (vocabulary and metaphors)
Respond to signs: verbal, gestures
 Find the suffering
Show compassion: facts, associated emotions
Respond with empathy: genuine, spontaneous, and accurate
 Assess insight
Become an ally
Set the therapeutic goal goals discussed with the patient therapeutic goals
 Show expertise
 Establish authority: ability to handle the patient
Authoritarian
Facilitative/supportive
 Balance roles
The empathic listenerpatient is at ease sensitive to the patient’s suffering
express compassion
MENTAL STATUS EXAMINATION
 Cornerstone in the evaluation of any patients with a medical, neurological, or

psychiatric disorder that affects thought, emotion, or behavior content, judgment,
mood, and affect
 Used to detect changes or abnormalities in a person’s intellectual functioning,
thought
 Represents a cross section of the patient’s psychological life and the sum total
of the nurses observations and impressions at the moment
 Involves observing the patient’s behavior and describing it in an
objective, nonjudgmental manner
 Basis for future comparison to facilitate tracking of the patient’s progress over
time
 IT IS AN EVALUATION OF THE PATIENT’S CURRENT STATE
Mental Status Assessment
Appearance – Describe what the client looks like and include physical characteristics,
manner of dress, level of hygiene and posture.
 Eye contact (eyes closed, good contact, avoids contact, stares)
 Dress (what individual is wearing, cleanliness, condition of clothes, neatness,
and appropriateness of garments)
 Grooming (malodorous, unkempt, dirty, and unshaven.
 Manner (cooperative, guarded, pleasant, suspicious, glib, angry, seductive,
ingratiating, evasive, friendly, hostile)
 Attentiveness to examiner (disinterested, bored, internally preoccupied,
distractible, attentive)
 Distinguishing features (scars, tattoos, bandages, bloodstains, missing teeth,
tobacco-stained fingers
 Prominent physical irregularity (missing limb, jaundice, profuse sweating,
goiter, wheezing, coughing)
 Emotional facial expression (crying, calm, perplexed, stressed, tense,
screaming, tremulous, furrowed brow)
 Alertness (alert, drowsy, stupor, confused)

Maladaptive Patterns of Behavior

Uploaded by

Copyright:

Available Formats

Maladaptive Patterns of Behavior

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Maladaptive Patterns of Behavior

Uploaded by

Copyright:

Available Formats

THE IMPORTANCE OF SELF-AWARENESS

WHAT PREVENTS YOU TO GROW IN LIFE?

WAYS TO DEVELOP YOURSELF

 Referred to as psychosocial assessment in psychiatric mental health nursing

Factors Influencing Assessment

How to conduct the interview

 Cornerstone in the evaluation of any patients with a medical, neurological, or

Mental Status Assessment

You might also like